The Boston Declaration 2025: Plan and Pledges for Progress in Global Neurosurgery

Saksham Gupta, Department of Neurosurgery, Brigham and Women's Hospital, Mass General Brigham, Harvard Medical School, Boston, Massachusetts, USA.
Jacquelyn Corley, Department of Neurosurgery, Samaritan Brain and Spine Surgery, Corvallis, Oregon, USA.
Kemel A. Ghotme, Translational Neuroscience and Mental Health, School of Medicine, Universidad de La Sabana, Chia, Colombia; Neurosurgery Department, Fundación Santa Fe De Bogotá, Bogotá, DC, Colombia.
Brian Nahed, Department of Neurosurgery, Massachusetts General Hospital, Mass General Brigham, Harvard Medical School, Boston, Massachusetts, USA.
Kate Drummond, Department of Neurosurgery, The Royal Melbourne Hospital, Parkville, VIC, Australia; Department of Surgery, University of Melbourne, The Royal Melbourne Hospital, Parkville, VIC, Australia.
Peter Hutchinson, Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge, UK.
Tariq Khan, Department of Neurosurgery, The Aga Khan University, Karachi, Pakistan.
Anthony Figaji, Division of Neurosurgery and Neurosciences Institute, University of Cape Town, Cape Town, South Africa.
Robert J. Dempsey, Department of Neurological Surgery, University of Wisconsin Hospitals and Clinics, Madison, Wisconsin, USA.
Kee B. Park, Department of Neurosurgery, Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA.
Ignatius N. Esene, Neurosurgery Division, Faculty of Health Sciences, University of Bamenda, Bambili, Cameroon.
Mohammad Ali Aziz-Sultan, Department of Neurosurgery, Brigham and Women's Hospital, Mass General Brigham, Harvard Medical School, Boston, Massachusetts, USA.
Gail Rosseau, Department of Neurosurgery, George Washington University, Washington DC, USA; Barrow Neurological Institute, Phoenix, Arizona, USA. Electronic address: gailrosseaumd@gmail.com.

Document Type

Journal Article

Publication Date

11-12-2024

Journal

World neurosurgery

Volume

193

DOI

10.1016/j.wneu.2024.10.063

Keywords

Bogotá Declaration; Boston Declaration; Global Neurosurgery

Abstract

Global Neurosurgery has been described as the clinical and public health practice of neurosurgery with the primary purpose of ensuring timely, safe, and affordable neurosurgical care to all who need it. Global Neurosurgery activities in the form of mission trips, educational partnerships, and research collaborations have been in place for decades. Still, there have been no central organizing efforts to improve the harmonization of these endeavors until recently. The 2016 Bogotà Declaration on Global Neurosurgery was the first meeting of global neurosurgery practitioners from low- and middle-income countries and high-income countries to organize a consensus statement around the global gaps in neurosurgery care and goals for its future development. Since then, interest in global neurosurgery has grown dramatically among neurosurgeons, trainees, nurses, and allied professionals. Global neurosurgery has emerged as a distinct academic subspecialty within neurosurgery. However, recent evidence demonstrates that wide gaps remain in access to safe, timely, and affordable neurosurgical care. Quite as important is the current dominance of global neurosurgery discourse by high-income country actors. The Boston Declaration seeks to further define a unified vision of progress as Global neurosurgery continues to grow and evolve. This ambitious initiative will review existing evidence, employ on-the-ground expert experience, and seek broad inclusivity and transparency to formulate a new set of goals for global neurosurgery and a structure that shifts the agency to low- and middle-income country actors. We propose a path to developing a new consensus statement and action plan, the 2025 Boston Declaration for Global Neurosurgery.

Department

Neurological Surgery

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