Mapping the global neurosurgery workforce. Part 1: Consultant neurosurgeon density

作者：Saksham Gupta, Zsombor T. Gal, Tejas S. Athni, Chrystal Calderon, William Éamon Callison, Olaoluwa Ezekiel Dada, Winston Lie, Carolyn L. Qian, Ramya Reddy, Myron Rolle, Ronnie E. Baticulon, Bipin Chaurasia, E. Rúbio, Yoshua Esquenazi, Alexandra J. Golby, Ahmad Fawad Pirzad, Kee B. Park, _ _, Jebet Beverly Cheserem, Abdesaamad El Ouahabi, Tariq Khan, Angelos G. Kolias, _ _, Andreas K. Demetriades, Lukas Rasulić, Nikolaos Foroglou, Debora Garozzo, Pablo González-López, Marcel Ivanov, Jesús Lafuente, Nicolò Marchesini, Fatos Olldashi, Vincenzo Paternò, Ondra Petr, Krešimir Rotim, Jamil Rzaev, Jake Timothy, Magnus Tisell, Massimiliano Visocchi, _ _, Ignatius Esene, Mubashir Mahmood Qureshi · 发表于：Journal of neurosurgery · 年份：2024 · DOI：10.3171/2023.9.jns231615 · 被引用次数：59 · 研究领域：Global Health and Surgery、History of Medical Practice、Global Health Workforce Issues

OBJECTIVE: It is unknown whether efforts to expand access to neurosurgery worldwide have translated to an increase in the global neurosurgery workforce, particularly in low- and middle-income countries. The main objective of this study was to quantify the number and distribution of consultant neurosurgeons worldwide, while also identifying temporal and geographic trends in the neurosurgery workforce in different income levels and WHO regions, and analyzing what factors might contribute to the growth of a national workforce. METHODS: This study was a subanalysis of an electronic cross-sectional survey administered to participants identified through neurosurgery societies, personal contacts, and online searches of all 193 countries and 26 territories, independent states, and disputed regions as defined by the World Bank (WB) and United Nations between October 2022 and March 2023. Population-weighted statistics for the consultant neurosurgery workforce and resource availability were estimated, and linear regression analysis was conducted to identify correlations with growth in the workforce. RESULTS: Data were obtained for 192 countries (99.5%) and 25 additional territories, states, and disputed regions (96.2%). One hundred seventy-seven respondents participated in the survey. There were an estimated 72,967 neurosurgeons worldwide, representing a global pooled density of 0.93 neurosurgeons per 100,000 people and a median country density of 0.44 neurosurgeons per 100,000 people. ...