Navigating challenges in spine surgery in Nigeria: the current state and strategies for advancing spine care.
Low resource setting
Nigeria
Spine surgery
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
10 Jun 2024
10 Jun 2024
Historique:
received:
26
05
2024
accepted:
04
06
2024
revised:
26
05
2024
medline:
10
6
2024
pubmed:
10
6
2024
entrez:
10
6
2024
Statut:
epublish
Résumé
The provision of specialized spine care in Nigeria presents a pressing challenge amid limited resources and geographical disparities. This correspondence offers a comprehensive roadmap for improving spine surgery and care within the country. We examine the current state of spinal health infrastructure, highlighting barriers such as limited access to specialists and facilities, particularly in rural areas, and financial constraints for patients. Innovations in spinal treatment, including the adoption of minimally invasive techniques and advancements in surgical modalities, are discussed alongside persistent challenges such as disparities in access and equipment costs. Training and education of spine surgeons emerge as critical areas requiring attention, with a shortage of qualified professionals exacerbated by inadequate training programs and resource constraints. We advocate for fostering local and international collaborations to address these gaps, emphasizing the role of partnerships in capacity building and knowledge exchange. Additionally, we explore the potential of public-private partnerships and investments to enhance the Nigerian spine healthcare system, calling for strategic initiatives to modernize infrastructure and improve accessibility. Finally, we propose a strategic blueprint encompassing infrastructure enhancement, training programs, research initiatives, policy advocacy, and public awareness campaigns. Through concerted efforts from local stakeholders and international partners, we envision a future where spine care in Nigeria is comprehensive, accessible, and of high quality, leading to improved health outcomes and a higher quality of life for those affected by spinal conditions.
Identifiants
pubmed: 38856859
doi: 10.1007/s10143-024-02503-z
pii: 10.1007/s10143-024-02503-z
doi:
Types de publication
Journal Article
Review
Letter
Langues
eng
Sous-ensembles de citation
IM
Pagination
265Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Chikani MC, Mesi M, Okwunodulu O, Mezue W, Ohaegbulam S, Ndubuisi C et al (2019) Changing trends and challenges of spine surgery in a developing country. World Neurosurg 130:e815–e21
doi: 10.1016/j.wneu.2019.06.229
pubmed: 31295594
Pendharkar AV, Shahin MN, Ho AL, Sussman ES, Purger DA, Veeravagu A et al (2018) Outpatient spine surgery: defining the outcomes, value, and barriers to implementation. Neurosurg Focus 44(5):E11
doi: 10.3171/2018.2.FOCUS17790
pubmed: 29712520
Lin H, Halvorsen K, Win MT, Yancey M, Rbil N, Chatterjee A et al (2023) Clinical spine care partnerships between high-income countries and low-and-middle-income countries: a scoping review. PLoS ONE 18(10):e0287355
doi: 10.1371/journal.pone.0287355
pubmed: 37796909
pmcid: 10553237
Okon II, Precious FK, Farooq M, Ogundele IO, Lucero-Prisno DE 3rd, Chaurasia B (2024) A glimpse of practice of neurosurgery in Africa: challenges and opportunities. Brain Spine 4:102720
doi: 10.1016/j.bas.2023.102720
pubmed: 38163000
Oyemolade TA, Balogun JA, Akinkunmi MA, Ogunyileka OC, Arogundade FM, Olusola AJ (2020) The Burden of Neurosurgical Diseases in a rural Southwestern Nigeria setting. World Neurosurg 140:e148–e52
doi: 10.1016/j.wneu.2020.04.205
pubmed: 32387403
Rabiu TB, Komolafe EO (2016) Neurosurgery in rural Nigeria: a prospective study. J Neurosci Rural Pract 7(4):485–488
doi: 10.4103/0976-3147.188624
pubmed: 27695224
pmcid: 5006456
Kanmounye US, Zolo Y, Robertson FC, Bankole NDA, Kabulo KDM, Ntalaja JM et al (2021) Prevalence of spine surgery navigation techniques and availability in Africa: a cross-sectional study. Annals Med Surg 68:102637
doi: 10.1016/j.amsu.2021.102637
Ukachukwu A-EK, Ogundeji OD, Abu-Bonsrah N, Still ME, Trillo-Ordonez Y, Oboh EN et al (2023) The scope, trends, and challenges of neurosurgical research in Nigeria: a bibliometric review. World Neurosurg
Adeola OS (2021) Medical Imaging System and the Health Care Delivery System in Nigeria: an overview. Int J Med Imaging 9(1):45–56
doi: 10.11648/j.ijmi.20210901.15
Punchak M, Mukhopadhyay S, Sachdev S, Hung Y-C, Peeters S, Rattani A et al (2018) Neurosurgical Care: availability and Access in Low-Income and Middle-Income Countries. World Neurosurg 112:e240–e54
doi: 10.1016/j.wneu.2018.01.029
pubmed: 29325943
