A guideline on guidelines: neuro-oncology guideline standards for low- and middle-income countries

Abstract

Guidelines for low- and middle-income countries (LMICs)
are needed in complex, multidisciplinary areas such as
oncology, requiring mobilising considerable resources
and specialists for coordinated care. Neuro-oncology
guidelines have been primarily established in countries
where technological advancements and robust care
pathways facilitate broad resource utilisation. In contrast,
LMICs require complex and region-specific interventions
to provide equitable care. The present opinion paper is a
culmination of our own centre’s experience collaborating
and developing loco-regional guidelines for brain tumour
care, keeping in mind LMIC experiences and expertise
available. We intend for the process and methodology to
apply to a broader audience of other LMIC authors and
clinicians collaborating with LMIC institutions to develop
guidelines and clinical recommendations.
Keywords:  neuro-oncology, surgery, Critical
Pathways, Brain Neoplasms