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Pediatric neurosurgery without pediatric neurosurgeons: a comparison of outcomes of pediatric brain tumor resections in Pakistan with a national US surgical database.

Pediatric neurosurgery without pediatric neurosurgeons: a comparison of outcomes of pediatric brain tumor resections in Pakistan with a national US surgical database. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery Abid, H., Imran, Y., Thobani, H., Bakhshi, S. K., Minhas, A., Khan, M. O., Minasian, T., Islam, S., Khan, F. A. 2025; 41 (1): 124

Abstract

There are currently no specialized pediatric neurosurgeons in Pakistan. The extent to which this impacts the outcomes of children undergoing surgery for neurological conditions in the country is unclear. We aimed to investigate whether outcomes of brain tumor resections in children at our high-volume center in Pakistan were comparable to those performed by pediatric neurosurgeons in a large, validated US surgical database.A multi-center collaborative collected clinical data on supratentorial and infratentorial craniotomy procedures (SC and IC, respectively) for malignant brain tumors in children??48 h (p?=?0.004) compared to their US counterparts captured in NSQIP-P data.Despite the availability of neuroimaging, cancer therapeutics, and intensive care at our center, children undergoing brain tumor resections had worse outcomes than their US counterparts. There is likely a need for specialized pediatric neurosurgical health services to improve outcomes of children undergoing complex neurosurgical procedures in Pakistan.

View details for DOI 10.1007/s00381-025-06775-8

View details for PubMedID 40014156