Pediatric Neurosurgical Capacity for the Care of Children With CNS Tumors Worldwide: A Cross-Sectional Assessment
PURPOSEEfforts to address inequities in the treatment of pediatric CNS tumors and the burden of childhood cancer globally have prompted the designation of low-grade glioma as one of six index cancers for the World Health Organization Global Initiative for Childhood Cancer. Understanding the importan...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
American Society of Clinical Oncology
2023-01-01
|
| Series: | JCO Global Oncology |
| Online Access: | https://ascopubs.org/doi/10.1200/GO.22.00402 |
| _version_ | 1828036033194754048 |
|---|---|
| author | Jordan T. Roach Ibrahim Qaddoumi Ronnie E. Baticulon Anthony Figaji Danny A. Campos Luis Arredondo Frederick A. Boop Daniel C. Moreira |
| author_facet | Jordan T. Roach Ibrahim Qaddoumi Ronnie E. Baticulon Anthony Figaji Danny A. Campos Luis Arredondo Frederick A. Boop Daniel C. Moreira |
| author_sort | Jordan T. Roach |
| collection | DOAJ |
| description | PURPOSEEfforts to address inequities in the treatment of pediatric CNS tumors and the burden of childhood cancer globally have prompted the designation of low-grade glioma as one of six index cancers for the World Health Organization Global Initiative for Childhood Cancer. Understanding the importance of neurosurgical interventions and evaluating pediatric neurosurgical capacity may identify critical interventions to improve outcomes for children with low-grade glioma and other CNS tumors.METHODSAn online, cross-sectional survey assessing pediatric neurosurgical practice and capacity was distributed to members of the International Society of Pediatric Neurosurgery. The survey included 36 items covering domains including patient volume, available infrastructure, scope of practice, case distribution, and multidisciplinary care.RESULTSResponses from 196 individuals from 61 countries, spanning all WHO regions, were included. Ninety-six (49.0%) were from high-income countries, 57 (29.1%) were from upper-middle–income countries, 42 (21.4%) were from lower-middle–income countries (LMICs), and 1 was (0.5%) from a low-income country. Most respondents had a catchment population of ≥ 1 million and indicated the availability of basic neurosurgical resources such as a dedicated neurosurgical operating theater and surgical microscope. The presence of a neurosurgical intensive care unit, inpatient rehabilitation services, and infection monitoring showed similar availability across country groups. Quantitative scoring of 13 infrastructure and service items established that fewer resources were available in low-income countries/LMICs and upper-middle–income countries compared with high-income countries. The volume of pediatric CNS tumor cases and case distribution did not vary according to World Bank country groups.CONCLUSIONThis study provides a comprehensive evaluation of pediatric neurosurgical capacity across the globe, establishing variability of resources on the basis of the country income level. Our findings suggest that pediatric neurosurgeons in LMICs may benefit from key neurosurgical instrumentation and increased support for multidisciplinary brain tumor programs and childhood cancer research efforts. |
| first_indexed | 2024-04-10T15:53:11Z |
| format | Article |
| id | doaj.art-c2afda61a803466d93bc262868afdaf3 |
| institution | Directory Open Access Journal |
| issn | 2687-8941 |
| language | English |
| last_indexed | 2024-04-10T15:53:11Z |
| publishDate | 2023-01-01 |
| publisher | American Society of Clinical Oncology |
| record_format | Article |
| series | JCO Global Oncology |
| spelling | doaj.art-c2afda61a803466d93bc262868afdaf32023-02-10T20:59:08ZengAmerican Society of Clinical OncologyJCO Global Oncology2687-89412023-01-01910.1200/GO.22.00402Pediatric Neurosurgical Capacity for the Care of Children With CNS Tumors Worldwide: A Cross-Sectional AssessmentJordan T. Roach0Ibrahim Qaddoumi1Ronnie E. Baticulon2Anthony Figaji3Danny A. Campos4Luis Arredondo5Frederick A. Boop6Daniel C. Moreira7College of Medicine, University of Tennessee Health Science Center, Memphis, TNDepartment of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, TNDepartment of Neurosciences, Division of Neurosurgery, Philippine General Hospital, University of the Philippines Manila, Manila, PhilippinesDivision of Neurosurgery and Neuroscience Institute, Groote Schuur Hospital¸ University of Cape Town, South AfricaInstituto Nacional de Salud del Niño San Borja, Lima, PeruHospital