Romesh P Nalliah, Riddhi Chheda, Priyanka Govind Belgal, Jasmine Kaur, Sahil Mhay, Steven Haas, Susan A Rowan
Variation in response to the coronavirus disease 2019 (COVID-19) at US dental school clinics
Journal of dental education
brain tumors pose major challenge low middleincome countries lmics due limited resources high costs resulting hampered service delivery neurosurgical care significant disparities patient outcomes compared highincome nations therefore systematic review aims identify barriers service delivery providing adequate surgical care management brain tumors lmics searched scopus pubmed google scholar cinahl inception october 20 2022 data eligible studies extracted analyzed qualitatively final analysis included 35 articles highlighted significant challenges providing adequate surgical care brain tumors lmics among cited studies 10 reported lack multidisciplinary team structures 61 noted delayed patient presentation 16 highlighted delays neuroimaging 10 reported delays scheduling surgery lack training specialized surgery 3 lack intraoperative facilities 19 power supply interruption 6 lack advanced diagnostic specialized surgery facilities 19 strategies addressing challenges include crossborder collaboration 7 public education awareness 13 establishing multidisciplinary teams 20 utilizing alternative surgical techniques 13 awake craniotomy 7 intraoperative ultrasound 13 intraoperative cytology smear establishing satellite hospitals lowrisk care 7 standard operating procedure infection control 13 targeted interventions considering economic constraints essential improve availability affordability quality neurooncological services developing countries international collaborations building capacity vital improving patient outcomes service delivery well forming multidisciplinary teams utilizing resourcesaving innovative methods