The AANS National Stereotactic Radiosurgery Quality Registry is a joint project that was developed with input from organized neurosurgery and radiation oncology to define national patterns of care in radiosurgery. The goals are to identify gaps in treatment quality, measure comparative effectiveness and ultimately generate hypotheses for connections between care and outcomes. This work will also provide benchmark data and quality improvement tools for neurosurgeons to lead to enhanced quality during daily practice, maintenance of certification and accreditation. The study is open to patients undergoing stereotactic radiosurgery for an intracranial target (benign and malignant tumors and vascular malformations). Patients with an expected survival of under two months or who are not expected to participate in a follow-up of at least two months are excluded from the study.
Currently, there are 23 sites participating in the SRS registry. So far, 4,417 patients have been included with 5,101 SRS treatment plans and 6,333 patient datasets submitted. Follow-up data is available for 3,594 patients to date. With more patient accrual and eventual data analysis, our long-term goals are to improve health care outcomes and potentially lower cost of care delivered to patients undergoing SRS treatment. We hope this work will facilitate the development of novel methods for conducting high-quality comparative effectiveness research in stereotactic radiosurgery and provide longitudinal data for outcome studies related to stereotactic radiosurgery. Ultimately, we hope to afford government agencies, corporate partners, medical insurance agencies and other third parties access to robust data pertaining to radiosurgical outcomes and quality.