Journal of surgical protocols and research methodologies最新文献

{"title":"Management and outcomes of spinal tuberculosis in Africa: a scoping review protocol","authors":"T. N. Enemuo, E. Oladeji, T. A. Anthony-Awi","doi":"10.1093/jsprm/snad002","DOIUrl":"https://doi.org/10.1093/jsprm/snad002","url":null,"abstract":"\u0000 \u0000 \u0000 Spinal tuberculosis (TB) remains a major public health challenge in Africa, where 85% of the global deaths from TB is recorded. Patients with spinal TB have a high tendency to develop permanent disability, with significant financial costs. Most patients with spinal TB from Africa are unable to receive timely and effective intervention due to several socio-economic factors, deplorable healthcare infrastructure and inadequate specialized workforce. In addition, there is a lack of contextually appropriate evidence-based guidelines for management of this potentially debilitating but treatable condition. This scoping review protocol outlines how the authors aim to investigate the available evidence on the management and outcome of spinal TB in Africa.\u0000 \u0000 \u0000 \u0000 AJOL, Embase, Pubmed/Medline, Google Scholar and Conchrane will be searched for articles published on the management and outcome of TB since the inception of the database. All patients from any of the 54 African countries will be included regardless of the socio-demographics.\u0000 \u0000 \u0000 \u0000 The primary outcomes will include the available treatment modalities and the clinical outcomes among patients managed for spinal TB in Africa. Secondary outcomes will include the epidemiology of spinal TB in Africa, information on the availability of diagnostic tools and the challenges faced in the management of spinal TB in Africa, including delays in treatment.\u0000 \u0000 \u0000 \u0000 Analysis of the outcomes and prognostic indicators will allow for a comparison of patient cohorts and the effectiveness of the different treatment modalities employed across Africa. This scoping review will be the first to address this research question.\u0000","PeriodicalId":93590,"journal":{"name":"Journal of surgical protocols and research methodologies","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41886927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurosurgery equipment donation in Africa: a scoping review","authors":"O. Ogunfolaji, K. Omar, G. Bukenya, Musakanya Shituluka, N. Sakaiwa, Ngwao Ngwako, G. Adegboyega, O. Dada, N. Abu-Bonsrah","doi":"10.1093/jsprm/snac023","DOIUrl":"https://doi.org/10.1093/jsprm/snac023","url":null,"abstract":"\u0000 A common tactic to alleviate current gaps is to donate medical equipment to low-resource areas, however, there is a dearth of recorded experience and evaluation. Providing accessible equipment to low- and middle-income countries (LMICs) is a crucial component of the attempts to improve access to neurosurgery in African nations; yet, the necessity of promoting neurosurgical equipment in Africa and the effects of these programs have not yet been assessed. Therefore, our goal was to evaluate the extent, advantages and sustainability of the gift of neurosurgical equipment in Africa. A scoping review covering both scholarly and gray literature was used. Selected databases from the time of inception to September 2022 were searched using a search strategy customized for the study title. All studies that addressed the donation of neurosurgical equipment to Africa were given special attention, along with any factors that increased the likelihood of donations and included, but not limited to, agreements signed during the donation. Finally, participating authors also reviewed articles randomly selected to ensure homogeneity. Donating equipment positively impacts neurosurgical units in LMICs, growing their practices while also enhancing safety, quality and affordability. Collaborations between LMICs and HICs (High Income Countries) also make it more likely that the donated neurosurgical equipment will be used to satisfy recipients' needs. Lastly, to guarantee the most advantage, proper follow-up, consideration of equipment durability, maintenance requirements and increased assistance for repairs should be prioritized.","PeriodicalId":93590,"journal":{"name":"Journal of surgical protocols and research methodologies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47442732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing evidence-based interventions for managing pediatric hydrocephalus: a systematic review protocol","authors":"C. Ikwuegbuenyi, Yvan Zolo, A. Nyalundja, P. Ngoma, N. Abu-Bonsrah, U. S. Kanmounye, M. Groves","doi":"10.1093/jsprm/snac026","DOIUrl":"https://doi.org/10.1093/jsprm/snac026","url":null,"abstract":"\u0000 \u0000 \u0000 Pediatric hydrocephalus (PH) accounts for one of the most frequent neurological conditions in children and with a high burden in developing countries. The plurality of its etiological mechanisms has led to several therapeutic modalities, including the endoscopic third ventriculostomy, which has shown significant benefits. This study aims to determine the availability of PH treatment modalities worldwide using an implementation science framework.