{"doi":"10.1016/j.wneu.2024.05.119","title":"Operative Epidemiology of the First Five Years in a New African Neurosurgery Training Center: The Experience in Rural Kenya at Tenwek Hospital 2016 to 2021","abstract":null,"journal":"World Neurosurgery","year":2024,"id":677380,"datarank":0.24141568686511508,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"self_citation_contribution":0.24141568686511508,"citation_network_contribution":0.0,"self_endowment_contribution":0.24141568686511508,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":758780,"name":"Aaron Miller","orcid":"0000-0001-5527-420X","position":1,"is_corresponding":false},{"id":1769911,"name":"Ben Ojakapeli","orcid":"0009-0004-3168-7607","position":2,"is_corresponding":false},{"id":1769913,"name":"Emmanuel W. Wekesa","orcid":null,"position":3,"is_corresponding":false},{"id":1769915,"name":"Josephat Mburu","orcid":null,"position":4,"is_corresponding":false},{"id":1769916,"name":"Ivy Barasa","orcid":null,"position":5,"is_corresponding":false},{"id":1769917,"name":"Hugh P. Sims-Williams","orcid":"0000-0001-5245-3659","position":6,"is_corresponding":false},{"id":1329631,"name":"Fraser C. Henderson","orcid":"0000-0001-9479-2368","position":7,"is_corresponding":false},{"id":1769918,"name":"William R. Copeland","orcid":"0000-0001-5245-3413","position":8,"is_corresponding":false},{"id":1769909,"name":"Ndaro Daniel Bulenga","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Operative Epidemiology of the First Five Years in a New African Neurosurgery Training Center: The Experience in Rural Kenya at Tenwek Hospital 2016 to 2021","abstract":"<h4>Background</h4>One strategy to increase the availability of neurosurgical services in underserved regions within Sub-Saharan African countries is to create new residency training programs outside of cosmopolitan cities where programs may already exist. In 2016 Tenwek Hospital in rural western Kenya began offering full-time neurosurgical services and in 2020 inaugurated a residency training program. This review highlights the operative epidemiology of the first 5 years of the hospital's neurosurgical department.<h4>Methods</h4>A retrospective review of all cases performed by a neurosurgeon at Tenwek Hospital between September 2016 and February 2022 was performed. Patient demographics, surgical indications, length of stay, and in-hospital mortality rates were collected.<h4>Results</h4>A total of 1756 cases were retrievable. Of these, 1006 (57.3%) were male and mean age was 30 years (range 1 day to 97 years). Mean length of stay was 11 ± 2 days and in-hospital mortality rate was 4.4% (77 patients). The most common pathologies in children comprised hydrocephalus and spina bifida (42.5% and 21.1%, respectively); in adults, cranial trauma (28.2%), oncology (25.2%), and degenerative spine (18.5%) were most common. Trauma was the leading cause of death.<h4>Conclusions</h4>The neurosurgical caseload of a rural hospital in an underserved area can provide not only an adequate neurosurgical volume, but a robust and varied exposure that is necessary for training safe and competent surgeons who are willing to remain in their countries of origin.","is_dataset_classified":null,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"38789034","pmcid":null,"openalex_id":"https://openalex.org/W4398247750","authors":[],"funders":[],"total_grants":0,"fwci":1.6682,"citation_percentile":0.83484194,"influential_citations":0,"citation_trend":[{"year":2024,"count":2},{"year":2025,"count":1},{"year":2026,"count":1}],"oa_status":"closed","license":"https://doi.org/10.15223/policy-004","oa_locations":[{"url":"https://api.elsevier.com/content/article/PII:S1878875024008829?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S1878875024008829?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.wneu.2024.05.119","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/38789034","host_type":"repository"}],"fields_of_study":["Global Health and Surgery","Global Health Workforce Issues","History of Medical Practice","Humans","Kenya","Male","Adult","Female","Child","Adolescent","Infant","Child, Preschool","Middle Aged","Young Adult","Retrospective Studies","Neurosurgery","Aged","Infant, Newborn","Aged, 80 and over","Hospital Mortality","Neurosurgical Procedures","Internship and Residency","Hospitals, Rural","Length of Stay","Rural Population"],"mesh_terms":["Adolescent","Adult","Aged","Aged, 80 and over","Child","Child, Preschool","Female","Hospitals, Rural","Humans","Infant","Infant, Newborn","Internship and Residency","Kenya","Length of Stay","Male","Middle Aged","Neurosurgery","Retrospective Studies","Rural Population","Hospital Mortality","Neurosurgical Procedures","Young Adult"],"keywords":["Medicine","Neurosurgery","Epidemiology","Center (category theory)","General surgery","Family medicine","Surgery","Internal medicine","Training","Kenya","Residency","Global Neurosurgery","Cosecsa","Paacs"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-17T04:03:00.735268Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}