ArticleBrain & spine2022
Neurosurgery outcomes and complications in a monocentric 7-year patient registry.
Article in Brain & spine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01628406 (Patient Registry of the Neurosurgery Department.), which is not on this map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Patient Registry of the Neurosurgery Department.
Who cites it
22 citing papers in PubMed.
- Intraoperative MRI in pediatric brain tumor surgery: Optimizing surgical decision-making and extent of resection.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Observational
- Smartphone-Based Monitoring of Quality of Life and Adverse Events After Neurosurgery: Prospective Cohort Study.Journal of medical Internet research · 2026Article
- Assessing effects of RAI, GNRI, and anemia on morbidity and mortality in elderly neurosurgery patients with major complications.Neurosurgical review · 2026Article
- Implementation of a prospective neurosurgical complication registry in routine clinical practice.Acta neurochirurgica · 2026Article
- Article
- Conditional survival in glioblastoma: The evolution of prognostic factors over time.International journal of cancer · 2026Article
- Optimal time between decompressive craniectomy and cranioplasty to reduce the risk of complications: A retrospective study.Neurosurgical review · 2026Article
- Observational
- Adverse events in meningioma surgery classified using the therapy-disability-neurology (TDN) grading system.Journal of neuro-oncology · 2025Article
- International survey-based assessment of the reliability, validity, and interpretability of the TDN grade for neurosurgical adverse events.Scientific reports · 2025Article
- Retrospective Single-Center Analysis of 5575 Spinal Surgeries for Complication Associations and Potential Future Use of Generated Data.Journal of clinical medicine · 2025Article
- Complexity and complications.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Multiple craniotomies in patients with brain metastases: a two-center, propensity score-matched study.Neurosurgical review · 2024Article
- Postoperative complications after surgery for lumbar spinal stenosis, assessment using two different data sources.Acta neurochirurgica · 2024Article
- Do we need a neurosurgical frailty index?Surgical neurology international · 2024Article
- Intradural cystic schwannomas of the spine: A case-based systematic review of an unusual tumor.Brain & spine · 2024Review
- Safety of microneurosurgical interventions for superficial and deep-seated brain metastases: single-center cohort study of 637 consecutive cases.Journal of neuro-oncology · 2023Article
- Adverse events in spine surgery: a prospective analysis at a large tertiary center in Germany.Acta neurochirurgica · 2023Article
- Adverse events in neurosurgery: a comprehensive single-center analysis of a prospectively compiled database.Acta neurochirurgica · 2023Article
- A prognostic model for tumor recurrence and progression after meningioma surgery: preselection for further molecular work-up.Frontiers in oncology · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Capturing adverse events reliably is paramount for clinical practice and research alike. In the era of "big data", prospective registries form the basis of clinical research and quality improvement. Research question: To present results of long-term implementation of a prospective patient registry, and evaluate the validity of the Clavien-Dindo grade (CDG) to classify complications in neurosurgery. Materials and methods: A prospective registry for cranial and spinal neurosurgical procedures was implemented in 2013. The CDG - a complication grading focused on need for unplanned therapeutic intervention - was used to grade complications. We assess construct validity of the CDG. Results: Data acquisition integrated into our hospital workflow permitted to include all eligible patients into the registry. We have registered 8226 patients that were treated in 11994 surgeries and 32494 consultations up until December 2020. Similarly, we have captured 1245 complications on 6308 patient discharge forms (20%) since full operational status of the registry. The majority of complications (819/6308 = 13%) were treated without invasive treatment (CDG 1 or CDG 2). At discharge, there was a clear correlation of CDG and the Karnofsky Performance Status (KPS, rho = -0.29, slope -7 KPS percentage points per increment of CDG) and the length of stay (rho = 0.43, slope 3.2 days per increment of CDG). Discussion and conclusion: Patient registries with high completeness and objective capturing of complications are central to the process of quality improvement. The CDG demonstrates construct validity as a measure of complication classification in a neurosurgical patient population.
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