“…Twenty of them were duplicated and were deleted. After further evaluation of the 60 remaining papers, only 15 were included in the bibliometric data analysis [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. The main reasons for exclusion were: 28 articles-age group with adults; 4 articles-the age group with children; 6 articles-had no postoperative pain; 4 articles-evaluated chronic pain; 3 articles-addressed surgical technique and costs.…”
Section: Articles From Low-and Middle-income Countries: Number and Type Of Publications Authors Affiliations Distribution Of Countries Anmentioning
Postoperative pain (POP) remains a major challenge for surgeons and anesthesiologists worldwide, especially in low- and middle-income countries. Elderly patients are at higher risk for undertreatment of pain. Despite that, there is a paucity of papers addressing POP among this population in developing countries. This study aimed to provide a bibliometric analysis of the literature concerning postoperative pain in elderly patients from low- and middle-income countries. It was performed an extensive search of papers on this subject through the Web of Science and Scopus database using a series of uniterms and, including publications from 2001 to 2021. Publication quality was assessed by using total citation frequency, average citations per item and other citation indexes. Citation indexes were low, with the highest reaching 15 citations. In conclusion, few studies of postoperative pain in the elderly in countries with medium and low income, indicating a need that has not yet been met for this population and in these areas of the world. The published studies were not specifically aimed at the elderly, had limited impact, low international visibility. They were not epidemiological studies and are not robust, weakening knowledge and decision-making towards policies directed at this vulnerable population.
“…Twenty of them were duplicated and were deleted. After further evaluation of the 60 remaining papers, only 15 were included in the bibliometric data analysis [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. The main reasons for exclusion were: 28 articles-age group with adults; 4 articles-the age group with children; 6 articles-had no postoperative pain; 4 articles-evaluated chronic pain; 3 articles-addressed surgical technique and costs.…”
Section: Articles From Low-and Middle-income Countries: Number and Type Of Publications Authors Affiliations Distribution Of Countries Anmentioning
Postoperative pain (POP) remains a major challenge for surgeons and anesthesiologists worldwide, especially in low- and middle-income countries. Elderly patients are at higher risk for undertreatment of pain. Despite that, there is a paucity of papers addressing POP among this population in developing countries. This study aimed to provide a bibliometric analysis of the literature concerning postoperative pain in elderly patients from low- and middle-income countries. It was performed an extensive search of papers on this subject through the Web of Science and Scopus database using a series of uniterms and, including publications from 2001 to 2021. Publication quality was assessed by using total citation frequency, average citations per item and other citation indexes. Citation indexes were low, with the highest reaching 15 citations. In conclusion, few studies of postoperative pain in the elderly in countries with medium and low income, indicating a need that has not yet been met for this population and in these areas of the world. The published studies were not specifically aimed at the elderly, had limited impact, low international visibility. They were not epidemiological studies and are not robust, weakening knowledge and decision-making towards policies directed at this vulnerable population.
“…The study by Majovsky et al was stage 2a and assessed the use of burr holes in evacuation of chronic subdural hematomas [ 34 ]. The paper by Flores et al was also aligned to stage 2a, investigating the use of syringes as dilators and retractors in spinal surgery in 30 patients [ 20 ]. None of the studies included from the citation search identified as stage 2b, 3, or 4 (exploration, assessment, long-term monitoring).…”
Section: Resultsmentioning
confidence: 99%
“…Papers were published between 2013 and 2019 and spanned a number of sub-specialties including skull base, neuro-oncology, and spinal neurosurgery. Ten papers (71%) explicitly mention the IDEAL framework within their text [8,20,26,33,34,37,39,55,58,60]. Six (43%) papers aimed to align their research with a specific stage of the IDEAL framework [8,20,33,34,39,60].…”
Section: Primary Publication Analysismentioning
confidence: 99%
“…Ten papers (71%) explicitly mention the IDEAL framework within their text [8,20,26,33,34,37,39,55,58,60]. Six (43%) papers aimed to align their research with a specific stage of the IDEAL framework [8,20,33,34,39,60]. Of these six, five (83%) papers appropriately applied the IDEAL framework to their research; one publication claiming to align to stage 1/2a was an animal study [8].…”
Background
The Idea, Development, Exploration, Assessment and Long-term study (IDEAL) framework was created to provide a structured way for assessing and evaluating novel surgical techniques and devices.
Objectives
The aim of this paper was to investigate the utilization of the IDEAL framework within neurosurgery, and to identify factors influencing implementation.
Methods
A bibliometric analysis of the 7 key IDEAL papers on Scopus, PubMed, Embase, Web of Science, and Google Scholar databases (2009–2019) was performed. A second journal-specific search then identified additional papers citing the IDEAL framework. Publications identified were screened by two independent reviewers to select neurosurgery-specific articles.
Results
The citation search identified 1336 articles. The journal search identified another 16 articles. Following deduplication and review, 51 relevant articles remained; 14 primary papers (27%) and 37 secondary papers (73%). Of the primary papers, 5 (36%) papers applied the IDEAL framework to their research correctly; two were aligned to the pre-IDEAL stage, one to the Idea and Development stages, and two to the Exploration stage. Of the secondary papers, 21 (57%) explicitly discussed the IDEAL framework. Eighteen (86%) of these were supportive of implementing the framework, while one was not, and two were neutral.
Conclusion
The adoption of the IDEAL framework in neurosurgery has been slow, particularly for early-stage neurosurgical techniques and inventions. However, the largely positive reviews in secondary literature suggest potential for increased use that may be achieved with education and publicity.
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