Neurosurgery at a Fork in the Road for the Second Time in 100 Years: An Editorial

Neurosurgery at a Fork in the Road for the Second Time in 100 Years: An Editorial

cushing100 years ago, Harvey Cushing, faced with an unacceptable rate of mortality from neurosurgical procedures, took the courageous step of separating neurosurgery from the field of surgery to improve outcomes. He was heavily criticized for this step by some surgeons of the time.

100 years later, based again on the issue of outcomes,

NEUROSURGERY FINDS ITSELF AT A FORK IN THE ROAD ONCE AGAIN

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On this, the 3rd anniversary of the founding of the Dandy Society, I share the above model with you, my colleagues, neurosurgeons around the world. May we all continue to seek to develop our field and improve the outcomes of our patients worldwide.

Sincerely,

SignatureDrA

Saleem I. Abdulrauf, MD, FACS
President
Walter E. Dandy Neurosurgical Society

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References:

  1. Adult cardiac surgery in New York State report Available at:http://www.health.ny.gov/statistics/diseases/cardiovascular/heart_disease/docs/2008-2010_adult_cardiac_surgery.
  2. Barker FG, Curry WT, Carter BS. Surgery for primary supratentorial brain tumors in the United States, 1988 to 2000: the effect of provider caseload and centralization of care. Neuro-oncology. 2005;7(1):49-63.
  3. Calvet D, Mas JL, Algra A, Becquemin JP, Bonati LH, Dobson J, Fraedrich G, Jansen O, Mali WP, Ringleb PA, Chatellier G, Brown MM, Calvet D, Mas JL, Algra A, Becquemin JP, Bonati LH, Dobson J, Fraedrich G, Jansen O, Mali WP, Ringleb PA, Chatellier G, Brown MM, Algra A, Becquemin JP, Chatellier G, Mas JL, Fraedrich G, Ringleb PA, Jansen O, Brown MM. Carotid stenting: is there an operator effect? A pooled analysis from the carotid stenting trialists’ collaboration. Stroke. 2014;45(2):527-32.
  4. Chassin MR. Achieving and sustaining improved quality: lessons from New York State and cardiac surgery. Health Aff (Millwood). 2002;21(4):40-51.
  5. Clement RC, Carr BG, Kallan MJ, Wolff C, Reilly PM, Malhotra NR. Volume-outcome relationship in neurotrauma care. J Neurosurg. 2013;118(3):687-93.
  6. Cross DT, Tirschwell DL, Clark MA, Tuden D, Derdeyn CP, Moran CJ, Dacey RG. Mortality rates after subarachnoid hemorrhage: variations according to hospital case volume in 18 states. J Neurosurg. 2003;99(5):810-7.
  7. Dasenbrock HH, Clarke MJ, Witham TF, Sciubba DM, Gokaslan ZL, Bydon A. The impact of provider volume on the outcomes after surgery for lumbar spinal stenosis. Neurosurgery. 2012;70(6):1346-53.
  8. Englot DJ, Ouyang D, Wang DD, Rolston JD, Garcia PA, Chang EF. Relationship between hospital surgical volume, lobectomy rates, and adverse perioperative events at US epilepsy centers. J Neurosurg. 2013;118(1):169-74.
  9. Hannan EL, Siu AL, Kumar D, Kilburn H, Chassin MR. The decline in coronary artery bypass graft surgery mortality in New York State. The role of surgeon volume. JAMA. 1995;273(3):209-13.
  10. Mathew RK, O’Kane R, Parslow R, Stiller C, Kenny T, Picton S, Chumas PD. Comparison of survival between the UK and US after surgery for most common pediatric CNS tumors. Neuro-Oncology. 2014;16(8):1137-45.
  11. Mclaughlin N, Laws ER, Oyesiku NM, Katznelson L, Kelly DF. Pituitary centers of excellence. Neurosurgery. 2012;71(5):916-24.
  12. Peterson ED, Delong ER, Jollis JG, Muhlbaier LH, Mark DB. The effects of New York’s bypass surgery provider profiling on access to care and patient outcomes in the elderly. J Am Coll Cardiol. 1998;32(4):993-9.
  13. Prabhakaran S, Fonarow GC, Smith EE, Liang L, Xian Y, Neely M, Peterson ED, Schwamm LH. Hospital case volume is associated with mortality in patients hospitalized with subarachnoid hemorrhage. Neurosurgery. 2014;75(5):500-8.
  14. Smith ER, Butler WE, Barker FG. Craniotomy for resection of pediatric brain tumors in the United States, 1988 to 2000: effects of provider caseloads and progressive centralization and specialization of care. Neurosurgery. 2004;54(3):553-63.
  15. Solomon RA, Mayer SA, Tarmey JJ. Relationship between the volume of craniotomies for cerebral aneurysm performed at New York state hospitals and in-hospital mortality. Stroke. 1996;27(1):13-7.