Broalet E, Konan L, Diaby R, Nitcheu I, Meuga W, Haidara A (2023) An in-country humanitarian neurosurgical services as model for low-and-middle-income countries: the case of Cote D’ Ivoire. Brain Spine 3:101742
doi: 10.1016/j.bas.2023.101742
pubmed: 37143527
pmcid: 10151258
Liang KE, Bernstein I, Kato Y, Kawase T, Hodaie M (2016) Enhancing Neurosurgical Education in Low- and middle-income countries: current methods and new advances. Neurologia medico-chirurgica 56(11):709–715
doi: 10.2176/nmc.ra.2016-0092
pubmed: 27616319
pmcid: 5221782
Ellegala DB, Simpson L, Mayegga E, Nuwas E, Samo H, Naman N et al (2014) Neurosurgical capacity building in the developing world through focused training. J Neurosurg 121(6):1526–1532
doi: 10.3171/2014.7.JNS122153
pubmed: 25216067
Adetola A, Goulding J, Liyanage C (2013) Public-private perception of collaborative infrastructure projects in Nigeria. Int J Procure Manage 6(2):235–254
Ejughemre UJ (2014) Accelerated reforms in healthcare financing: the need to scale up private sector participation in Nigeria. Int J Health Policy Manage 2(1):13
doi: 10.15171/ijhpm.2014.04
Organization WH (2019) Global health expenditure database
Forum on Public-Private Partnerships for, Global H, Safety, Board on Global H, Institute of M, National Academies of Sciences E (2016), Medicine. The Role of Public-Private Partnerships in Health Systems Strengthening: Workshop Summary. Washington (DC): National Academies Press (US) Copyright 2016 by the National Academy of Sciences. All rights reserved
Abubakar I, Dalglish SL, Angell B, Sanuade O, Abimbola S, Adamu AL et al (2022) The Lancet Nigeria Commission: investing in health and the future of the nation. Lancet 399(10330):1155–1200
doi: 10.1016/S0140-6736(21)02488-0
pubmed: 35303470
pmcid: 8943278
Anyaehie U, Nwakoby B, Chikwendu C, Dim C, Uguru N, Oluka C et al (2014) Constraints, challenges and prospects of public-private partnership in health-care delivery in a developing economy. Ann Med Health Sci Res 4(1):61–66
doi: 10.4103/2141-9248.126615
pubmed: 24669333
pmcid: 3952299
Fo J, Agunloye A, Adeyomoye A, Adekoya A, Obajimi G (2020) Public–private partnerships in Nigerian teaching hospitals: potential and challenges. West Afr J Radiol 27:143–149
doi: 10.4103/wajr.wajr_28_19
Aregbeshola BS, Khan SM (2018) Out-of-Pocket payments, Catastrophic Health expenditure and poverty among households in Nigeria 2010. Int J Health Policy Manag 7(9):798–806
doi: 10.15171/ijhpm.2018.19
pubmed: 30316228
pmcid: 6186489
Dalhatu Muhammad A, Iii D (2022) The new National Health Insurance Act of Nigeria: how it will insure the poor and ensure universal health coverage. Popul Med 4:1–2
doi: 10.18332/popmed/157139
Luxon L (2015) Infrastructure - the key to healthcare improvement. Future Hosp J 2(1):4–7
doi: 10.7861/futurehosp.15.002
pubmed: 31098066
pmcid: 6465866
Darwono B, Tamai K, Côté P, Aleissa S, Rahim AH, Pereira P et al (2022) SPINE20 recommendations 2022: spine care—working together to recover stronger. Eur Spine J 31(12):3262–3273
doi: 10.1007/s00586-022-07432-3
pubmed: 36326928
Nigeria FGo (2018) Second national strategic health development plan 2018–2022. Government of Nigeria Abuja
Young M, Smith MA (2022) Standards and evaluation of healthcare quality, safety, and person centered care
Greenberg JK, Otun A, Ghogawala Z, Yen P-Y, Molina CA, Limbrick DD Jr et al (2022) Translating data analytics into improved spine surgery outcomes: a roadmap for biomedical informatics research in 2021. Global Spine J 12(5):952–963
doi: 10.1177/21925682211008424
pubmed: 33973491
Scott-Emuakpor A (2010) The evolution of health care systems in Nigeria: which way forward in the twenty-first century. Nigerian Med J 51(2):53–65
Parent S, Barchi S, LeBreton M, Casha S, Fehlings MG (2011) The impact of specialized centers of care for spinal cord injury on length of stay, complications, and mortality: a systematic review of the literature. J Neurotrauma 28(8):1363–1370
doi: 10.1089/neu.2009.1151
pubmed: 21410318
pmcid: 3143414
Kawu A, Salami O (2010) Spine surgery practice in Nigeria: Present perceptions and future trends. Nigerian J Orthop Trauma 9(1)
Hartmann C, Fischer K, Haneke H, Kirchberger V (2020) Patient-reported outcomes in spinal surgery—how can we keep getting better? J Spine Surg 6(4):820
doi: 10.21037/jss-20-582
pubmed: 33447688
pmcid: 7797803
Segal DN, Grabel ZJ, Shi WJ, Gottschalk MB, Boden SD (2018) The impact of insurance coverage on access to orthopedic spine care. J Spine Surg 4(2):260
doi: 10.21037/jss.2018.05.22
pubmed: 30069516
pmcid: 6046315
Bello B, Aminu A, Abdullahi A, Akindele MO, Useh U, Ibrahim AA (2022) Knowledge, attitude, and perception of low back pain and activities that may prevent it among adolescents in Nigeria. Afr Health Sci 22(4):140–147
doi: 10.4314/ahs.v22i4.18
pubmed: 37092067
pmcid: 10117465