Chinese Neurosurgeons Research Articles

Crossing Between Clinical Work and Scholarly Publishing: Early-Career Neurosurgeons as Clinician-Researchers

Medical professionals who assume multiple roles as clinicians and researchers are commonly found in hospitals worldwide. Likewise, in many Chinese hospitals, particularly among early-career medical professionals with MD and PhD degrees, active engagement in both clinical practice and scientific research is expected. In the current ethnographic study, the cultural-historical activity theory is used to explore how three early-career neurosurgeons at a tier-one northern Chinese hospital conduct and write research for publishing in Science Citation Index (SCI)-indexed journals in addition to handling their heavy clinical workload. Drawing on multiple sources of qualitative data, including semi-structured interviews, two-week naturalistic observations, field notes, photographs, and daily activity logs with three neurosurgeons, the study findings highlight Chinese neurosurgeons conduct and write up their research using patient data and collaborating with laboratories while seeking academic language editing and peer feedback. Ethical considerations of clinician-researchers’ scholarly publishing process, implications for researching medical professionals’ boundary crossings, and future research directions are also discussed.

Expert consensus on multidisciplinary diagnosis and treatment of brain arteriovenous malformation

Brain arteriovenous malformation (BAVM) is a cerebral vasculature disorder caused by gene mutation. Current available treatment measures include surgical resection, interventional embolization and stereotactic radiosurgery. The three therapeutic methods have their own advantages for different vascular structures.However, due to the complex vascular architecture of the lesion and its close anatomical relationship with brain tissue, any single treatment can not safely and effectively treat all BAVM cases. Therefore, in order to better regulate and guide the clinical diagnosis and treatment of BAVM patients in China, the National Medical School for Neurological Diseases, the Professional Committee of Neurointervention of the Chinese Medical Doctor Association and the radio-neurosurgery Expert Committee of the World Chinese Neurosurgeons Association jointly discussed and formulated this expert consensus. After in-depth analysis of the evidence of evidence-based medicine at home and abroad, the expert group combined with the specific situation of China, and gave 33 recommendations on specific clinical diagnosis and treatment issues such as predictive factors of cerebral arteriovenous malformation hemorrhage, clinical risks during pregnancy, imaging diagnosis measures, and clinical treatment strategies, in order to provide guidance for the diagnosis and treatment of BAVM nationwide.

Chinese Neurosurgical Randomized Controlled Trials: Dynamics in Trial Implementation and Completion.

The focus on evidence-based neurosurgery has led to a considerable amount of neurosurgical evidence based on randomized controlled trials (RCTs) being published. Nevertheless, there has been no systematic appraisal of China's contribution to RCTs. Information about the changes in characteristics of Chinese neurosurgical RCTs before and during the COVID-19 pandemic is limited. This study aims to perform a detailed examination and comprehensive analysis of the characteristics of Chinese neurosurgical RCTs and to examine the differences before and during the COVID-19 pandemic. We conducted a comprehensive database search including PubMed, Web of Science, Embase, and Cochrane Library up to March 2023, with a criterion of inclusion based on an impact factor above 0. We subsequently examined the design and quality parameters of the included RCTs and assessed the differences before and during the COVID-19 pandemic (based on follow-up ending before or after January 2020). Moreover, we investigated potential factors that may affect the quality and developmental trends of neurosurgical RCTs in China. The main focus of the 91 neurosurgical RCTs was vascular disease (47.3%) and trauma (18.7%). Over half of the trials used Consolidated Standards of Reporting Trial diagrams (69.2%), and the majority compared nonsurgical treatments (63.7%). Larger trials tended to have better quality scores, but those with significant efficacy were less likely to have power calculations. Over time, there was an increase in the use of Consolidated Standards of Reporting Trial diagrams and well-specified outcomes. The COVID-19 pandemic may have hindered the completion of neurosurgical RCTs in China, but it has had little impact on the design and quality so far. Chinese neurosurgeons have made significant progress in advancing neurosurgical RCTs despite challenges. However, shortcomings in sample size and power calculation need attention. Improving the rigor, rationality, and completeness of neurosurgical RCT design is crucial.

Academic versus non-academic neurosurgeons in China: a national cross-sectional study on workload, burnout and engagement

ObjectivesChinese neurosurgery has made great progress during the past decades; yet, little is known about the working status of neurosurgeons. This study aimed to evaluate the difference between academic and...

Neurosurgical publications in China: an analysis of the web of science database

Neurosurgery in China has made great progress. The aim of this study was to analyze neurosurgical publications by Chinese authors using the Web of Science database as a way to illustrate the current state of neurosurgery in China. We searched the Web of Science core database for articles containing “neurosurg*” with or without an author address in “China” to obtain the set of neurosurgical publications in China and worldwide. We then extracted data from the search results to obtain information such as document type, countries/territories, organizations, publication year, title and research area. Then, we analyzed the search results of articles (document type) to generate a citation report. We identified publications by Chinese neurosurgeons that were cited more than 100 times. A total of 165,365 neurosurgical publications were identified. Among them, 10,770 were published by Chinese neurosurgeons. Chinese neurosurgical publications have increased year by year, accounting for 2 % of neurosurgical publications before 2010 and rising to 13 % from 2010 to the present. The most frequent journals for Chinese neurosurgeons differ from the most frequent journals worldwide. We identified 34 Chinese organizations that published more than 100 publications. We also identified 19 studies written by Chinese neurosurgeons that were cited more than 100 times. Basic research represents a large proportion of Chinese publications in this area, while clinical research remains a weak area. Cooperative studies were overrepresented among Chinese studies. While China’s publication output in the area of neurosurgery has made great progress, significant room for improvement remains. The next step is to strengthen Chinese neurosurgical clinical studies and improve the publishing environment for Chinese neurosurgeons.

