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The Epidemiology of Spinal Neurosurgery in Nigeria: A Systematic Review and Patient-Level Analysis.
Malomo, Toluyemi A; Nischal, Shiva A; Trillo-Ordonez, Yesel; Oyemolade, Toyin A; Nwaribe, Evaristus E; Okere, Oghenekevwe E; Deng, Di D; Abu-Bonsrah, Nancy; Oboh, Ena C; Asemota, Isaac; Still, Megan E H; Waguia-Kouam, Romaric; Seas, Andreas; Oboh, Ehita N; Ogundeji, Olaniyi D; Rahman, Raphia; Reddy, Padmavathi; Ugorji, Chiazam; Badejo, Oluwakemi A; von Isenburg, Megan; Haglund, Michael M; Fuller, Anthony T; Adeleye, Amos O; Ukachukwu, Alvan-Emeka K.
Afiliación
  • Malomo TA; Department of Neuroscience, University of British Columbia, Vancouver, British Columbia, Canada.
  • Nischal SA; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA; School of Clinical Medicine, University of Cambridge, Cambridge, UK.
  • Trillo-Ordonez Y; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA.
  • Oyemolade TA; Department of Surgery, Federal Medical Centre, Owo, Nigeria.
  • Nwaribe EE; Department of Surgery, National Hospital, Abuja, Nigeria.
  • Okere OE; Department of Neurosurgery, University College Hospital, Ibadan, Nigeria.
  • Deng DD; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA.
  • Abu-Bonsrah N; Department of Neurosurgery, Johns Hopkins University, Baltimore, Maryland, USA.
  • Oboh EC; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA.
  • Asemota I; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA.
  • Still MEH; Department of Neurosurgery, University of Florida, Gainesville, Florida, USA.
  • Waguia-Kouam R; Campbell School of Osteopathic Medicine, Lillington, North Carolina, USA.
  • Seas A; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA; Pratt School of Engineering, Duke University, Durham, North Carolina, USA; School of Medicine, Duke University, Durham, North Carolina, USA.
  • Oboh EN; College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA.
  • Ogundeji OD; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA.
  • Rahman R; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA.
  • Reddy P; College of Medicine, University of Florida, Gainesville, Florida, USA.
  • Ugorji C; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA.
  • Badejo OA; Department of Neurosurgery, University College Hospital, Ibadan, Nigeria.
  • von Isenburg M; Medical Center Library and Archives, Duke University, Durham, North Carolina, USA.
  • Haglund MM; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA; Department of Neurosurgery, Duke University Health System, Durham, North Carolina, USA; Global Health Institute, Duke University, Durham, North Carolina, USA.
  • Fuller AT; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA; Department of Neurosurgery, Duke University Health System, Durham, North Carolina, USA; Global Health Institute, Duke University, Durham, North Carolina, USA.
  • Adeleye AO; Department of Neurosurgery, University College Hospital, Ibadan, Nigeria.
  • Ukachukwu AK; Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina, USA; Department of Neurosurgery, Duke University Health System, Durham, North Carolina, USA. Electronic address: alvan.ukachukwu@duke.edu.
World Neurosurg ; 185: e209-e242, 2024 05.
Article en En | MEDLINE | ID: mdl-38741326
ABSTRACT

OBJECTIVE:

Spinal pathologies are prevalent in Nigeria, though epidemiological data remains sparse. This systematic review used pooled patient-level data from across the country to generate a standardized epidemiological reference.

METHODS:

Four research databases and gray literature sources were searched. Risk of bias assessment was conducted using Risk of Bias in Non-Randomised Studies - of Interventions and Cochrane's risk of bias tool. We descriptively analyzed all article metrics and statistically analyzed relevant data variables via paired t-test and χ2 independence tests (α = 0.05).

RESULTS:

One hundred twenty-seven articles, comprising a patient cohort of 8425 patients, were analyzed. Most were retrospective cohort studies (46.5%) and case reports/series (31.5%), with an overall moderate-high risk of bias. Most studies were published in the last 20 years. Most patients were male (∼2.5 males per female), with an average age of 43.2 years (±16.4). Clinical diagnoses spanned the breadth of spinal neurosurgery. Approximately 45.0% of patients had complete spinal impairment. Pain (41.7%) was the most reported presenting feature. X-ray (45.1%) was the most common investigation used. Intervertebral disc herniation (18.9%) was the most prevalent imaging finding on MRI. Most patients were managed nonoperatively (57.8%), with a favorable outcome in 27.4% of patients. Posttreatment complications included pressure sores, infection, and motor deficits.

CONCLUSIONS:

This systematic review and pooled analysis provide an epidemiological overview of spinal neurosurgery in Nigeria over the last 60 years and serves as a useful reference to direct future global research in this arena.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Columna Vertebral Límite: Adult / Female / Humans / Male País/Región como asunto: Africa Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Columna Vertebral Límite: Adult / Female / Humans / Male País/Región como asunto: Africa Idioma: En Revista: World Neurosurg Asunto de la revista: NEUROCIRURGIA Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos