Towards a common language in neurosurgical outcome evaluation: the NEON (NEurosurgical Outcome Network) proposal.
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Ferroli Paolo, Schiavolin Silvia, Mariniello Arianna, Acerbi Francesco, Restelli Francesco, Schiariti Marco, LA Corte Emanuele, Falco Jacopo, Levi Vincenzo, Dimeco Francesco, Assietti Roberto, Bongetta Daniele, Colombo Elena V, Bellocchi Silvio, Sangiorgi Simone, Bistazzoni Simona, Polosa Maria, Orru Maria I, Spena Giannantonio, Bernucci Claudio, Sicignano Angelo M, Fanti Andrea, Brembilla Carlo, Resmini Bruno, Costi Emanuele, Cenzato Marco, Talamonti Giuseppe, Bottini Gabriella, Scarpa Pina, Bollani Alessandra, Querzola Matteo, Palmas Giulio, DE Gonda Federico, Bosio Lorenzo, Egidi Marcello, Tardivo Valentina, Fioravanti Antonio, Subacchi Sara, Fontanella Marco, Biroli Antonio, Cereda Claudio, Panciani Pier Paolo, Bergomi Riccardo, Pertichetti Marta, Tancioni Flavio, Bona Alberto, Tartara Fulvio A, Fornari Maurizio, Pessina Federico, Lasio Giovanni, Cardia Andrea, Servadei Franco, Riva Marco, Casarotti Alessandra, Giussani Carlo, Fiori Leonardo, Mazzoleni Fabio, Vaiani Simona, Carrabba Giorgio, DI Cristofori Andrea, Sganzerla Erik P, Vimercati Alberto, Isella Valeria, Mauri Ilaria, Incerti Michele, Sicuri Giovanni, Miramonti Valentina, Stefini Roberto, Spagnoli Diego, Piparo Maurizio, Grimod Gianluca, Regazzoni Rossana, Vismara Daniela, Mazzeo Lucio, Monti Emanuele, Franzin Alberto, Vivaldi Oscar, Maietti Alessandra, Pini Elisa, Servello Domenico, Zekaj Edvin, DE Michele Sara, Locatelli Marco, Borsa Stefano, Grimoldi Nadia, Caroli Manuela, Tariciotti Leonardo, Abete-Fornara Giorgia, Vitale Mario, Leonardi Matilde, Broggi Morgan
Аннотация
METHODS: A consensus building approach was employed. All neurosurgical departments in Lombardy (Italy) were invited to participate by the Carlo Besta Neurologic Institute IRCCS Foundation. Three workshops were organized during which a multidisciplinary group called Neurosurgical Outcome Network (NEON) was created and the methodology to select outcome measures, predictors, and timing of outcome assessment was established. Eight working groups were created for the different neurosurgical diseases (neuro-oncological, skull base, vascular, traumatic, spinal, peripheral nervous system, malformation, functional) and 8 workshops were organized to identify the outcome measures and predictors specific for each of the neurosurgical diseases based on the experts' clinical practice and the existing literature.
RESULTS: A total of 20 neurosurgical departments participated in this study. Specific outcome measures, predictors and the timing of outcome assessment were identified for each of the 8 neurosurgical diseases. Moreover, a list of variables common to all pathologies were identified by the NEON group as further data to be collected.
CONCLUSIONS: A consensus on the minimum set of outcome measures and predictors and the timing of outcome assessments for 8 neurosurgical diseases was achieved by a group of neurosurgeons of the Lombardy region, called NEON. These sets could be used in future studies for a more homogeneous data collection and as a starting point to reach further agreement also at national and international level.