ReviewActa neurochirurgica2026
The current landscape of United States global neurosurgery scholarly work: gaps and opportunities.
Review in Acta neurochirurgica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionGlobal neurosurgery (GNS) has emerged as a field dedicated at addressing disparities in neurosurgical access, training, and workforce distribution worldwide. Persistent inequities adversely affect population health outcomes contributing to preventable morbidity and mortality. Addressing these gaps is an essential component of universal health coverage and United Nations Sustainable Development Goal 3 (SDG3). This study aimed to characterize U.S. academic engagement in GNS over the past decade, with emphasis on geographic focus, thematic and subspecialty trends, and institutional leadership.
methodsPubMed, Embase, and Scopus were searched for studies published between 2014 and 2025. Eligible publications included original research, case reports or series, reviews, technical or programmatic studies, and commentaries involving neurosurgical populations in World Bank-classified low- and lower-middle-income countries (LIC/LMIC) and at least one U.S.-affiliated author. Extracted data included publication type, country of focus, U.S. academic institution, neurosurgical subspecialty, and thematic domain. Descriptive statistics, chi-square tests, and linear regression analyses were performed.
resultsA total of 340 publications met inclusion criteria. U.S.-affiliated GNS output increased over time, with a mean annual increase of 5.9 publications. Collaborations involved 68 of 81 (81%) LIC/LMICs; however, research activity was unevenly distributed, as 57% of represented countries appeared in fewer than five publications. Sub-Saharan Africa accounted for 61% of country-specific publication instances. Most studies addressed general GNS topics (69%), while 31% focused on subspecialties. Education, training, and workforce development comprised 24% of publications. Among subspecialties, pediatric neurosurgery (36%) and trauma/traumatic brain injury (23%) predominated. Three journals accounted for 53% of publications, and three U.S. institutions contributed 37% of total output.
conclusionsEngagement in global neurosurgery has increased over the past decade but remains concentrated within a limited number of countries, subspecialties, journals, and institutions. These findings highlight opportunities to expand partnerships, and promote more equitable and inclusive neurosurgical scholarship.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.