Abstract
With an additional 23,300 neurosurgeons needed to address the over 5 million unmet essential neurosurgical cases presenting in low- and middle-income countries (LMICs) each year, a global approach to safe and effective neurosurgery is essential. Global neurosurgery, defined as “an area for study, research, practice, and advocacy that places priority on improving health outcomes and achieving health equity” for neurosurgical patients worldwide, has delivered tangible progress in this challenge over the past decade. The movement has facilitated the training and education of neurosurgeons, has developed cost-effective technological solutions, and has reformed healthcare systems in LMICs. For example, the Weill Cornell Neurosurgery-Tanzania Collaboration and the Duke Neurosurgery East Africa Project have excelled in specific areas of neurosurgical training and technological innovation by working closely with local healthcare organisations. Global neurosurgical outcomes monitoring, as conducted by a UK National Institute of Health Research collaboration on traumatic brain injury, will continue to provide further insight into the areas of care that require most attention and investment. While the past ten years have brought significant progress, the prioritisation of global health outcomes and equity in neurosurgical care is a particularly valuable advancement due to the benefits yet to be gained. The appreciation of safe and effective neurosurgery as a key element of universal health coverage is highly encouraging as a sign of progress towards more equitable surgical care for patients around the world.
Published Version
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