• World Neurosurg · Oct 2024

    Review

    Information Management for the Neurosurgical Care of Brain Tumors: A Scoping Review of Literature from LMICs.

    • Muhammad Shakir, Hammad Atif Irshad, Aly Hamza Khowaja, Izza Tahir, Syeda Fatima Shariq, Ali I Rae, Radzi Hamzah, Saksham Gupta, Kee B Park, and Syed Ather Enam.
    • Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
    • World Neurosurg. 2024 Oct 1; 190: 208217208-217.

    BackgroundHealth care in developing countries often lacks adequate bookkeeping and national cancer registries, means of information that have proven to impact disease research and care. The true burden of brain tumors therefore remains unchecked and so does the extent of the problem. Therefore, this study aims to explore the challenges and potential strategies related to information management of brain tumors in low- and middle-income countries (LMICs).MethodsA comprehensive literature search conducted using databases such as PubMed, Scopus, Google Scholar, and Cumulated Index in Nursing and Allied Health Literature, without any language restrictions, from inception to October 20, 2022. Following screening and extraction of data, themes were generated using the information management domain of the National Surgical, Obstetric, and Anesthesia Plan framework.ResultsThe final analysis includes 23 studies that highlighted the challenges to managing information to the surgical care given to brain tumors in LMICs, including lack of proper hospital record system (43%), lack of national brain tumor registry (67%), lack of local management guidelines (10%), and low research output (33%). Some of the proposed strategies in the literature to address these barriers include improving data management systems (45%), developing a population-based brain tumor registry (64%), and formulating local treatment guidelines (9%) for the management of brain tumors.ConclusionsIn LMICs, improving patient outcomes and quality of life postneurosurgical intervention for brain tumors requires coordinated efforts to enhance information systems. The support of the government and public health professionals is vital in implementing strategies to achieve this goal.Copyright © 2024 Elsevier Inc. All rights reserved.

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