\u0000 \u0000 \u0000 \u0000 This systematic review will be conducted following AMSTAR guidelines and reported following PRISMA guidelines. A comprehensive search from database inception to the date the search is run will be conducted in Medline, Embase and Global Index Medicus. Conference abstracts, scoping, systematic reviews (SRs), book chapters and non-French/English publications will be excluded. After the screening process, data will be extracted, and its quality analyzed. Newcastle-Ottawa Scale and Cochrane risk of bias 2.00 tool will be employed to assess the risk of bias. Odds or risk ratios and mean differences with their 95% confidence interval will measure the effect. The I2 statistic will describe effect heterogeneity in meta-analysis data. No Ethic approval is required.\u0000 \u0000 \u0000 \u0000 Evidence-based practice is a complex problem-solving approach derived from high-quality evidence. Their implementation models are well reported in neurosciences in resource-limited countries. This SR will use the Framework for Reach, Effectiveness, Adoption, Implementation and Maintenance to conceptualize the public health impact of PH treatment modalities. We will identify reasons for the low use of an evidence-based strategy to inform policy.\u0000 \u0000 \u0000 \u0000 The protocol has been registered on the International Prospective Register of Systematic Reviews (PROSPERO CRD42022354804).\u0000","PeriodicalId":93590,"journal":{"name":"Journal of surgical protocols and research methodologies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42319374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State of African neurosurgical education: a protocol for an analysis of publicly available curricula","authors":"S. Ooi, O. Dada, Joseline Haizel-Cobbina, G. Bukenya, Celestin Bilong Mbangtang, Paix de Dieu Ngo Makambo, Adrien Tangmi Djabo, Y. J. Kenfack, Wah Praise Senyuy, Olga Djoutsop Mbougo, N. Abu-Bonsrah, C. Karekezi, Thioub Mbaye, Landry Konan, Luxwell Jokonya, A. Alalade, U. S. Kanmounye","doi":"10.1093/jsprm/snac020","DOIUrl":"https://doi.org/10.1093/jsprm/snac020","url":null,"abstract":"\u0000 \u0000 \u0000 Africa bears >15% of the global burden of neurosurgical disease. Yet to date, Africa still has the lowest neurosurgical workforce density globally, and efforts to fill this gap by 2030 need to be multiplied. Although the past decade has seen an increase in neurosurgery residency programs in the continent, it is unclear how these residency programs are similar or viable. This study aims to highlight the current status of neurosurgical training in Africa as well as the differences within departments, countries or African regions.\u0000 \u0000 \u0000 \u0000 A literature search using keywords related to ‘neurosurgery’, ‘training’, and ‘Africa’ and relevant names of African countries will be performed on PubMed and Google Scholar. If unavailable online, the authors will contact local neurosurgeons at identified training programmes for their curricula. The residency curricula collected will be analysed against a standardized and validated medical education curriculum viability tool.\u0000 \u0000 \u0000 \u0000 The primary aim will be the description of African neurosurgical curricula. In addition, the authors will perform a comparative analysis of the identified African neurosurgical curricula using a standardized and validated medical education curriculum viability tool.\u0000 \u0000 \u0000 \u0000 This study will be the first to evaluate the current landscape of neurosurgery training in Africa and will highlight pertinent themes that may be used to guide further research. The findings will inform health system strengthening efforts by local training programme directors, governments, policymakers and stakeholders.