Civil de Guadalajara, Guadalajara, MexicoDepartment of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, TNDepartment of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, TNPURPOSEEfforts to address inequities in the treatment of pediatric CNS tumors and the burden of childhood cancer globally have prompted the designation of low-grade glioma as one of six index cancers for the World Health Organization Global Initiative for Childhood Cancer. Understanding the importance of neurosurgical interventions and evaluating pediatric neurosurgical capacity may identify critical interventions to improve outcomes for children with low-grade glioma and other CNS tumors.METHODSAn online, cross-sectional survey assessing pediatric neurosurgical practice and capacity was distributed to members of the International Society of Pediatric Neurosurgery. The survey included 36 items covering domains including patient volume, available infrastructure, scope of practice, case distribution, and multidisciplinary care.RESULTSResponses from 196 individuals from 61 countries, spanning all WHO regions, were included. Ninety-six (49.0%) were from high-income countries, 57 (29.1%) were from upper-middle–income countries, 42 (21.4%) were from lower-middle–income countries (LMICs), and 1 was (0.5%) from a low-income country. Most respondents had a catchment population of ≥ 1 million and indicated the availability of basic neurosurgical resources such as a dedicated neurosurgical operating theater and surgical microscope. The presence of a neurosurgical intensive care unit, inpatient rehabilitation services, and infection monitoring showed similar availability across country groups. Quantitative scoring of 13 infrastructure and service items established that fewer resources were available in low-income countries/LMICs and upper-middle–income countries compared with high-income countries. The volume of pediatric CNS tumor cases and case distribution did not vary according to World Bank country groups.CONCLUSIONThis study provides a comprehensive evaluation of pediatric neurosurgical capacity across the globe, establishing variability of resources on the basis of the country income level. Our findings suggest that pediatric neurosurgeons in LMICs may benefit from key neurosurgical instrumentation and increased support for multidisciplinary brain tumor programs and childhood cancer research efforts.https://ascopubs.org/doi/10.1200/GO.22.00402 |
| spellingShingle | Jordan T. Roach Ibrahim Qaddoumi Ronnie E. Baticulon Anthony Figaji Danny A. Campos Luis Arredondo Frederick A. Boop Daniel C. Moreira Pediatric Neurosurgical Capacity for the Care of Children With CNS Tumors Worldwide: A Cross-Sectional Assessment JCO Global Oncology |
| title | Pediatric Neurosurgical Capacity for the Care of Children With CNS Tumors Worldwide: A Cross-Sectional Assessment |
| title_full | Pediatric Neurosurgical Capacity for the Care of Children With CNS Tumors Worldwide: A Cross-Sectional Assessment |
| title_fullStr | Pediatric Neurosurgical Capacity for the Care of Children With CNS Tumors Worldwide: A Cross-Sectional Assessment |
| title_full_unstemmed | Pediatric Neurosurgical Capacity for the Care of Children With CNS Tumors Worldwide: A Cross-Sectional Assessment |
| title_short | Pediatric Neurosurgical Capacity for the Care of Children With CNS Tumors Worldwide: A Cross-Sectional Assessment |
| title_sort | pediatric neurosurgical capacity for the care of children with cns tumors worldwide a cross sectional assessment |
| url | https://ascopubs.org/doi/10.1200/GO.22.00402 |
| work_keys_str_mv | AT jordantroach pediatricneurosurgicalcapacityforthecareofchildrenwithcnstumorsworldwideacrosssectionalassessment AT ibrahimqaddoumi pediatricneurosurgicalcapacityforthecareofchildrenwithcnstumorsworldwideacrosssectionalassessment AT ronnieebaticulon pediatricneurosurgicalcapacityforthecareofchildrenwithcnstumorsworldwideacrosssectionalassessment AT anthonyfigaji pediatricneurosurgicalcapacityforthecareofchildrenwithcnstumorsworldwideacrosssectionalassessment AT dannyacampos pediatricneurosurgicalcapacityforthecareofchildrenwithcnstumorsworldwideacrosssectionalassessment AT luisarredondo pediatricneurosurgicalcapacityforthecareofchildrenwithcnstumorsworldwideacrosssectionalassessment AT frederickaboop pediatricneurosurgicalcapacityforthecareofchildrenwithcnstumorsworldwideacrosssectionalassessment AT danielcmoreira pediatricneurosurgicalcapacityforthecareofchildrenwithcnstumorsworldwideacrosssectionalassessment |