Details

Autor(en) / Beteiligte

• Anand, Ayush
• Ajayi, Abass Oluwaseyi
• Ansari, Ayesha
• Mustapha, Mubarak Jolayemi
• Verma, Amogh
• Adinoyi, Suleiman Abdullahi
• Uthman, Uthman
• Usman, Abubakar
• Mofatteh, Mohammad
• Khatib, Mahalaqua Nazli
• Zahiruddin, Quazi Syed
• Gaidhane, Shilpa
• Sharma, Rakesh Kumar
• Rustagi, Sarvesh
• Satapathy, Prakasini
• Ajibade, Aruna Afeez
• Oluwamayowa, Opara
• Obanife, Henry Olayere
• Ahmad, Karofi Ibrahim
• Ogunleye, Olabisi Oluwagbemiga

Titel

Academic Neurosurgery in Nigeria- Past, Present, and Future: A Review

Ist Teil von

• World neurosurgery, 2024-09, Vol.189, p.108-117

Ort / Verlag

Elsevier Inc

Erscheinungsjahr

2024

Quelle

Access via ScienceDirect (Elsevier)

Beschreibungen/Notizen

• Nigeria's neurosurgical field faces profound challenges, including a critically low neurosurgeon-to-patient ratio and significant migration of medical professionals to developed countries. High costs, low socioeconomic status, and the urban-centric location of neurosurgical centers impede access to care. Key barriers to service delivery include lack of manpower, insufficient emergency care, limited imaging modalities, inadequate operative equipment, and ineffective political and administrative policies. Neurotrauma is the primary reason for neurosurgical intervention but is poorly managed due to delayed access and insufficient guidelines. The neurosurgical education system is strained by limited training capacity and the absence of subspecializations, restricting specialized care. Research output is low, hindered by limited infrastructure, lack of databases, insufficient funding, and minimal international collaboration. To address these issues, it is critical to enhance the imaging capabilities, ensure the availability of operative equipment, and establish effective policies for task sharing and communication at different levels of care. Other approaches include expanding training capacity, particularly in rural areas, implementing a uniform match system for residency, addressing gender disparities, and utilizing dual practice to ensure adequate compensation for neurosurgeons. Furthermore, stakeholders should develop subspecialization programs in areas such as neurovascular, neuro-oncology, pediatric neurosurgery, and minimally invasive neurosurgery to expand service scope. To transform the neurosurgical research landscape, efforts should be made to establish electronic medical databases, foster international collaborations to ensure funding, and make research mandatory for accreditation renewal to ensure continuous academic contribution.