The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr Andrew Martin
Professional Title Consultant Neurosurgeon
GMC Number 3488951
Personal Email andrew.martin@stgeorges.nhs.uk
Secretary Pritesh Jati 020 87254172 pritesh.jati@stgeorges.nhs.uk
SBNS Member? Yes

Hospitals

Training


BSc (Clin Sci) London: 1990. MBBS (Hons) London: 1991. FRCS (Eng): 1995. FRCS (Neurosurg) with Norman Dott Medal: 2002.

2003

St Bartholomew's Hospital Medical School: 1985-1991

South Thames Training Programme: 1996-2002. RCS Research Fellow in Experimental Neuro-oncology, Institute of Psychiatry: 2000-2001. Skull Base Fellow, Wessex Neurological Centre: 2002-2003.

Professional Activity


Honorary Senior Lecturer in Neurosurgery, St George's Hospital Medical School: 2005 - present. South Thames Neurosurgery Training Programme Director: 2009 - 2014. Member of the Neurosurgery Specialist Advisory Committee: 2012 - 2016.  Examiner for the Intercollegiate Board in Neurosurgery: 2011 - present.

Society of British Neurological Surgeons.  British Skull Base Society,  International Member of the American Academy of Neurological Surgeons.

No interest whatsoever

Clinical Activity


Cranial neuro-oncology including awake craniotomy. Pituitary. Anterior skull base surgery including endoscopy. Lateral skull base surgery including vestibular Schwannoma. Neuroendoscopy.

Educational Lead

Research


Clinical research and project supervision only.

Recent publications include:

Laban JT, Rasul FT, Brecker SJD, Marsh HT, Martin AJ (2013) Patent foramen ovale closure prior to surgery in the sitting position: technical note. British Journal of Neurosurgery 28(3):421-422    

Mukherjee S, Thakur B, Haq I, Hettige S, Martin AJ (2014) Complications of titanium cranioplasty – a retrospective analysis of 174 patients. Acta Neurochirurgica 156(5):989-998    

Maratos EC, Bridges LR, MacKinnnon AD, Madigan JB, Atra A, Martin AJ (2014) Isolated intracranial Rosai Dorfman disease in a child, a case report and review of the literature. Childs Nervous System 30(9):1595-1600    

Zhang CH, Hasegawa H, Johns P, Martin AJ (2014) Myopericytoma of the posterior cranial fossa. British Journal of Neurosurgery DOI:10.3109/02688697.2014.952270.     

Stummer W, Rodrigues F, Schucht P, Preuss M, Wiewrodt D, Nestler U, Stein M, Artero JM, Platania N, Skjoth-Rasmussen J, Puppa AD, Caird J, Cortnum S, Eljamel S, Ewald C, Gonzalez-Garcia L, Martin AJ, Melada A, Peraud A, Bentrup A, Santarius T, Steiner HH (2014) Predicting the ‘usefulness’ of 5-ALA derived tumor fluorescence for fluorescence-guided resections in paediatric brain tumours: Data from a European survey. Acta Neurochirurgica 156(12):2315-2324    

Sivasubramaniam V, Alg VS, Frantzias J, Acharya SY, Papadopoulos MC, Martin AJ (2016) 'Noises in the head': A prospective study to characterise intracranial sounds after cranial surgery. Acta Neurochirurgica 158(8):1429-1435  

Fu RZ, Anwar DR, Laban JT, Maratos EC, Minhas PS, Martin AJ (2016) Pre-emptive intrathecal vancomycin reduces external ventricular drain infection: a single centre retrospective case-control study. British Journal of Neurosurgery 31(1):16-20 (DOI:10.1080/02688697.2016.1229741)    

Rooprai HK, Martin AJ, King A, Appadu UD, Jones H, Selway RP, Gullan RW, Pilkington GJ (2016) Comparative gene expression profiling of ADAMS, MMPs, TIMPs, EMMPRIN, EGF-R and VEGFA in low grade meningioma. International Journal of Oncology DOI:10.3892/ilo.2016.3739    

Macay A, Burford A, Carvalho D,..... Martin AJ,.....Resnick A, Jones C (2017) Integrated molecular meta-analysis of 1000 pediatric high-grade and diffuse pontine glioma. Cancer Cell 32:1-18

Spiers H, Amin N, Lakhani R, Martin AJ, Patel PM (2017) Assessing readability and reliability of online patient information regarding vestibular Schwannoma. Otology and Neurotology 38(10):470-475 (DOI: 10.1097/MAO.0000000000001565)

Tulloch I, Palmer S, Scott R, Lozsadi D, Martin AJ (2017) Cognitive improvement following repair of a basal encephalocoele. Acta Neurochirurgica (DOI: 10.1007/s00701-017-3422-7)

Shtaya A, Giamouriadis A, Crocker MJ, Martin AJ (2017) Thoracic arachnoid cyst made sypmtomatic by demyelination. World Neurosurgery 108:985.e1-985.e3. (DOI:10.1016/j.wneu.2017.08.036)

Vinci M, Burford A, Molinari V,....., Martin AJ,....., Mackay A, Jones C (2018) Functional diversity and co-operativity between subclonal populations of paediatric glioblastoma and diffuse intrinsic pontine glioma cells. Nature Medicine (DOI:10.1038/s41591-018-0086-7)  

Outcome Report

SBNS
Understanding activity pie charts


What does the Consultant activity pie chart show?

The Consultant activity pie charts represent the total number of elective (planned) finished consultant episodes (FCEs) and non-elective (emergency) finished consultant episodes. A finished consultant episode usually represents the care of a single patient from admission to discharge.

Please note that for Consultants who provide both adult services for patients older than 17 years and paediatric services for patients 16 years old and younger there are two outcome reports.

Elective Procedural Case-mix and Case Volume
Image

SBNS
Understanding mortality funnel plot charts

What does the Consultant funnel plot chart show?

The Hospital Consultant mortality funnel plot represent the total number of elective (planned) finished consultant episodes (FCEs) and non-elective (emergency) finished consultant episodes. A finished consultant episode usually represents the care of a single patient from admission to discharge.

The mortality presented here is for three years: April 2014 – March 2017. Please note that for Consultant who provide both adult services for patients older than 17 years and paediatric services for patients 16 years old and younger there are two outcome reports.

The horizontal yellow line represents the national average mortality. The solid black lines above and below the yellow line are the control limits. The upper control limit represents the highest expected mortality rate. The Consultant's outcome is highlighted in magenta.

30 Day Risk Adjusted Elective Procedural Mortality
Image

The outcomes of this consultant are within the expected range

Understanding the risk-adjusted mortality rate

Risk adjustment (or case-mix adjustment) takes into account patient risk factors to calculate a predicted mortality rate. This means that hospitals or consultants who see higher risk patients have their mortality rate adjusted to account for the factors that put these patients at greater risk.

Understanding the 'funnel plot' diagram

The funnel plot displays the risk-adjusted elective procedural mortality ratio for each consultant plotted against the expected number of mortalities for that consultant. The expected number of mortalities for each consultant will vary depending on the number of procedures they have performed and the risk profile of the patients they have treated. The horizontal yellow line represents the expected ratio. The solid black line above the chart is known as a ‘control limit’. This control limit represents the highest expected mortality rate. Risk-adjusted rates appearing beneath this line are within the normal range.

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