\u0000","PeriodicalId":93590,"journal":{"name":"Journal of surgical protocols and research methodologies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43375129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management and outcomes of sellar, suprasellar and parasellar masses in low- and middle-income countries: a scoping review protocol","authors":"A. Egiz, D. U. Dalle, S. Ooi, O. Dada, C. Ikwuegbuenyi, C. Gillespie, O. Tunde, B. M. OuYong, M. Korch, Ö. Kesici, R. de Koning, B. Takoutsing, S. Bandyopadhyay, Mehdi Khan, J. Erhabor, J. Kotecha, A. Bocco, Nourou Dine Adeniran Bankole","doi":"10.1093/jsprm/snac016","DOIUrl":"https://doi.org/10.1093/jsprm/snac016","url":null,"abstract":"\u0000 Sellar, suprasellar or parasellar masses refer to space-occupying lesions that arise from the area surrounding the pituitary gland and many other vital structures, which can impact quality of life if damaged. Therefore, optimal management by a multidisciplinary team, which includes neurosurgeons, would be required to ensure that patients receive timely intervention to prevent long-term co-morbidities. The landscape of management of these masses in high-income countries are well described in the literature, however, there is a lack of clarity in the counterpart low- and middle-income countries, thus necessitating an evaluation of the literature. This protocol outlines how we will conduct our scoping review on the topic of interest. MEDLINE, Embase, Global Index Medicus and African Journals Online will be searched from year 2000 to date in order to identify the relevant studies. Patients with a sellar, suprasellar or parasellar masses managed in an LMIC will be included. Surgical, medical and conservative management of the relevant masses will be considered. Articles in English and French will be included. Primary outcome will describe the management of sellar, suprasellar, or parasellar masses in LMICs. Secondary outcomes will include describing the epidemiology, presentation and outcomes of patients with sellar, suprasellar or parasellar masses. This scoping review will be the first to evaluate the current landscape of the management and outcomes of sellar, suprasellar and parasellar masses in LMICs, highlighting important themes that may be used to guide further research as well as health system strengthening efforts by policymakers, governments and stakeholders.","PeriodicalId":93590,"journal":{"name":"Journal of surgical protocols and research methodologies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47728568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma emergency thoracotomy for resuscitation in shock—a multi-centre evaluation of current UK practice of pre-hospital and emergency department resuscitative thoracotomy in trauma","authors":"H. Tucker, L. Ramage, Rob Greenhalgh, J. Griggs, Nigel Lang, M. Marsden, P. Vulliamy, J. Wohlgemut, Michael Christian, R. Davenport","doi":"10.1093/jsprm/snac011","DOIUrl":"https://doi.org/10.1093/jsprm/snac011","url":null,"abstract":"\u0000 \u0000 \u0000 Resuscitative thoracotomy (RT) in traumatic cardiac arrest, in particular for penetrating trauma features within several national guidelines. However, evidence surrounding its practice is poor, consisting of predominantly small-scale observational studies. Survival is generally poor, estimated at 3–13%, with better outcomes in penetrating trauma. There is no national RT database and the Trauma Audit Research Network data misses those who have died pre-hospital. It is important that a more in-depth and accurate national picture of thoracotomy practice is developed nationally to guide future practice. Traumatic emergency thoracotomy for resuscitation in shock (TETRiS) is a multi-centre, prospective and observational evaluation of current RT practice in the UK.\u0000 \u0000 \u0000 \u0000 The aim of TETRiS is to evaluate the pathway of care for RT patients within the UK. This will be undertaken over a period of 12 months. This project will evaluate thoracotomies undertaken both pre-hospital and in emergency departments, examining various parameters including frequency, who performs the procedure, clinical indications, time from injury to initiation, mechanism of injury, injuries identified, interventions performed and patient outcomes.\u0000 \u0000 \u0000 \u0000 This project is being conducted as a collaboration between the National Trauma Research and Innovation Collaborative, the Pre-Hospital Trainee Operated Research Network, The Emergency Research Network and the National HEMS Research and Audit Forum (NHRAF). All UK HEMS, helicopter emergency medicine services and major trauma centre (MTCs) nationally have been recruited, with site investigators identified within each participating unit. Inclusion criteria: All patients undergoing RT, pre-hospital or in an MTC emergency department will be included.