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Assessing the Success and Sustainability of Global Neurosurgery Collaborations: Systematic Review and Adaptation of the Framework for Assessment of InteRNational Surgical Success Criteria.

Publication ,  Journal Article
Ukachukwu, A-EK; Seas, A; Petitt, Z; Dai, KZ; Shlobin, NA; Khalafallah, AM; Patel, DN; Rippeon, E; von Isenburg, M; Haglund, MM; Fuller, AT
Published in: World Neurosurg
November 2022

BACKGROUND: The high unmet neurosurgical burden in low- and middle-income countries has necessitated multiple global neurosurgical collaborations. We identified these collaborations and their peer-reviewed journal publications and evaluated them using a modified version of the Framework for Assessment of InteRNational Surgical Success (FAIRNeSS). METHODS: A systematic literature review yielded 265 articles describing neurosurgery-focused collaborations. A subset of 101 papers from 17 collaborations were evaluated with the modified FAIRNeSS criteria. Analysis of trends was performed for both individual articles and collaborations. RESULTS: Most of the articles were general reviews (64), and most focused on clinical research (115). The leading collaboration focus was workforce and infrastructure development (45%). Composite FAIRNeSS scores ranged from 7/34 to 30/34. Average FAIRNeSS scores for individual articles ranged from 0.25 to 26.75, while collaboration-wide FAIRNeSS score averages ranged from 5.25 to 20.04. There was significant variability within each subset of FAIRNeSS indicators (P value <0.001). Short-term goals had higher scores than medium- and long-term goals (P value <0.001). Collaboration composite scores correlated with the number of papers published (R2 = 0.400, P = 0.007) but not with the number of years active (R2 = 0.072, P = 0.3). Finally, the overall agreement between reviewers was 53.5%, and the overall correlation was 38.5%. CONCLUSIONS: Global neurosurgery has no established metrics for evaluating collaborations; therefore, we adapted the FAIRNeSS criteria to do so. The criteria may not be well suited for measuring the success and sustainability of global neurosurgery collaborations, creating a need to develop a more applicable alternate set of metrics.

Duke Scholars

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

November 2022

Volume

167

Start / End Page

111 / 121

Location

United States

Related Subject Headings

  • Publications
  • Neurosurgical Procedures
  • Neurosurgery
  • Humans
  • 1109 Neurosciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ukachukwu, A.-E., Seas, A., Petitt, Z., Dai, K. Z., Shlobin, N. A., Khalafallah, A. M., … Fuller, A. T. (2022). Assessing the Success and Sustainability of Global Neurosurgery Collaborations: Systematic Review and Adaptation of the Framework for Assessment of InteRNational Surgical Success Criteria. World Neurosurg, 167, 111–121. https://doi.org/10.1016/j.wneu.2022.08.131
Ukachukwu, Alvan-Emeka K., Andreas Seas, Zoey Petitt, Kathy Z. Dai, Nathan A. Shlobin, Adham M. Khalafallah, Dev N. Patel, et al. “Assessing the Success and Sustainability of Global Neurosurgery Collaborations: Systematic Review and Adaptation of the Framework for Assessment of InteRNational Surgical Success Criteria.World Neurosurg 167 (November 2022): 111–21. https://doi.org/10.1016/j.wneu.2022.08.131.
Ukachukwu, Alvan-Emeka K., et al. “Assessing the Success and Sustainability of Global Neurosurgery Collaborations: Systematic Review and Adaptation of the Framework for Assessment of InteRNational Surgical Success Criteria.World Neurosurg, vol. 167, Nov. 2022, pp. 111–21. Pubmed, doi:10.1016/j.wneu.2022.08.131.
Ukachukwu A-EK, Seas A, Petitt Z, Dai KZ, Shlobin NA, Khalafallah AM, Patel DN, Rippeon E, von Isenburg M, Haglund MM, Fuller AT. Assessing the Success and Sustainability of Global Neurosurgery Collaborations: Systematic Review and Adaptation of the Framework for Assessment of InteRNational Surgical Success Criteria. World Neurosurg. 2022 Nov;167:111–121.
Journal cover image

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

November 2022

Volume

167

Start / End Page

111 / 121

Location

United States

Related Subject Headings

  • Publications
  • Neurosurgical Procedures
  • Neurosurgery
  • Humans
  • 1109 Neurosciences
  • 1103 Clinical Sciences