Strengthening the backbone of global spine surgery
Notice bibliographique
Résumé
Strengthening the backbone of global spine surgerySpinal disorders contribute to significant disability and burden for affected individuals and society worldwide.The Lancet commission on global burden of disease in 2019 identified low back pain as one of the top causes of disability in the adult population (aged 25-49 years old), causing disability and loss of function in more than half a billion individuals (GBD, 2019 Diseases and Injuries Collaborators, 2020).Fortunately, over the last decade, giant leaps in neurosurgical care have contributed to numerous advances that enable safe, effective and efficient surgery of the brain and spine.As it stands today, the modern practice of spine surgery has catapulted into one of the most dynamic and innovative specialties in surgery due to the collective and collaborative effort of many neurosurgeon and orthopedic specialists across the globe.The benefits of these innovations, however, have trickled disproportionately across nations.Currently, many patients from low and middle-income countries (LMICs) still lack access to essential neurosurgical care, and this reality brings into focus several important issues that transcend the realms of equitable and quality health care for all.The series of papers (Marchesini et al., 2022a(Marchesini et al., , 2022b;;Demetriades et al., 2022) recently published in Brain & Spine's inaugural special issue on Global and Humanitarian Neurosurgery discuss the management of traumatic spinal cord injury (SCI) in LMICs and serve to highlight deficiencies in the delivery of this aspect of neurosurgical care as well as to identify the spatial geographic locations where this continues to engender suboptimal patient care.In many high-income countries, the provision of basic and advanced spine surgery and anesthesia is considered an essential component of standard of care.However, in developing countries, poor access to affordable and safe spine surgical care remains a major cause of mortality and morbidity, impacting approximately five billion people and representing over one third of the global burden of disease (Meara et al., 2015).As a result, the survival difference continues to widen between high income countries (HICs) and LMICs.The seminal three-part paper serves to provide a contextualized understanding of the unmet spinal surgery needs by showcasing the current existing ground-level realities in many LMICs.We believe that these studies satisfy the urgent need for a pragmatic description of the actual deficiencies in spine trauma care, and therefore represent an important initial step towards developing potential strategies to close the existing worldwide gap.In recent years, key global and international neurosurgical organizations increased collaboration to improve access and delivery of neurosurgical care, particularly in LMICs; giving rise to what has been termed the global neurosurgery movement.The origin of this crusade dates back to 1980 when the former WHO Director General Halfdan T.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».