Artículo

Bibliometric Analysis of Myelomeningocele Management: National Disease Burden versus Publication Volume

Resumen

Background: Myelomeningocele (MMC) disproportionately affects low-resource areas and regions without mandatory folic acid fortification. No specific literature exists on the distribution of research output regarding neurosurgical management of myelomeningocele worldwide in relation to regional disease burden. We aimed to examine the country of origin and patient population of published papers on MMC and topics related to neurosurgical management of MMC, to determine whether these were proportionate to disease burden. Methods: A systematic literature search was conducted on neurosurgical aspects of MMC care. The geographic distribution of neurosurgical MMC research output was examined against the national burden of disease. Bibliometric analysis quantified author and patient country affiliations stratified by World Bank income group classification and folic acid fortification status, juxtaposed with disease burden. Results: From 9692 titles, 1843 were included, representing 107,446 patients and 2650 authorship instances. High-income countries (HICs) constituted 3% of 2019’s global neural tube defect (NTD) births, 74% of authorships, and 83% of patients represented. Upper-middle-income countries (UMICs) represented 9% of NTD births, 16% of authorships, and 9% of published patients. Lower-middle-income countries (LMICs) represented 55% of NTD births but only 8.6% of authorships and 7% of patients. Low-income countries (LICs) shouldered 32% of NTD births and contributed 1.3% of authorships and 1.6% of patients. Countries with mandatory folic acid fortification represented 75% of patients and 54% of authorships. Postnatal repair, hydrocephalus, and postoperative complications were the most frequently studied topics. Conclusions: The global literature concerning neurosurgical management of myelomeningocele originates predominantly from HICs. Published experiences of myelomeningocele patients from LICs/LMICs are scarce, even though they constitute the majority of the affected population. Neurosurgeons and other health professionals must address this mismatch between disease burden and publication volume in order to inform practice, policy, and advocacy for MMC care worldwide.
Shao, Belinda (56060106500); Harlyjoy, Alphadenti (58782040400); Kozel, Olivia A. (58531580800); Still, Megan EH. (59477435700); Widodo, Setyo BP. (59476662600); Agwu, Chibueze (58700619400); Sagaityte, Emilija (57211642482); Schroeder, Christian (58556938000); Gilder, Hannah E. (57119562100); Hamzah, Radzi (57969105500); Sun, Felicia W. (57204935020); Feler, Joshua R. (57208162552); Santos, Santos (59477435800); Sawyer, Kelsey (57215428898); Svokos, Konstantina A. (8837287300); Klinge, Petra M. (6701803828); Johnson, Walter (57149404900); Baticulon, Ronnie E. (57200079877); Park, Kee B. (56680381700)
Bibliometric Analysis of Myelomeningocele Management: National Disease Burden versus Publication Volume
2025
10.1016/j.wneu.2024.11.027
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85212318358&doi=10.1016%2fj.wneu.2024.11.027&partnerID=40&md5=6914669b91034443d6929a7b95affae6
Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, RI, United States; Department of Neurosurgery, Universitas Indonesia Hospital, Depok, Indonesia; Department of Neurosurgery, University of Florida, Gainesville, FL, United States; Department of Neurosurgery, Regional General Hospital Prof. Dr. Margono Soekarjo Purwokerto, Central Java, Indonesia; Department of Neurosurgery, University of Chicago, Pritzker School of Medicine, Chicago, IL, United States; Department of Neurological Surgery, Mayo Clinic, Rochester, MN, United States; Program in Global Surgery and Social Change, Harvard University, Boston, MA, United States; Health and Biomedical Library Services, Brown University, Providence, RI, United States; Department of Neurosurgery, Loma Linda University, Loma Linda, CA, United States; Division of Neurosurgery, Department of Neurosciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
All Open Access; Hybrid Gold Open Access
Scopus
Artículo obtenido de:
Scopus
Fuente
0 0 votos
Califica el artículo
Subscribirse
Notificación de
Campus Samborondón
Vía Samborondón Km. 13.5
Call Center: 5150400
metricas@ecotec.edu.ec
Facebook Instagram Youtube

Mapa del sitio