Consensus guidelines for the management of vestibular schwannoma for lowand middle-income countries
Vestibular Schwannoma (VS), previously known as acoustic neuroma, constitutes the majority of tumours found in the cerebellopontine angle (CPA). Most guidelines for managing CPA tumours have been developed by high-income countries (HICs). However, these guidelines often fall short in addressing the...
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2024-06-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://jpma.org.pk/index.php/public_html/article/view/21171 |
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| author | Syed Ather Enam Muhammad Shakir Ahsan Ali Khan Muniba Tahir Kaynat Siddiqui Muhammad Shahzad Shamim Mohammad Hamza Bajwa Asim Hafiz Ahmed Gilani Faiza Urooj Pakistan Brain Tumour Consortium: Authors list at the end of the supplement |
| author_facet | Syed Ather Enam Muhammad Shakir Ahsan Ali Khan Muniba Tahir Kaynat Siddiqui Muhammad Shahzad Shamim Mohammad Hamza Bajwa Asim Hafiz Ahmed Gilani Faiza Urooj Pakistan Brain Tumour Consortium: Authors list at the end of the supplement |
| author_sort | Syed Ather Enam |
| collection | DOAJ |
| description |
Vestibular Schwannoma (VS), previously known as
acoustic neuroma, constitutes the majority of tumours
found in the cerebellopontine angle (CPA). Most
guidelines for managing CPA tumours have been
developed by high-income countries (HICs). However,
these guidelines often fall short in addressing the unique
challenges encountered in low- and middle-income
countries (LMICs), such as Pakistan. In LMICs, issues
related to a limited healthcare workforce, inadequate
infrastructure, and constrained financial resources hinder
the effective implementation of these HIC-derived
guidelines. Additionally, it has been observed that VS
tends to present at a larger size in LMICs compared to
HICs. Given that VS is the predominant type of CPA
tumour and other types are covered under separate
guidelines, this article aims to provide practical, contextspecific
recommendations for the screening, diagnosis,
and management of Vestibular Schwannoma in LMIC
settings. Our focus is to bridge the gap in care strategies
and adapt them to the resource constraints and clinical
realities of LMICs.
Keywords: Neuroma, acoustic, cerebellopontine angle,
health care, vestibular schwannoma, radiosurgery,
tumours
|
| format | Article |
| id | doaj-art-b6538f8c6f474167bae2a2a3ea075c66 |
| institution | DOAJ |
| issn | 0030-9982 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj-art-b6538f8c6f474167bae2a2a3ea075c662025-08-20T02:41:36ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822024-06-01743 (Supple)10.47391/JPMA.S3.GNO-13Consensus guidelines for the management of vestibular schwannoma for lowand middle-income countriesSyed Ather Enam0Muhammad Shakir1Ahsan Ali Khan2Muniba Tahir3Kaynat Siddiqui4Muhammad Shahzad Shamim5Mohammad Hamza Bajwa6Asim Hafiz7Ahmed Gilani8Faiza Urooj9Pakistan Brain Tumour Consortium: Authors list at the end of the supplementDepartment of Neurosurgery, The Aga Khan University, Karachi, Pakistan.Department of Neurosurgery, The Aga Khan University, Karachi, Pakistan.Department of Neurosurgery, The Aga Khan University, Karachi, Pakistan.Dow University of Health and Sciences, Karachi, Pakistan.Department of Neurosurgery, The Aga Khan University, Karachi, Pakistan.Department of Neurosurgery, The Aga Khan University, Karachi, Pakistan.Department of Neurosurgery, The Aga Khan University, Karachi, Pakistan.Section of Radiation Oncology, The Aga Khan University, Karachi, Pakistan.Department of Pathology, University of Colorado, Children's Hospital Colorado, USA.The Aga Khan Medical College and University, Karachi, Pakistan. Vestibular Schwannoma (VS), previously known as acoustic neuroma, constitutes the majority of tumours found in the cerebellopontine angle (CPA). Most guidelines for managing CPA tumours have been developed by high-income countries (HICs). However, these guidelines often fall short in addressing the unique challenges encountered in low- and middle-income countries (LMICs), such as Pakistan. In LMICs, issues related to a limited healthcare workforce, inadequate infrastructure, and constrained financial resources hinder the effective implementation of these HIC-derived guidelines. Additionally, it has been observed that VS tends to present at a larger size in LMICs compared to HICs. Given that VS is the predominant type of CPA tumour and other types are covered under separate guidelines, this article aims to provide practical, contextspecific recommendations for the screening, diagnosis, and management of Vestibular Schwannoma in LMIC settings. Our focus is to bridge the gap in care strategies and adapt them to the resource constraints and clinical realities of LMICs. Keywords: Neuroma, acoustic, cerebellopontine angle, health care, vestibular schwannoma, radiosurgery, tumours https://jpma.org.pk/index.php/public_html/article/view/21171 |
| spellingShingle | Syed Ather Enam Muhammad Shakir Ahsan Ali Khan Muniba Tahir Kaynat Siddiqui Muhammad Shahzad Shamim Mohammad Hamza Bajwa Asim Hafiz Ahmed Gilani Faiza Urooj Pakistan Brain Tumour Consortium: Authors list at the end of the supplement Consensus guidelines for the management of vestibular schwannoma for lowand middle-income countries Journal of the Pakistan Medical Association |
| title | Consensus guidelines for the management of vestibular schwannoma for lowand middle-income countries |
| title_full | Consensus guidelines for the management of vestibular schwannoma for lowand middle-income countries |
| title_fullStr | Consensus guidelines for the management of vestibular schwannoma for lowand middle-income countries |
| title_full_unstemmed | Consensus guidelines for the management of vestibular schwannoma for lowand middle-income countries |
| title_short | Consensus guidelines for the management of vestibular schwannoma for lowand middle-income countries |
| title_sort | consensus guidelines for the management of vestibular schwannoma for lowand middle income countries |
| url | https://jpma.org.pk/index.php/public_html/article/view/21171 |
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