TY - JOUR
T1 - Can a "novice" do aneurysm surgery? Surgical outcomes in a low-volume, non-subspecialised neurosurgical unit
AU - Goldschlager, Tony
AU - Selvanathan, Senthil
AU - Walker, David
PY - 2007
Y1 - 2007
N2 - The objective of this paper is to review the results of a junior general neurosurgeon performing aneurysm surgery and compare these to the remainder of his low-volume unit. Prospectively collected data was analysed for 114 aneurysms clipped in 99 patients between July 2001 and May 2005. Overall there was a 0.9 mortality rate and 10.8 complication rate. The favourable outcome rate for the unit was 100 for unruptured aneurysms, 90.4 for grades 1-3 patients and 30 for poor grade patients (grades 4 and 5). The novice neurosurgeon had no mortality and a favourable outcome rate of 94.7 for grades 1-3 patients and 50 for poor grade patients. Acceptable results can be obtained with cerebral aneurysm surgery in a low-volume centre by Australian-trained, non-subspecialty neurosurgeons.
AB - The objective of this paper is to review the results of a junior general neurosurgeon performing aneurysm surgery and compare these to the remainder of his low-volume unit. Prospectively collected data was analysed for 114 aneurysms clipped in 99 patients between July 2001 and May 2005. Overall there was a 0.9 mortality rate and 10.8 complication rate. The favourable outcome rate for the unit was 100 for unruptured aneurysms, 90.4 for grades 1-3 patients and 30 for poor grade patients (grades 4 and 5). The novice neurosurgeon had no mortality and a favourable outcome rate of 94.7 for grades 1-3 patients and 50 for poor grade patients. Acceptable results can be obtained with cerebral aneurysm surgery in a low-volume centre by Australian-trained, non-subspecialty neurosurgeons.
UR - http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17702583
U2 - 10.1016/j.jocn.2006.12.002
DO - 10.1016/j.jocn.2006.12.002
M3 - Article
SN - 0967-5868
VL - 14
SP - 1055
EP - 1061
JO - Journal of Clinical Neuroscience
JF - Journal of Clinical Neuroscience
IS - 11
ER -