The professional practice and training of neurology in the Asian and Oceanian Region: A cross-sectional survey by the Asian and Oceanian Association of Neurology (AOAN)

Roxas, Artemio; Mehndiratta, Man Mohan; Bornstein, Natan; Macdonell, Richard; Lim, Kheng Seang; Ng, Ping-Wing; Dashzeveg, Shuren; Mizusawa, Hidehiro; Hamed, Esmatullah; Wu, Shey Lin; Chen, Christopher; Kurniawan, Mohammad; Rha, Joung‐Ho; Wasay, Mohammad; Poungvarin, Niphon; Gunatilake, Saman B.; Thang, Nguyen Huy

doi:10.1016/j.jns.2017.09.022

Cited by 20 publications

(17 citation statements)

References 6 publications

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“…Data from the World Bank website was used to obtain information about allocation of %GDP for research and development (R&D) in each country [17]. The data on the number of neurologists in each southeast Asian country was obtained from recent publications [8,18,19]. The number of neurologist-to-population ratio was then computed based on these data.…”

Section: Bibliometric Indices and Country Specific Socio-economic Datamentioning

confidence: 99%

Bibliometric analysis of bacterial central nervous system infection research in Southeast Asia

Jalipa

Espiritu

et al. 2021

BMC Neurol

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Background The status of research and scientific outputs with regards to bacterial central nervous system (CNS) infection in southeast Asia (SEA) is unknown. This study aimed to analyze and compare bacterial CNS infection research output of SEA countries in terms of bibliometric indices. Methods The major electronic databases (MEDLINE, Scopus, Embase, CENTRAL, Clinicaltrials.gov and WPRIM) were searched for studies on bacterial CNS infection in SEA until August 31, 2020. Frequencies, percentages and Spearman’s rho correlations were used. Results There was a total of 648 unique studies on bacterial CNS infection in SEA and it was 657 when double-counted (collaborative studies between SEA countries). Thailand (n=148, 22.5%) and Vietnam (n=142, 21.6%) had the highest number of publications. The most common type of research publication was the case report / case series (n=160, 24.7%). Tuberculous meningitis/tuberculoma (n=176, 26.7%) was the most common topic. This study showed that the %GDP for research and development (R&D) was associated with a higher number of research output. However, the GDP per capita was not associated with any of the bibliometric indices. The total number of neurologists was associated with all of the bibliometric analysis. Conclusion Bacterial CNS infection research output in SEA countries was low in terms of quantity. The %GDP for R&D was associated with the number of research publications. The total number of neurologists was associated with all of the bibliometric indices.

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Section: Bibliometric Indices and Country Specific Socio-economic Datamentioning

confidence: 99%

Bibliometric analysis of bacterial central nervous system infection research in Southeast Asia

Jalipa

Espiritu

et al. 2021

BMC Neurol

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“…Distribution is skewed towards the urbanised centres, where as high as 45% of neurologists practice in the NCR[35]. There are ten accredited neurology training institutions around the country, which offer 3-4 years of residency training as well as fellowship programmes[36]. Currently, there is only one Neuro-oncology fellowship being offered in St. Luke's Medical Center in Quezon City, Philippines, where the PSNO, a member organisation of the ASNO, is also based[37].…”

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confidence: 99%

Neuro-oncology in the Philippines: a scoping review on the state of medical practice, deterrents to care and therapeutic gaps

