{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T09:07:26Z","timestamp":1779527246361,"version":"3.53.1"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:p>In India, adult neurosurgeons are required to care for children regularly because the concept of dedicated pediatric specialty care is not yet entirely established in the subcontinent. Likewise, pediatric neurosurgeons do not exclusively offer their services to the young, but they also provide care to adult patients with neurosurgical disorders. This creates a medical system where the transition between specialties is not often a formal and recognized aspect of neurosurgical care because most neurosurgeons provide care for patients of all ages. Additionally, there are very few teams geared toward caring for conditions in children that merit lifelong medical support, with spina bifida (SB) being one of them. Since there are no focused or structured pediatric programs on a large scale, developing a multidisciplinary clinic for adults becomes challenging. A pragmatic approach using technology-based education, supported by an organized system or a coordinator, may be a new strategy. A new system utilizing telemedicine and smartphones for established patients maybe an alternative option for SB children in India. During virtual video conferences, an established patient may benefit from multispecialty care and education toward a smooth transition that avoids significant issues with time, transportation, or financial constraints. Achieving a seamless transition among allied specialists from the pediatric to adult systems is a utopia. The current system in the subcontinent may be improved, with an opportunity to develop smooth transition care between coordinated specialists (who simultaneously treat children and adults). Learning from various global SB management styles, the Indian transition situation may offer another model in the near future.<\/jats:p>","DOI":"10.3171\/2024.6.focus24266","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T07:49:07Z","timestamp":1722498547000},"page":"E5","source":"Crossref","is-referenced-by-count":0,"title":["Spina bifida transition care in India: strengths amidst challenges"],"prefix":"10.3171","volume":"57","author":[{"given":"Suhas","family":"Udayakumaran","sequence":"first","affiliation":[{"name":"Division of Paediatric Neurosurgery and Craniofacial Surgery, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijayasekhar V.","family":"Manda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rangaraya Medical College, Kakinada, Andhra Pradesh;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta","family":"Kedia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harshavardhan","family":"Biradar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shri BM Patil Medical College, Vijayapur, Karnataka;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok K.","family":"Mahapatra","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, IMS & SUM Hospital, SOA University, Bhubaneswar, Odisha;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhu Narayana Rao","family":"Kottakki","sequence":"additional","affiliation":[{"name":"Spina Bifida and Head Injury Program, King George Hospital at Andhra Medical College, Visakhapatnam, Andhra Pradesh, India; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jogi V.","family":"Pattisapu","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery Program, University of Central Florida College of Medicine, Orlando, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"7","key":"b1","series-title":"Birth Defects Res A Clin Mol Teratol","first-page":"437","article-title":"Systematic review of birth prevalence of neural tube defects in India","volume":"97","author":"Bhide P","year":"2013","unstructured":"Bhide P, Sagoo GS, Moorthie S, Burton H, Kar A. 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