在LMICs中治疗大脑瘤的辅助疗法:对障碍和可能的解决方案的系统审查
Muhammad Shakir1, Hammad Atif Irshad2, Aly Hamza Khowaja2
1Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
Clinical neurology and neurosurgery
|July 26, 2024
概括
治疗脑瘤的辅助疗法在低收入和中等收入国家 (LMICs) 面临重大障碍. 解决这些问题需要改善医疗保健接入,基础设施和资金,以改善患者的治疗结果.
科学领域:
- 神经瘤学神经瘤学
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
背景情况:
- 辅助疗法显著改善了脑瘤患者的治疗结果.
- 低收入和中等收入国家 (LMICs) 在为脑瘤提供辅助治疗方面面临重大挑战.
研究的目的:
- 在LMICs中识别大脑瘤辅助治疗的障碍.
- 突出在资源有限的环境中改善辅助护理的策略.
主要方法:
- 在主要数据库 (PubMed,CINAHL,Scopus,Google Scholar) 进行了全面的文献搜索.
- 包括的研究集中在LMICs中大脑瘤的辅助疗法.
- 主题分析使用了国家外科,产科和麻醉计划 (NSOAP) 领域.
主要成果:
- 主要障碍包括有限的医疗保健 (14%),不足的化疗/辐射设备 (25%) 和依赖替代药物 (11%).
- 改善策略包括加强放射性瘤学培训 (8%),促进神经诊断/神经治疗的准入 (12%),补贴治疗 (4%) 和建立登记 (16%).
结论:
- 针对劳动力,基础设施,服务提供,融资和信息管理的多式联运战略至关重要.
- 国际合作和伙伴关系对于克服障碍和加强LMICs的护理至关重要.
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