Mondia¹,

Espiritu²,

Batara³

et al. 2021

ecancer

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Background: Neoplasms of the brain and spine are relatively uncommon compared to breast, lung and gastrointestinal tumours, which occur at higher rates in the Asian population. Updated guidelines in diagnosis and treatment of neuro-oncologic diseases recommend advanced molecular-based precision-medicine; thus the need for increasingly individualised regimens. It is, therefore, necessary to determine whether there are areas of improvement in the provision of care to these patients, especially in low-to middleincome economies like the Philippines. Methods:In this study, we identified gaps in the delivery of medical care to Filipino patients with tumours of the central nervous system. We performed a scoping review on the available literature on clinical experience with treatment of neuro-oncologic cases from the Philippines and performed qualitative analysis viewed through the lens of the existing healthcare system. Results:The medical practice of neuro-oncology in the Philippines lacks robust local data on epidemiology and treatment outcomes. There are existing legislative frameworks to support adequate healthcare delivery and financing to brain tumour patients. However, inequities in the geographic distribution of infrastructure, manpower and medications are roadblocks for accessibility to neuro-oncologic services like specialised molecular markers, neurosurgical procedures, sustained chemotherapy and radiation therapy centres. Conclusion:There are significant treatment gaps in the care of neuro-oncologic patients in the Philippines that need to be addressed. Early detection and initiation of prognosischanging therapeutics through reduction of out-of-pocket expenses, access to readily available diagnostic tools and sustainability of management regimens are the main areas that necessitate strengthened partnership between the public and private sectors of Philippine society.

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“… b Total SEA GDP/capita computed by dividing total SEA GDP by total SEA population. c Median %GDP for R&D. d Data obtained from Roxas et al ( 19 ). e Computed by dividing total SEA population by the total neurologists.…”

Section: Resultsmentioning

confidence: 99%

“…We extracted the following data : a) July 2020 population of SEA countries from the World Economic Outlook Database (4); b) GDP per capita and percent allocation of GDP for R&D from the World Bank Database (18); c) total number of neurologist from latest report of the Asian Oceanian Association of Neurology (AOAN) as a surrogate measure for human resources involved in care of CNS tumor patients (19); d) CNS tumor regional burden of disease measures (incidence, death, and disability-adjusted life years; [DALYs]) from the Global Burden of Disease Study of 2016 (1).…”

Section: Socioeconomic Factors and Burden Of Disease Parametersmentioning

confidence: 99%

“…ContinuedGDP, gross domestic product; R&D, research and development; NP, number of population; NR, no record; NA, not applicable; SEA, Southeast Asia. Data obtained from www.data.worldbank.org.Total SEA GDP/capita computed by dividing total SEA GDP by total SEA population.Data obtained from Roxas et al(19). Computed by dividing total SEA population by the total neurologists.…”

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confidence: 99%

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Primary Brain Tumor Research Productivity in Southeast Asia and Its Association With Socioeconomic Determinants and Burden of Disease

2020

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BackgroundThere is an unmet need to assess research productivity from southeast Asia (SEA) regarding primary central nervous system (CNS) tumors. The country’s economy, landscape of neurology practice, and disease burden are hypothesized to correlate with scientific output. This study aimed to objectively measure the impact of published studies on primary brain tumors in SEA and to assess for correlation with socioeconomic determinants and burden of disease.MethodsWe systematically searched electronic databases for relevant articles from SEA on primary CNS tumor until July 31, 2020. Bibliometric indices were reported and subjected to correlational analysis with population size, gross domestic product (GDP) per capita, percentage (%) GDP for research and development (R&D), total number of neurologists, disease incidence, deaths, and disability-adjusted life years.ResultsA total of 549 articles were included, consisting primarily of case reports (n=187, 34.06%) and discussed gliomas (n=195, 35.52%). Singapore published the most number of the articles (n=246, 44.8%). Statistical analysis showed a positive correlation between %GDP for R&D and total publication. Additionally, negative relationships were noted between burden of disease and total neurologist with most bibliometric indices. However, GDP per capita was not correlated with measures for research productivity.ConclusionThe low impact of scientific output on primary CNS tumors in SEA does not address the growing epidemiology and burden of this disease. An increase in the GDP growth and financial and manpower investment to R&D may significantly improve research productivity in SEA.

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The professional practice and training of neurology in the Asian and Oceanian Region: A cross-sectional survey by the Asian and Oceanian Association of Neurology (AOAN)

Cited by 20 publications

References 6 publications

Bibliometric analysis of bacterial central nervous system infection research in Southeast Asia

Bibliometric analysis of bacterial central nervous system infection research in Southeast Asia

Neuro-oncology in the Philippines: a scoping review on the state of medical practice, deterrents to care and therapeutic gaps

Primary Brain Tumor Research Productivity in Southeast Asia and Its Association With Socioeconomic Determinants and Burden of Disease

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