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Stereotactic Radiosurgery for Gynecologic Cancer
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Stereotactic Radiosurgery for Gynecologic Cancer

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Worldwide Access to Stereotactic Radiosurgery.

Susan C Pannullo1, Diana A R Julie2, Swathi Chidambaram1

  • 1Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA.

World Neurosurgery
|October 5, 2019
PubMed
Summary
This summary is machine-generated.

Stereotactic radiosurgery offers effective neurosurgical treatment, but global access is limited by imaging, equipment, and cost barriers. Improving worldwide availability requires addressing these challenges for better patient outcomes.

Keywords:
AccessCost-effectivenessCyberKnifeDevice costsGamma KnifeGlobal healthNovalisStereotactic radiosurgery

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Area of Science:

  • Neurosurgery
  • Radiation Oncology
  • Global Health

Background:

  • Stereotactic radiosurgery (SRS) is a proven technology for various neurosurgical conditions.
  • Availability of SRS is uneven globally, with significant disparities in access.
  • Limited access is often due to inadequate central nervous system (CNS) imaging and treatment infrastructure in many regions.

Purpose of the Study:

  • To examine the barriers limiting global access to stereotactic radiosurgery.
  • To propose strategies for enhancing the worldwide availability of SRS for neurosurgical conditions.

Main Methods:

  • Review of current global access to SRS technology.
  • Analysis of factors hindering widespread adoption and implementation.
  • Identification of socioeconomic and political influences on care access.

Main Results:

  • Significant disparities exist in SRS availability between developed and low-income countries.
  • Lack of adequate CNS imaging and treatment equipment are primary access barriers.
  • High costs of radiosurgical platforms and extensive personnel training requirements impede broader implementation.

Conclusions:

  • Addressing global disparities in SRS requires overcoming significant infrastructural, financial, and training hurdles.
  • Improved epidemiologic data collection in low-income countries is needed to accurately assess the need for SRS.
  • Targeted efforts focusing on socioeconomic and political factors are crucial for expanding global access to SRS.