Global Neurosurgical Challenges: A Focus on Central Asia
Okon I.I. Akpan U.U. Lucero-Prisno D.E. Adeniran Bankole N.D. Shafqat M.D. Rehman I.U. Shafqat M.D. Gbayisomore T.J. Atallah O. Aiman M. Precious F.K. Musa M.K. Ibrahim M. Omer M. Dzhusupov K. Ermakhanfm Z. Tygotov T. Otaki A. Karlygash T. Aiya K. Chaurasia B.
July 2024Elsevier Inc.
World Neurosurgery
2024#187e1106 - e1111 pp.
Objective: To evaluate the current state of neurosurgical care in Central Asia, identify the challenges and advancements, and propose recommendations to improve neurosurgical capabilities and access in Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan. Methods: A comprehensive review of the neurosurgical infrastructure, availability of neurosurgeons, technological advancements, and healthcare policies in the five Central Asian countries. Analysis included published literature, healthcare reports, and expert opinions to assess the state of neurosurgical care and identify areas for improvement. Results: Significant variation in neurosurgical care was observed across the region. Kazakhstan showed notable advancements, including an increased number of neurosurgeons and progress in specialized fields such as vascular neurosurgery and brain tumor management. Other countries, like Uzbekistan, Tajikistan, and Kyrgyzstan, made strides in improving neurosurgical care but still faced substantial challenges. Common issues included a shortage of neurosurgeons, limited facilities, and inadequate access to modern technology. The lack of research data further highlighted the need for urgent intervention. Conclusions: To enhance neurosurgical care in Central Asia, a multipronged approach involving targeted investments, policy reforms, international collaborations, and knowledge sharing is recommended. This includes establishing specialized neurosurgical training programs and fellowships, investing in infrastructure and technology, fostering international collaborations for training and research, introducing early neurosurgery education in medical schools, improving access to online education resources, and promoting telemedicine for consultations and follow-up care. These measures are necessary to expand access to essential neurosurgical care and improve outcomes in the regions.
Central Asia , Global , Innovation , LMICs , Neurosurgery
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Department of Neurosurgery, Hospital of the Babcock University, Ogun State, IIishan-Remo, Nigeria
University of Warwick, Coventry, United Kingdom
Fculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom
Interventional Neuroradiology Department, Clinical investigation center (CIC-IT) 1415, INSERM, University Hospital of Tours, Tours, France
Shifa College of Medicine, Islamabad, Pakistan
Data Intelligence and Innovation Unit, University of Benin Teaching Hospital, Edo state, Nigeria
Department of Neurosurgery, Hannover Medical School, Hannover, Germany
Department of Neurosurgery, National Center for Neurosurgery, Astana, Kazakhstan
College of Medicine, University of Nigeria, Enugu state, Nsukka, Nigeria
Department of Biomedical Sciences, Nazarbayev University of Medicine, Astana, Kazakhstan
International Higher School of Medicine – International University of Kyrgyzstan, Bishkek, Kyrgyzstan
Astana Medical University, Astana, Kazakhstan
Department of Special Surgical Disciplines, International Higher School of Medicine, Bishkek, Kyrgyzstan
Department of Public Health, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal
Department of Neurosurgery
University of Warwick
Fculty of Public Health and Policy
Interventional Neuroradiology Department
Shifa College of Medicine
Data Intelligence and Innovation Unit
Department of Neurosurgery
Department of Neurosurgery
College of Medicine
Department of Biomedical Sciences
International Higher School of Medicine – International University of Kyrgyzstan
Astana Medical University
Department of Special Surgical Disciplines
Department of Public Health
Department of Neurosurgery
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