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Psychosurgery

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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Achieving Equity Through Global Neurosurgery Research.

Ronnie E Baticulon^1,2, Michael C Dewan³, Claire Karekezi⁴

¹Division of Neurosurgery, Department of Neurosciences, Philippine General Hospital, University of the Philippines Manila, Manila , Philippines.

|August 26, 2024

Summary

This summary is machine-generated.

Global neurosurgery research focuses on addressing inequities in neurosurgical care. A new framework guides researchers toward rigorous, responsive, and responsible studies for accessible neurosurgery worldwide.

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Area of Science:

Neurosurgery
Global Health
Health Equity

Background:

The Lancet Commission on Global Surgery (2015) spurred growth in global neurosurgery publications.
A lack of consensus exists on defining global neurosurgery literature.
Scholarly work addressing neurosurgical care inequities is proposed as the core of global neurosurgery research.

Purpose of the Study:

To define global neurosurgery research as scholarly work measuring, exploring, or addressing inequities in neurosurgical disease care.
To review the expansion of global neurosurgery research, highlighting key papers and barriers to participation, especially for neurosurgeons in low- and middle-income countries.
To introduce the 3Rs framework (rigorous, responsive, responsible) for guiding future global neurosurgery research.

Main Methods:

This is a narrative review.
The review analyzes the growth and scope of global neurosurgery literature.
It discusses challenges faced by researchers, particularly in resource-limited settings.

Main Results:

Global neurosurgery research has expanded significantly since 2015.
Barriers to participation exist, particularly for neurosurgeons in low- and middle-income countries.
A proposed definition and the 3Rs framework offer guidance for the field.

Conclusions:

Global neurosurgery research should focus on measuring and addressing inequities in care.
The 3Rs framework (rigorous, responsive, responsible) provides a model for future research.
This work aims to guide researchers and practitioners toward achieving timely, safe, and affordable neurosurgical care for all.