Abstract
Purpose
Intraoperative Neurophysiological Monitoring (IOMM) has been used worldwide in the attempt to reduce postsurgical neurological deficits, however, most of the publications are from developed countries. There is a global bibliometric analysis of IOMN in spinal surgery, however, the contribution of Latin America (LA) is not mentioned. The aim of this study is to describe scientific productivity, patterns of publications, and thematic trends of IONM in LA.
Methods
Data was collected using Scopus database, by searching scientific articles with LA affiliation, using 18 keywords. We excluded duplicates, not original articles, reviews, surveys, and articles not related to humans. Articles were analyzed and classified as follows: year of publication, language of the original document, journals metrics, country, IONM modality, etiology, location of surgery, medical specialties, and outcome. Descriptive statistics were used.
Results
We obtained 8,699 scientific articles of which 41 scientific articles from 7 LA countries were selected. Mexico has the highest number of publications. In most countries, supratentorial location showed the highest frequency. Somatosensory evoked potentials and electrocorticography were the most performed modalities. Neurosurgery was the most involved specialty of our 41 scientific articles, and 95.1% of these publications concluded that IONM is useful to guide surgical procedures.
Conclusions
Mexico and Brazil have led IONM publications in LA. The lower reference in publications of visual evoked potentials and brainstem auditory evoked potentials IONM modalities, could be considered in the future to boost tailored research in LA.
Similar content being viewed by others
References
Kim SM, Kim SH, Seo DW, Lee KW. Intraoperative neurophysiologic monitoring: Basic principles and recent update. J Korean Med Sci. 2013;28(9):1261–9. https://doi.org/10.3346/jkms.2013.28.9.1261.
Nuwer MR. (2008) Handbook of Clinical Neurophysiology. Overview and history. In: Intraoperative Monitoring of Neural Function. Elsevier, pp 2–6.
Nuwer MR, Emerson RG, Galloway G, Legatt AD, Lopez J, Minahan R, et al (2012) Evidence-based guideline update: Intraoperative spinal monitoring with somatosensory and transcranial electrical motor evoked potentials. Neurology 78(8):585–589.
De La Maza-Krzeptowsky LC, Romero-Esquiliano G, Ramírez-Segura EH, De Obieta-Cruz E, Vega-Sosa A, Cárdenas-Mejía A, et al. Implementation of intraoperative neurophysiologic monitoring in children and adults in secondary and tertiary health care facilities. Cir y Cir. 2018;86(2):132–9. https://doi.org/10.24875/CIRU.M18000021.
Fehlings MG, Brodke DS, Norvell DC, Dettori JR. The evidence for intraoperative neurophysiological monitoring in spine surgery: Does it make a difference? Spine. 2010;35:37–46. https://doi.org/10.1097/BRS.0b013e3181d8338e.
De la Maza Krzeptowsky LC, San-Juan D, Ximénez Camilli C, Alvarez Perera L, Valdez Ruvalcaba H, Morales Báez JA, et al. Neurophysiological Intraoperative Monitoring in the Elderly. J Clin Neurophysiol. 2021;38(3):231–6.
Ellegaard O, Wallin JA. The bibliometric analysis of scholarly production: How great is the impact? Scientometrics. 2015;105(3):1809–31.
Rasolabadi M, Rasouli-Ghahfarkhi SM, Ardalan M, Kalhor MM, Seidi J, Gharib A. Epilepsy research in Iran: A scientometric analysis of publications output during 2000–2014. Acta Inf Med. 2015;23(6):374–8.
Forero DA, Trujillo ML, González-Giraldo Y, Barreto GE. Scientific productivity in neurosciences in Latin America: a scientometrics perspective. Int J Neurosci. 2020;130(4):398–406.
Scopus [database online]. Updated August 8, 2021.
Kanmounye US, Robertson FC, Sebopelo LA, Senyuy WP, Sichimba D, Keke C, et al. Bibliometric Analysis of the 200 Most Cited Articles in WORLD NEUROSURGERY. World Neurosurg. 2021;149:226–31. https://doi.org/10.1016/j.wneu.2021.01.121.
Fonseca P, Goethel M, Vilas-Boas JP, Gutierres M, Correia MV. A (2021) Bibliometric Analysis of Intraoperative Neuromonitoring in Spine Surgery. World Neurosurg 154:3–12. https://doi.org/10.1016/j.wneu.2021.07.039.
Alva-Díaz C, Navarro-Flores A, Rivera-Torrejon O, Huerta-Rosario A, Molina RA, Velásquez-Rimachi V, et al. Prevalence and incidence of epilepsy in Latin America and the Caribbean: A systematic review and meta-analysis of population-based studies. Epilepsia. 2021;62(4):984–96. https://doi.org/10.1111/epi.16850.
Vadivelu S, Sivaganesan A, Patel AJ, Agadi S, Schmidt RJ, Mani P, et al. Practice trends in the utilization of intraoperative neurophysiological monitoring in pediatric neurosurgery as a function of complication rate, and patient-, surgeon-, and procedure-related factors. World Neurosurg. 2014;81(3–4):617–23. https://doi.org/10.1016/j.wneu.2013.11.010.
Guiroy A, Valacco M, Gagliardi M, Cabrera JP, Emmerich J, Willhuber GC, et al. Barriers of neurophysiology monitoring in spine surgery: Latin America experience. Surg Neurol Int. 2020;11(130):1–5. 10.25259/SNI_44_2020.
Grand View Research. (2017) Intraoperative Neuromonitoring Market Size, Share & Trends Analysis Report By Type (Insource IONM, Outsource IONM), By Region (North America, Europe, Asia Pacific, Latin America, MEA), And Segment Forecasts, 2018–2025. Grand View Research. https://www.grandviewresearch.com/industry-analysis/intraoperative-neuromonitoring-market. Accessed 8 August 2021.
Cortés Doñate VE, Pérez Lorensu PJ, García García A, Asociación de Monitorización Intr AV. Sociedad Española de Neurofisiolog AV, Grupo de Trabajo de Monitorización AV (2018) Monitorización neurofisiológica intraoperatoria en España: inicios, situación actual y perspectivas de futuro. Rev Neurol 66(09):315–320. 10.33588/rn.6609.2018004.
PubMed [database online]. Bethesda MD: USA National Institutes of Health’s National Library of Medicine. Updated August 8, 2021.
Ney JP, Van Der Goes DN, Watanabe JH. Cost-benefit analysis: Intraoperative neurophysiological monitoring in spinal surgeries. J Clin Neurophysiol. 2013;30(3):280–6. https://doi.org/10.1097/WNP.0b013e3182933d8f.
Acknowledgements
None.
Conflicts of Interest
All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.
Funding
The authors did not receive support from any organization for the submitted work.
Submission StatementsAll authors have seen and agree with the contents of the manuscript. Daniel San-Juan, M.D., principal author takes full responsibility for the data, the analyses, and interpretation, and the conduct of the research; also, Daniel San-Juan, M.D. has full access to all of the data; and has the right to publish all data separate and apart from any sponsor. We certify that the submission (aside from an abstract) is not under review with any other publication.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
San-juan, D., Mercado, W.P., Lorenzana, Á.L. et al. Intraoperative neurophysiological monitoring in Latin America: A bibliometric analysis. J Clin Monit Comput 36, 1827–1832 (2022). https://doi.org/10.1007/s10877-022-00831-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10877-022-00831-3