Evidence map›Paper›PMID 42755687›Full record

ReviewGlobal spine journal2026

Strategies for High-Quality Spine Surgery in Resource-Limited Settings: The Five-P Framework for Equitable Surgical Delivery.

Andrei Fernandes Joaquim, Shanmuganathan Rajasekaran

Abstract readReview
In one paragraph

Review in Global spine journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Andrei Fernandes JoaquimDiscipline of Neurosurgery, Department of Neurology, University of Campinas (UNICAMP), Campinas-SP, Brazil.ORCID 0000-0003-2645-0483
Shanmuganathan RajasekaranDepartment of Orthopaedics, Traumatology and Spine Surgery, Ganga Hospital, Coimbatore, Tamilnadu, India.ORCID 0000-0001-6043-006X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study DesignNarrative review with a Conceptual Framework.ObjectivesLow- and middle-income countries (LMICs), home to approximately 80-85% of the global population, face a disproportionate burden of spinal disorders and limited access to timely, safe, and affordable surgical care. This review proposes a practical framework for delivering high-value spine care in LMICs by integrating evidence on health systems, value-based healthcare, and spine surgery into five strategic domains: Policy & Governance, Patient Selection, Perioperative Efficiency, Products & Technology, and Protection (the Five-P Framework).MethodsA narrative review with a structured literature search was conducted using PubMed and gray literature. Studies on spinal care delivery, health systems, cost-effectiveness, and surgical strategies in LMICs or comparable settings were qualitatively synthesized into thematic domains.ResultsFive domains were identified: (1)

Indexed as

cost-effectivenessglobal equityhealth systems strengtheninglow- and middle-income countries (LMICs)spine surgery

Identifiers

PMID42755687
PMCPMC13588966

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.