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Research using the Quality Outcomes Database: accomplishments and future steps toward higher-quality real-world
Anthony L Asher1, Regis W Haid2, Ann R Stroink3
11Neuroscience Institute, Carolina Neurosurgery & Spine Associates, Carolinas Healthcare System, Charlotte, North Carolina.
Journal of Neurosurgery
|May 20, 2023
Summary
The Quality Outcomes Database (QOD) has generated 94 studies, primarily on spinal surgery outcomes, offering valuable clinical evidence for neurosurgical decision-making. Future research will expand neuro-oncology and spine registry efforts.
Area of Science:
- Neurosurgery
- Clinical Research
- Health Outcomes
Background:
- The Quality Outcomes Database (QOD) was established in 2012 by the NeuroPoint Alliance.
- It encompasses six modules: lumbar spine surgery, cervical spine surgery, brain tumor, stereotactic radiosurgery (SRS), functional neurosurgery, and cerebrovascular surgery.
Purpose of the Study:
- To summarize research efforts and evidence generated through QOD endeavors.
- To highlight the impact of prospective quality registries on neurosurgical research.
Main Methods:
- Identified publications from January 1, 2012, to February 18, 2023.
- Included studies using prospectively collected QOD module data for quality surveillance and improvement.
Main Results:
- A total of 94 studies were produced, with a predominant focus on spinal surgical outcomes (59 lumbar, 22 cervical).
- The QOD Study Group yielded 24 studies on lumbar spondylolisthesis and 13 on cervical spondylotic myelopathy.
- Neuro-oncological registries contributed 5 studies on real-world practice and patient-reported outcomes.
Conclusions:
- Prospective quality registries are crucial for observational research in neurosurgery.
- QOD-derived evidence guides clinical decision-making across neurosurgical subspecialties.
- Future directions include expanding neuro-oncological research and utilizing the American Spine Registry.
Keywords:
Quality Outcomes DatabaseSRSneuro-oncologyneurovascular surgeryreal-world evidencespine surgerystereotactic radiosurgeryMore Related Videos
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