2015 AANS Annual Report
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to the development of this successful application, including

a group of young surgeon-scientists (principal residents and

their attendings) who will be an important part of NPA’s

future leadership. We are most indebted to Anthony L.

Asher, MD, FAANS, for his leadership on this initiative.

The NPA’s largest effort, the N


QOD is a prospective

clinical registry designed to generate high-quality

neurosurgical patient outcomes data. Participation in



QOD requires centers to purchase access to the database,

commit to at least three years of data collection and employ

a data manager who has at least 50-percent commitment

to this project. In February 2012, the N


QOD lumbar

spine module was piloted in three academic centers. This

program has rapidly expanded. As of May 31, 2015, 66

centers are participating, and contracts are in final stages

for five additional sites. Seventy-one centers have achieved

institutional review of the project, nearly 16,000 patients

are currently enrolled in the lumbar module, and 5,000 are

enrolled in the cervical module. Fourteen groups are now

participating in the spinal deformity module.

New Ventures

A number of new projects have also been launched since

our last Annual Report. The ECIC Bypass Study is a

prospective registry evaluating bypass for carotid occlusion

with persistent or unstable symptoms failing medical

management. Carlos A. David, MD, FAANS, is the lead

investigator. The Cervical Spondylotic Myelopathy Surgical

Trial is designed to determine optimal surgical approach for

patients with multi-level cervical spondylotic myelopathy.

Partnering with Acesis, Inc., NPA will provide data-

collection services for this six-year study of 300 patients

from 20 centers. Zoher Ghogawala, MD, FAANS, is the

lead investigator. A new cerebrovascular module has been

launched with six pilot sites entering data and an additional

seven in the process of training and/or contracting with

NPA. Seven centers are now involved with QCDR measures

and are entering data.

Collaborations have developed between the AANS,

NPA, Neurosurgery Research and Education Foundation

(NREF) and other organizations, including the Stereotactic

Radiosurgery Registry with the American Society of

Radiation Oncology and supported by Brainlab and

Elekta. The AANS and the American Academy of

Physical Medicine and Rehabilitation are involved in the

development of a business plan to create a collaborative

clinical data registry serving patients suffering from a variety

of spinal disorders.

Clearly, NPA has gotten great traction and has an

outstanding future. Embedded in its success is the

collaborative nature of our neurosurgical organizations

speaking with one voice in support of our patients. The

AANS and NPA look forward to continued and rapid

growth in support of our membership.

H. Hunt Batjer, MD, FAANS

2014-2015 NPA Chair