The Impact of Ethics and Resources on the Allocation of Traumatic Brain Injury Surgery: A Survey of Neurosurgeons Within Low- and Middle-Income Countries and High-Income Countries
Respondents generally prioritized their patients' need for surgery, projected benefits, and system considerations such as operating theater capacity in their decision to operate. Respondents prioritized both the sickest patients and those with the best prognosis in the setting of limited surgical capacity. Future research should explore how to work towards an agreed-upon framework for decision-making in resource-scarce settings in a just and equitable way.
Authors
- Nathan A. Shlobin (ORCID: https://orcid.org/0000-0003-2079-6125)
- Mareshah N. Sowah (ORCID: https://orcid.org/0009-0004-5908-5659)
- Deborah K. Attix (ORCID: https://orcid.org/0000-0002-4254-9902)
- Margot Kelly-Hedrick (ORCID: https://orcid.org/0000-0002-2188-1244)
- Charis A. Spears (ORCID: https://orcid.org/0000-0003-2814-2767)
- Deen L. Garba (ORCID: https://orcid.org/0000-0003-3346-0751)
- Anthony T. Fuller (ORCID: https://orcid.org/0000-0001-8841-6948)
- Michael M. Haglund
- Jasmine G Hughes
- Katie Solarz
Institutions
- NewYork–Presbyterian Hospital (US)
- Johns Hopkins University (US)
- Duke University (US)
- East Carolina University (US)
- University of Washington (US)
- University of Cambridge (GB)
- Columbia University Irving Medical Center (US)
- Johns Hopkins Medicine (US)
- Duke Medical Center (US)
- Duke University Hospital (US)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2025-04-02
- DOI
- https://doi.org/10.1016/j.wneu.2025.123950
- Citations
- 1
- Primary Topic
- Medical Malpractice and Liability Issues
- Type
- article
- Field-Weighted Citation Impact
- 2.02