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Epidemiology and Management Trends of Neuro-Oncology in Nigeria: A Systematic Review and Pooled Analysis.
Ukachukwu, Alvan-Emeka K; Seas, Andreas; Oboh, Ena C; Paradie, Emma; Oyemolade, Toyin A; Nwaribe, Evaristus E; Nischal, Shiva A; Hughes, Jasmine G; Ogundeji, Olaniyi D; Badejo, Oluwakemi A; Malomo, Toluyemi A; Okere, Oghenekevwe E; Abu-Bonsrah, Nancy; Still, Megan E H; Waguia-Kouam, Romaric; Trillo-Ordonez, Yesel; Asemota, Isaac; Oboh, Ehita N; Rahman, Raphia; Reddy, Padmavathi; Ugorji, Chiazam; von Isenburg, Megan; Fuller, Anthony T; Haglund, Michael M; Adeleye, Amos O.
Afiliación
  • Ukachukwu AK; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA; Department of Neurosurgery, Duke University Health System, Durham, North Carolina, USA. Electronic address: alvan.ukachukwu@duke.edu.
  • Seas A; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA; Duke University Pratt School of Engineering, Durham, North Carolina, USA; Duke University School of Medicine, Durham, North Carolina, USA.
  • Oboh EC; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA.
  • Paradie E; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA; Duke University School of Medicine, Durham, North Carolina, USA.
  • Oyemolade TA; Department of Surgery, Federal Medical Centre, Owo, Nigeria.
  • Nwaribe EE; Department of Surgery, National Hospital, Abuja, Nigeria.
  • Nischal SA; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA; University of Cambridge School of Clinical Medicine, Cambridge, UK.
  • Hughes JG; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA; Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
  • Ogundeji OD; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA.
  • Badejo OA; Department of Neurosurgery, University College Hospital, Ibadan, Nigeria.
  • Malomo TA; Department of Neuroscience, University of British Columbia, Vancouver, British Columbia, Canada.
  • Okere OE; Department of Neurosurgery, University College Hospital, Ibadan, Nigeria.
  • Abu-Bonsrah N; Department of Neurosurgery, Johns Hopkins University, Baltimore, Maryland, USA.
  • Still MEH; Department of Neurosurgery, University of Florida, Gainesville, Florida, USA.
  • Waguia-Kouam R; Campbell School of Osteopathic Medicine, Lillington, North Carolina, USA.
  • Trillo-Ordonez Y; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA.
  • Asemota I; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA.
  • Oboh EN; Michigan State University College of Human Medicine, Grand Rapids, Michigan, USA.
  • Rahman R; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA.
  • Reddy P; University of Florida College of Medicine, Gainesville, Florida, USA.
  • Ugorji C; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA.
  • von Isenburg M; Duke University Medical Center Library and Archives, Durham, North Carolina, USA.
  • Fuller AT; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA; Department of Neurosurgery, Duke University Health System, Durham, North Carolina, USA; Duke University Global Health Institute, Durham, North Carolina, USA.
  • Haglund MM; Duke University Division of Global Neurosurgery and Neurology, Durham, North Carolina, USA; Department of Neurosurgery, Duke University Health System, Durham, North Carolina, USA; Duke University Global Health Institute, Durham, North Carolina, USA.
  • Adeleye AO; Department of Neurosurgery, University College Hospital, Ibadan, Nigeria.
World Neurosurg ; 185: e185-e208, 2024 05.
Article en En | MEDLINE | ID: mdl-38741325
ABSTRACT

OBJECTIVE:

Access to neuro-oncologic care in Nigeria has grown exponentially since the first reported cases in the mid-1960s. In this systematic review and pooled analysis, we characterize the growth of neurosurgical oncology in Nigeria and build a reference paper to direct efforts to expand this field.

METHODS:

We performed an initial literature search of several article databases and gray literature sources. We included and subsequently screened articles published between 1962 and 2021. Several variables were extracted from each study, including the affiliated hospital, the number of patients treated, patient sex, tumor pathology, the types of imaging modalities used for diagnosis, and the interventions used for each individual. Change in these variables was assessed using Chi-squared independence tests and univariate linear regression when appropriate.

RESULTS:

A total of 147 studies were identified, corresponding to 5,760 patients. Over 4000 cases were reported in the past 2 decades from 21 different Nigerian institutions. The types of tumors reported have increased over time, with increasingly more patients being evaluated via computed tomography (CT) and magnetic resonance imaging (MRI). There is also a prevalent use of radiotherapy, though chemotherapy remains an underreported treatment modality.

CONCLUSIONS:

This study highlights key trends regarding the prevalence and management of neuro-oncologic pathologies within Nigeria. Further studies are needed to continue to learn and guide the future growth of this field in Nigeria.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas Límite: Humans País/Región como asunto: Africa Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas Límite: Humans País/Región como asunto: Africa Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos