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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

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.