The inauguration of the English issue of the Chinese Neurosurgical Journal.

Editorial Almost a hundred years has passed since neurosurgery became an official surgical specialty of medicine. Forged from the field of general surgery, the founders of modern neurosurgery were able to progress the field despite having rudimentary methods of anesthesia, electrocautery, understanding of post-operative hematomas, and ways to monitor intracranial pressure. The combination of increased understanding of antiseptic techniques, advancements in surgical technologies, and early experimental successes lead to the formation of the first organized group called the Society of Neurological Surgeons in the United States in 1919. Later leading to the formation of other American societies and groups, such as The Harvey Cushing Society in 1932 [1]. On the international front the promotion of neurosurgery was also accelerating during this time. The first journal solely devoted to neurosurgery was established in Berlin in 1936 [2]. Also around this time the Journal of Neurosurgery was created in 1944 by the American Association of Neurological Surgeons receiving submissions from all over the world [3]. Today there are nearly two hundred neurosurgery related journals around the world and more than ten neurosurgery related journals in China [4]. Although there are many international neurosurgery journals, there has never been an English language based journal originating from China. Unfortunately, this often hindered the exchange of original neurosurgical research and information from China to the rest of the world. Since there are more than ten thousand practicing Chinese neurosurgeons, there is a great need for scientific communication in the Chinese neurosurgery community. Professor Jizong Zhao, the first Editor-in-Chief, is to be commended for forward thinking and assisting in the

Neurosurgical Development over 55 Years: A Story from Soochow University

ua Chen won the Young Neurosurgeons Award (YNSA) at the Fifteenth World Federation of Neurosurgical HSocieties (WFNS) World Congress, which was the fourth time for our team at Soochow University, the only institutional winner of the WFNS YNSA in Mainland China to achieve such an honor since the Ninth WFNS World Congress in 1989. So far, 5 young Chinese neurosurgeons have won the award, including George K.C. Wong of The Chinese University of Hong Kong, who also won the Fifteenth WFNS YNSA. There are altogether 46 individuals who have won this award, among whom 10.9% are Chinese. We at Soochow University feel deeply proud and cannot help asking how we have achieved this honor. The answer lies in our development over the last 55 years.

Chinese Neurosurgeons Quietly Push for Easing of Brain Operation Ban

At a World Society for Stereotactic and Functional Neurosurgery meeting last month, researchers and neurosurgeons sought to clarify which brain operations for psychiatric conditions should be allowed and which should be experimental or off-limits.

Neurosurgery Center of Beijing Tiantan Hospital, Flagship of Neurosurgery in China

D S S b a fi n w 1 b l W D s n p 1 V e e MODERN NEUROSURGERY IN CHINA Thetale of the history of neurosurgery in China started about 2000 years ago. One of the most famous doctors in China, Hua Tuo, diagnosed King Cao Cao with a brain tumor that aused his headache, and suggested surgery for the King to remove he tumor. However, King Cao Cao did not believe him and killed im. It was recorded that the first neurosurgical clinical practice began n the 1920s. The first Chinese neurosurgeon was Dr. S. T. Kwan, ho practiced neurosurgical service in Peking Union Medical Colege Hospital. Shortly after that, Dr. Yicheng Zhao began his service n Tianjin. There was very little documentation of neurosurgical ervice in China before the foundation of The People’s Republic of hina in 1949. Basically, neurosurgery practice started after 1950. After the oreanWar, the central government organized the first 1-year trainng course in neurosurgery in 1955 in Beijing (Figure 1). The trainers ere Dr. Yicheng Zhao and former Soviet Union neurosurgeon Dr. rtuinov. After the training course, the trainees returned to their ospitals to develop neurosurgery. Dr. Chungcheng Wang was one f the trainees (22). Because of politics, prejudice, and unfair international sanctions, aining modern knowledge of science and techniques was very difcult for the Chinese people, including medical service, and neurourgery is not an exception. Although the resources of medicine ere very limited, Chinese neurosurgeons continued their mission ith hard work, collecting the knowledge from daily clinics and esearch. During that time, Cerebral Vascular Angiogram was finshed by Dr. Chungcheng Wang in 1965, the microscope was first

Dr Chung-Cheng Wang and Beijing Neurosurgical Institute

Contemporary neurosurgery concept and practice had been introduced into China in the turn of this century. Neurosurgery was accepted and slowly developed especially in the 1950s that the first neurosurgery department was established in China. One of the first generation of Chinese neurosurgeons that were trained in China is Dr Chung-Cheng Wang. Dr Wang and his Beijing Neurosurgical Institute play a central role in the development of Chinese modern neurosurgery.