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The Landscape of Neurosurgical Oncology Adjunct Usage in Africa: A Scoping Review.
Adegboyega et al., World Neurosurg 2024
DOI: 10.1016/j.wneu.2023.12.159
Summary of Neurosurgical Oncology Adjuncts Usage in Africa
New Information: This paper is the first to review the use of neurosurgical oncology adjuncts in Africa, identifying barriers to their adoption and proposing solutions.
Importance: Intraoperative neurosurgical adjuncts are crucial for improving surgical outcomes but are underutilized in Africa due to various challenges.
Contribution to Literature: The study provides a scoping review of 13 studies involving 287 patients across Africa, highlighting the current state of adjunct usage in neurosurgical oncology.
Results:
– Most studies were observational cohorts (46.2%) from South Africa (46.2%).
– Meningioma was the most common tumor type (39.4%).
– Neuronavigation was the most used adjunct (30.8%).
– Gross total resection was achieved in 49.8% of cases.
– Barriers included limited technology, lack of experience, high equipment costs, and inconsistent power supply.
Recommendations: The paper suggests that partnerships focused on donations and education could improve the integration of neurosurgical adjuncts in African medical practice, enhancing patient outcomes.