Language and style: A barrier to neurosurgical research and advancement in Latin America

BACKGROUND: The neurosurgical burden in Latin America is understudied and likely underestimated, thus it is imperative to improve quality, training, and delivery of neurosurgical care. A significant aspect of this endeavor is for Latin America to become an integral aspect of the global neurosurgical community, however, there is a paucity of ideology and literature coming from Central and South America. We sought to explore neurosurgical dialogue originating from Latin America as well as barriers to the advancement of neurosurgery in this region. METHODS: We conducted a systematic literature review exploring research originating in Latin America in three international neurosurgical journals – Journal of Neurosurgery, Surgical Neurology International, and World Neurosurgery. We utilized PubMed search algorithms to identify articles. Inclusion criteria included publication within the three aforementioned journals, author affiliation with Latin American institutions, and publication within the specified time frame of January 2014 to July 2017. RESULTS: There were 7469 articles identified that met the search criteria. Of these 7469 articles, 326 (4.4%) were from Latin American nations. CONCLUSION: Our data suggests a relatively low percentage of neurosurgical research originating from Latin America, suggesting a significant lack of participation in the global neurosurgical community. Barriers to global scientific communication include language, rhetorical style, culture, history, biases, funding, and governmental support. Despite challenges, Latin America is making strides towards improvement including the development of neurosurgical societies, as well as international collaborative training and research programs. We consider our report to be a valid initiation of discussion of the broader issue of neurosurgical communication.