Geospatial Mapping of International Neurosurgical Partnerships and Evaluation of Extent of Training and Engagement

Olivieri, Daniel J; Baticulon, Ronnie E.; Labuschagne, Jason; Harkness, William; Warf, Benjamin C.; Dewan, Michael C.

doi:10.1016/j.wneu.2020.09.107

Cited by 13 publications

(11 citation statements)

References 36 publications

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“…In comparison to a similar study in global neurosurgery, 21 there were a greater amount of HIC‐LMIC ophthalmic partnerships, a greater amount of partnerships in Asia‐Pacific and a greater proportion of ‘T1’ partnerships. First, European‐based actors' increased presence in global ophthalmology might explain the increased number of unique partnerships.…”

Section: Discussioncontrasting

confidence: 82%

“…Agencies experienced in global surgery can model effective partnerships and connect emerging HIC and LMIC stakeholders 18,22,23 . Improved documentation of LMIC stakeholder needs is one strategy to enhance partnership efficacy; centralising the work of global ophthalmology coordinating agencies onto online platforms such as InterSurgeon can elucidate LMIC stakeholder needs and identify potential HIC participants 21,22 . Further, a cross‐surgical platform can facilitate intra‐institutional HIC connections, yielding more robust partnerships 21 …”

Section: Discussionmentioning

confidence: 99%

“…Implementing transnational partnerships, however, does not readily equate to success. Noted barriers to partnership efficacy include deficiencies in trained surgical personnel, surgical supplies and axillary health professionals 18,21,22 . Furthermore, developing comprehensive ophthalmic partnerships requires careful consideration of the structure of the local medical community 24 .…”

Section: Discussionmentioning

confidence: 99%

“…The greater amount of ophthalmic coordinating agencies also might explain the ‘targeted’ focus (ie, cataract, retinoblastoma, trachoma) of ophthalmic partnerships. Although more focused service provision might facilitate a greater quantity of ophthalmic partnerships, such partnerships are less likely to provide comprehensive care and obtain ‘E3’ or ‘T3’ classifications relative to their neurosurgical counterparts 21 . In sum, global ophthalmology models partnership specificity, and global neurosurgery models comprehensive surgical provision.…”

Section: Discussionmentioning

confidence: 99%

“…Next, a classification by both ‘engagement’ and ‘training’ was a prerequisite for inclusion in the final data set. The authors utilised a grading system that classified partnerships on a three‐tiered scale for both ‘engagement’ and ‘training’, derived from a study on global neurosurgery 21 . In this classification system, the levels of ‘engagement’ and ‘training’ were defined on a continuum from Grade I to III, representing least to most ideal model for collaboration and capacity‐building (Table 2).…”

Section: Methodsmentioning

confidence: 99%

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Characterising transnational ophthalmic surgical partnerships by engagement and training

Olivieri

Tabin

et al. 2021

Clinical Exper Ophthalmology

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Background Transnational ophthalmic partnerships exist between high‐income countries (HICs) and low‐ and middle‐income countries (LMICs) in varying capacities. We analyzed partnership stakeholders to better understand and address disparities in ophthalmic surgical care. Methods An international Web search was conducted to identify surgeons, foundations or organisations participating in ophthalmic delivery and/or capacity building from 2010 to 2019. Partnerships were defined through clinical activities, education and training and/or research support. Descriptive data on current ophthalmic partnerships were collected from published reports, literature reviews and information on stakeholder webpages. Partnerships were classified by the extent of engagement and training: grade I ‘engagement’ represented documented partnerships of at least 1 year and grade I ‘training’ limited or poorly defined skills transfer programmes, while grade III ‘engagement’ represented partnerships with well‐documented fiscal investment and/or research productivity and grade III ‘training’ established training programmes. Data were analysed using descriptive statistics and geospatially depicted on Tableau (Mountain View, CA) and ArcMap software (Redlands, CA). Results In total, 209 unique HIC‐LMIC partnerships encompassing 92 unique countries were described. The most common HIC partners were from North America (123; 59%), followed by Europe (75; 36%). The most common LMIC partners were from Africa (102; 49%), followed by Asia‐Pacific (54; 26%) and Latin America (44; 21%). Additionally, partnerships most frequently provided services in cataract (48%), glaucoma (25%) and diabetic retinopathy (25%). The most common ‘engagement’ classifications were grade I (36%) or II (40%); the most common ‘training’ classifications were grade I (61%) or II (23%). Conclusion Transnational ophthalmic partnerships exist with varying degrees of both engagement and training. Partnerships are stronger in research collaboration and direct services, and weaker in LMIC‐directed training programmes.

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Section: Discussioncontrasting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Characterising transnational ophthalmic surgical partnerships by engagement and training

Olivieri

Tabin

et al. 2021

Clinical Exper Ophthalmology

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EMR adoption in Dhaka, Bangladesh: a template to index pediatric central nervous system tumor care and a review of preliminary neuro-oncologic observations

et al. 2022

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Purpose To describe the design, implementation, and adoption of a simplified electronic medical record (EMR) and its use in documenting pediatric central nervous system (CNS) tumors at a tertiary care referral hospital in South-East Asia. Methods A novel EMR, cataloguing pediatric CNS tumors was used to collect data from August 2017 to March 2020 at National Institute of Neurosciences and Hospital (NINS&H) in Dhaka, Bangladesh. Results Two hundred forty-nine pediatric patients with a CNS tumor were admitted to NINS&H. Fifty-eight percent of patients were male, and the median age was 8 years. A total of 188/249 patients (76%) underwent surgery during their index admission. Radiographic locations were known for 212/249 (85%) of cases; the most common radiographic locations were infratentorial (81/212; 38%), suprasellar (45/212; 21%), and supratentorial (29/212; 14%). A histopathological classification was reported on 156/249 (63%) of patients' cytology. The most common infratentorial pathologies were medulloblastoma (22/47; 47%) and pilocytic astrocytoma (14/47; 30%). The median time between admission and surgery was 36 days, while the median post-operation stay was 19.5 days. Conclusions The feasibility of a basic EMR platform for a busy pediatric neurosurgery department in a lower-middle income country is demonstrated, and preliminary clinical data is reviewed. A wide variety of pediatric CNS tumors were observed, spanning the spectrum of anatomic locations and histopathologic subtypes. Surgical intervention was performed for the majority of patients. Barriers to care include limited molecular diagnostics and unavailable data on adjuvant therapy. Future targets include improvement of clinical documentation in the pre-operative and post-operative period.

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Advancing equity in global ophthalmology

Olivieri

Greenberg

2020

Graefes Arch Clin Exp Ophthalmol

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Geospatial Mapping of International Neurosurgical Partnerships and Evaluation of Extent of Training and Engagement

Cited by 13 publications

References 36 publications

Characterising transnational ophthalmic surgical partnerships by engagement and training

Characterising transnational ophthalmic surgical partnerships by engagement and training

EMR adoption in Dhaka, Bangladesh: a template to index pediatric central nervous system tumor care and a review of preliminary neuro-oncologic observations

Advancing equity in global ophthalmology

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