2015 ANNUAL REPORT
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
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.
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