PMID- 38286320 OWN - NLM STAT- MEDLINE DCOM- 20240410 LR - 20240410 IS - 1878-8769 (Electronic) IS - 1878-8750 (Linking) VI - 184 DP - 2024 Apr TI - The Current Landscape of Neurosurgical Oncology in Low-Middle-Income Countries (LMIC): Strategies for the Path Forward. PG - e291-e298 LID - S1878-8750(24)00140-2 [pii] LID - 10.1016/j.wneu.2024.01.118 [doi] AB - OBJECTIVE: To promote global equity in research, innovation, and care, sharing knowledge and grasping current benchmarks is crucial. Despite LIC/LMIC constituting around 80% of the global population, their contribution to neurosurgery research is less than 5%. This study aims to assess the status of neurosurgical oncology in LIC/LMIC using published data, offering strategic insights for progress. METHODS: Conducting a retrospective bibliometric analysis via PubMed and Scopus databases, we documented reports published (2015-2021) by neurosurgical department-affiliated investigators in LICs/LMICs. World Bank classifications identified LIC and LMIC. Reviewed papers underwent further scrutiny based on independent and associated keyword lists. RESULTS: Our systematic approach revealed 189 studies from LMIC in 10 neurosurgery journals. Of these, 53% were case reports, with 88% focusing on brain pathologies and 12% on the spine. Intra-axial brain tumors (45.8%), extra-axial/skull base (38.4%), and metastasis (3.68%) were prominent. Among noncase report publications, surgical technique and outcome were common themes. India, Egypt, and Tunisia led in publications, with 94% appearing in journals with an impact factor below 5. No papers originated from LIC. CONCLUSIONS: This study reinforces existing findings that data from LMIC inadequately represent their populations, impeding a comprehensive understanding of their neurosurgical oncology landscape. Language barriers and data collection difficulties contribute to this gap. Addressing these challenges could significantly enhance progress in shaping the future of neurosurgical oncology in these regions. CI - Copyright (c) 2024 Elsevier Inc. All rights reserved. FAU - Young, Tirone AU - Young T AD - Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA. FAU - Tropeano, Maria Pia AU - Tropeano MP AD - Neurosurgical Unit, Department of Neurosciences, ASST Ovest Milanese - Legnano Hospital, Milan, Italy. FAU - Cannizzaro, Delia AU - Cannizzaro D AD - Neurosurgical Unit, Department of Neurosciences, ASST Ovest Milanese - Legnano Hospital, Milan, Italy; Department of Biomedical Sciences, Humanitas University, Milano, Italy. FAU - Jelmoni, Alice J M AU - Jelmoni AJM AD - Neurosurgical Unit, Department of Neurosciences, ASST Ovest Milanese - Legnano Hospital, Milan, Italy. FAU - Servadei, Franco AU - Servadei F AD - Department of Neurosurgery, Humanitas University, Milano, Italy. FAU - Germano, Isabelle M AU - Germano IM AD - Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA. Electronic address: Isabelle.germano@mountsinai.org. LA - eng PT - Journal Article DEP - 20240128 PL - United States TA - World Neurosurg JT - World neurosurgery JID - 101528275 SB - IM MH - Humans MH - *Developing Countries MH - Retrospective Studies MH - *Neurosurgery MH - Neurosurgical Procedures MH - Bibliometrics OTO - NOTNLM OT - Global health OT - Low-and middle-income country OT - Low-income country OT - Neurosurgery OT - Neurosurgical oncology EDAT- 2024/01/30 00:42 MHDA- 2024/04/10 06:42 CRDT- 2024/01/29 19:15 PHST- 2023/10/10 00:00 [received] PHST- 2024/01/20 00:00 [revised] PHST- 2024/01/22 00:00 [accepted] PHST- 2024/04/10 06:42 [medline] PHST- 2024/01/30 00:42 [pubmed] PHST- 2024/01/29 19:15 [entrez] AID - S1878-8750(24)00140-2 [pii] AID - 10.1016/j.wneu.2024.01.118 [doi] PST - ppublish SO - World Neurosurg. 2024 Apr;184:e291-e298. doi: 10.1016/j.wneu.2024.01.118. Epub 2024 Jan 28.