Towards Improved Organizational Governance of Neurotrauma Surveillance; Comment on “Neurotrauma Surveillance in National Registries of Low- and Middle-Income Countries: A Scoping Review and Comparative Analysis of Data Dictionaries”

Document Type : Commentary


1 School of Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands

2 Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands

3 Department of Neurology and Neurocritical Care, Kansas University Medical Center, Kansas City, KS, USA


Neurotrauma surveillance data on burden and severity of disease serves as a tool to define legislations, guide highyield risk-specific prevention, and evaluate and monitor management strategies for adequate resource allocation. In this scoping review, Barthélemy and colleagues demonstrate the gap in neurotrauma surveillance in low- and middle-income countries (LMICs) and suggest strategies for governance in neurotrauma surveillance. We underline state accountability as well as the need for the close integration of academic and tertiary care clinical practitioners and policy-makers in addressing the public health crisis caused by neurotrauma. Additionally, multiple sources for surveillance must be included, especially in communities where victims may remain without access to formal healthcare. Finally, we offer insights into possible ways of increasing the visibility of neurotrauma on political agendas.


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  • Receive Date: 19 July 2022
  • Revise Date: 08 December 2022
  • Accept Date: 21 December 2022
  • First Publish Date: 24 December 2022