\u0000","PeriodicalId":93590,"journal":{"name":"Journal of surgical protocols and research methodologies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42306783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A diagnostic, test-accuracy study to evaluate the ability of the Eye Guide Visual Tracking System and the Post-Concussion Symptom Scale to diagnose mild TBI and predict protracted recovery","authors":"Laura L Fernández, D. Griswold, Bunmi Fariyike, Sarita Aristizabal, Brian Perez, A. Rubiano","doi":"10.1093/jsprm/snab010","DOIUrl":"https://doi.org/10.1093/jsprm/snab010","url":null,"abstract":"\u0000 Mild traumatic brain injury (mTBI) is the most common type of traumatic brain injury (TBI), and 100–300 individuals per every 100 000 seek medical care for mTBI annually. The Eye Guide is a portable device that evaluates oculomotor function. This device has promising potential to detect trauma-related neurological deficits that are otherwise undetected by a non-contrast computed tomography scan, the current gold standard. However, to our knowledge, a study has yet to be conducted that evaluates its ability to detect mTBIs specifically. By contrast, the Post-Concussion Symptom Scale (PCSS) is a 22-item, self-reported symptom survey that has become one of the most trusted tools in evaluating mTBI-related sequelae. Although this scale has been well validated in adolescent athletes, there is a notable lack of studies defining its clinical utility in adults with non-sports-related trauma. Patients with mTBI are expected to have detectable alterations in the PCSS score and the Eye Guide visual tracing. Thus, this study aims to determine each tool’s diagnostic accuracy in detecting mTBI and prognostic accuracy in predicting a protracted recovery in our patient population. Additionally, for both tools, we seek to establish cut-off values for future clinical decision-making in non-athlete, adult populations. A prospective, observational cohort test-accuracy study will be conducted in two clinics that form part of the ValleSalud Clinic Network in Cali, Colombia. Both are Level III referral trauma centers. The sensitivity, specificity and positive predictive value of both the Eye Guide and PCSS tests in diagnosing mTBI and predicting protracted recovery will serve as primary outcomes of the study. Additionally, the area under the curve analyses will be undertaken to determine the optimal sensitivity and specificity cut-offs for each test. The ground truth labels will be the diagnosis of mTBI by neurological examination as evaluated by an experienced neurosurgeon and recovery at 1 month post-injury according to the Extended Glasgow Outcome Scale. This study will follow the principles set forth by the Declaration of Helsinki.","PeriodicalId":93590,"journal":{"name":"Journal of surgical protocols and research methodologies","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41634638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing childhood unintentional injury literature in Africa and Zimbabwe: a protocol for a scoping literature review","authors":"D. Mazingi, A. Paterson, Godfrey I. Muguti, N. Peter, S. Bandyopadhyay, A. Handa, K. Lakhoo","doi":"10.1093/jsprm/snac014","DOIUrl":"https://doi.org/10.1093/jsprm/snac014","url":null,"abstract":"\u0000 Injury is a looming calamity whose burden is growing rapidly and threatens to become an emergency in affected nations. The burden is experienced disproportionately in low and middle countries but attention in these countries has been focused on competing priorities of infectious diseases. Despite this, the burden of trauma deaths from injury now exceeds the deaths from human immunodeficiency virus, tuberculosis and malaria combined. This trend is expected to continue as a result of continued epidemiological transition as well as demographic changes that will see Africa's paediatric and adolescent population grow to a billion. The objective of this scoping review is to map the existing literature in unintentional injury in children in Africa. We aim to highlight areas where there is a gap in knowledge and provide an impetus for further research in this area in the continent. A systematic search of white and grey literature will be undertaken.","PeriodicalId":93590,"journal":{"name":"Journal of surgical protocols and research methodologies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49462937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of surgical research in low- and middle-income countries","authors":"V. Dewan, Tariq Ali, J. Al Shakarchi, Khalid Hussain","doi":"10.1093/jsprm/snac017","DOIUrl":"https://doi.org/10.1093/jsprm/snac017","url":null,"abstract":"","PeriodicalId":93590,"journal":{"name":"Journal of surgical protocols and research methodologies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42866415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The evolution of surgical education: developing a hybrid model of learning","authors":"A. Crichton, J. Fairhead, N. Charlwood, Usman Ahmed, J. Al Shakarchi","doi":"10.1093/jsprm/snac019","DOIUrl":"https://doi.org/10.1093/jsprm/snac019","url":null,"abstract":"","PeriodicalId":93590,"journal":{"name":"Journal of surgical protocols and research methodologies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43072713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}