Quality Outcomes Database Spine Care Project 2012-2020: milestones achieved in a collaborative North American outcomes registry to advance value-based spine care and evolution to the American Spine Registry.

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Asher, Anthony L

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Knightly, John

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Mummaneni, Praveen V

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Alvi, Mohammed Ali

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McGirt, Matthew J

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Yolcu, Yagiz U

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Chan, Andrew K

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Glassman, Steven D

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Foley, Kevin T

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Slotkin, Jonathan R

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Potts, Eric A

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Shaffrey, Mark E

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Shaffrey, Christopher I

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Haid, Regis W

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Fu, Kai-Ming

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Wang, Michael Y

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Park, Paul

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Bisson, Erica F

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Harbaugh, Robert E

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Bydon, Mohamad

dc.date.accessioned

2023-06-19T20:14:28Z

dc.date.available

2023-06-19T20:14:28Z

dc.date.issued

2020-05

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2023-06-19T20:14:27Z

dc.description.abstract

The Quality Outcomes Database (QOD), formerly known as the National Neurosurgery Quality Outcomes Database (N2QOD), was established by the NeuroPoint Alliance (NPA) in collaboration with relevant national stakeholders and experts. The overarching goal of this project was to develop a centralized, nationally coordinated effort to allow individual surgeons and practice groups to collect, measure, and analyze practice patterns and neurosurgical outcomes. Specific objectives of this registry program were as follows: "1) to establish risk-adjusted national benchmarks for both the safety and effectiveness of neurosurgical procedures, 2) to allow practice groups and hospitals to analyze their individual morbidity and clinical outcomes in real time, 3) to generate both quality and efficiency data to support claims made to public and private payers and objectively demonstrate the value of care to other stakeholders, 4) to demonstrate the comparative effectiveness of neurosurgical and spine procedures, 5) to develop sophisticated 'risk models' to determine which subpopulations of patients are most likely to benefit from specific surgical interventions, and 6) to facilitate essential multicenter trials and other cooperative clinical studies." The NPA has launched several neurosurgical specialty modules in the QOD program in the 7 years since its inception including lumbar spine, cervical spine, and spinal deformity and cerebrovascular and intracranial tumor. The QOD Spine modules, which are the primary subject of this paper, have evolved into the largest North American spine registries yet created and have resulted in unprecedented cooperative activities within our specialty and among affiliated spine care practitioners. Herein, the authors discuss the experience of QOD Spine programs to date, with a brief description of their inception, some of the key achievements and milestones, as well as the recent transition of the spine modules to the American Spine Registry (ASR), a collaboration between the American Association of Neurological Surgeons and the American Academy of Orthopaedic Surgeons (AAOS).

dc.identifier

2020.2.FOCUS207

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1092-0684

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1092-0684

dc.identifier.uri

https://hdl.handle.net/10161/28151

dc.language

eng

dc.publisher

Journal of Neurosurgery Publishing Group (JNSPG)

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Neurosurgical focus

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10.3171/2020.2.focus207

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Spine

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Humans

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Spinal Diseases

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Neurosurgical Procedures

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Registries

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Neurosurgery

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Orthopedics

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Benchmarking

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Quality of Health Care

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United States

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Clinical Trials as Topic

dc.title

Quality Outcomes Database Spine Care Project 2012-2020: milestones achieved in a collaborative North American outcomes registry to advance value-based spine care and evolution to the American Spine Registry.

dc.type

Journal article

duke.contributor.orcid

Shaffrey, Christopher I|0000-0001-9760-8386

pubs.begin-page

E2

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5

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Duke

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School of Medicine

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Clinical Science Departments

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Orthopaedic Surgery

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Neurosurgery

pubs.publication-status

Published

pubs.volume

48

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