Stroke doctors: Who are we? A World Stroke Organization survey.

Journal: International journal of stroke : official journal of the International Stroke Society

Volume: 12

Issue: 8

Year of Publication: 2018

Affiliated Institutions:  Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia. Stroke Unit and Division of Cardiovascular Medicine, Ospedale Santa Maria della Misericordia, University of Perugia, Perugia, Italy. Neurosciences and Ageing Research Unit, Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan, Nigeria. Department of Medicine (Neurology), Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada. School of Health Sciences and Priority Research Centre for Stroke and Brain Injury, University of Newcastle, Newcastle, NSW, Australia. Department of Neurology, University of Massachusetts Medical School, Worcester, MA, USA. Department of Medicine (Neurology), Hôpital Notre-Dame, University of Montreal, Montreal, QC, Canada. Department of Neurology, Helsinki University Hospital, Helsinki, Finland. Department of Medicine, Changi General Hospital, Singapore, Singapore. Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan. Department of Neurology, West China Hospital, Sichuan University, Chengdu, China. Center of Clinical Neurosciences, Danube University of Krems, Krems, Austria. Department of Clinical Sciences Lund, Neurology, Lund University, Lund, Sweden and Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund, Sweden.

Abstract summary 

Background Specialist training provides skilled workforce for service delivery. Stroke medicine has evolved rapidly in the past years. No prior information exists on background or training of stroke doctors globally. Aims To describe the specialties that represent stroke doctors, their training requirements, and the scientific organizations ensuring continuous medical education. Methods The World Stroke Organization conducted an expert survey between June and November 2014 using e-mailed questionnaires. All Organization for Economic Co-operation and Development countries with >1 million population and other countries with >50 million population were included ( n = 49, total 5.6 billion inhabitants, 85% of global strokes). Two stroke experts from each selected country were surveyed, discrepancies resolved, and further information on identified stroke-specific curricula sought. Results We received responses from 48 (98%) countries. Of ischemic stroke patients, 64% were reportedly treated by neurologists, ranging from 5% in Ireland to 95% in the Netherlands. Per thousand annual strokes there were average six neurologists, ranging from 0.3 in Ethiopia to 33 in Israel. Of intracerebral hemorrhage patients, 29% were reportedly treated by neurosurgeons, ranging from 5% in Sweden to 79% in Japan, with three neurosurgeons per thousand strokes, ranging from 0.1 in Ethiopia to 24 in South Korea. Most countries had a stroke society (86%) while only 10 (21%) had a degree or subspecialty for stroke medicine. Conclusions Stroke doctor numbers, background specialties, and opportunities to specialize in stroke vary across the globe. Most countries have a scientific society to pursue advancement of stroke medicine, but few have stroke curricula.

Authors & Co-authors:  Meretoja Atte A Acciarresi Monica M Akinyemi Rufus O RO Campbell Bruce B Dowlatshahi Dar D English Coralie C Henninger Nils N Poppe Alexandre A Putaala Jukka J Saini Monica M Sato Shoichiro S Wu Bo B Brainin Michael M Norrving Bo B Davis Stephen S

Study Outcome 

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Statistics
Citations :  Jauch EC, Saver JL, Adams HP, Jr, et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2013;44:870–947.
Authors :  15
Identifiers
Doi : 10.1177/1747493017701150
SSN : 1747-4949
Study Population
Male,Female
Mesh Terms
Brain Ischemia
Other Terms
Stroke;college;curriculum;education;organization;specialist;training;workforce
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
United States