Inception of a national multidisciplinary registry for stereotactic radiosurgery
| Autor: | Robert E. Harbaugh, Jason P. Sheehan, Brian D. Kavanagh, Anthony L. Asher |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Certification medicine.medical_treatment Neurosurgery Audit Radiosurgery Data governance 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach parasitic diseases medicine Humans Medical physics Registries Societies Medical Randomized Controlled Trials as Topic Retrospective Studies Clinical Trials as Topic business.industry International health General Medicine United States Clinical trial Treatment Outcome 030220 oncology & carcinogenesis Professional association business 030217 neurology & neurosurgery |
| Zdroj: | Journal of neurosurgery. 124(1) |
| ISSN: | 1933-0693 |
| Popis: | Stereotactic radiosurgery (SRS) represents a multidisciplinary approach to the delivery of ionizing high-dose radiation to treat a wide variety of disorders. Much of the radiosurgical literature is based upon retrospective single-center studies along with a few randomized controlled clinical trials. More timely and effective evidence is needed to enhance the consistency and quality of and clinical outcomes achieved with SRS. The authors summarize the creation and implementation of a national SRS registry. The American Association of Neurological Surgeons (AANS) through NeuroPoint Alliance, Inc., started a successful registry effort with its lumbar spine initiative. Following a similar approach, the AANS and NeuroPoint Alliance collaborated with corporate partners and the American Society for Radiation Oncology to devise a data dictionary for an SRS registry. Through administrative and financial support from professional societies and corporate partners, a framework for implementation of the registry was created. Initial plans were devised for a 3-year effort encompassing 30 high-volume SRS centers across the country. Device-specific web-based data-extraction platforms were built by the corporate partners. Data uploaders were then used to port the data to a common repository managed by Quintiles, a national and international health care trials company. Audits of the data for completeness and veracity will be undertaken by Quintiles to ensure data fidelity. Data governance and analysis are overseen by an SRS board comprising equal numbers of representatives from the AANS and NeuroPoint Alliance. Over time, quality outcome assessments and post hoc research can be performed to advance the field of SRS. Stereotactic radiosurgery offers a high-technology approach to treating complex intracranial disorders. Improvements in the consistency and quality of care delivered to patients who undergo SRS should be afforded by the national registry effort that is underway. |
| Databáze: | OpenAIRE |
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