The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr Babak Arvin MB BS PhD FRCS
Professional Title Neurosurgeon
GMC Number 4419624
Personal Email arvin.babak@bhrhospitals.nhs.uk
Secretary Sue Lee 01708 503788 susan.lee@bhrhospitals.nhs.uk
SBNS Member? Yes

Hospitals

Training


BSc, PhD, MB BS FRCS

2010

St Mary's Hospital (Imperial College of Science Technology and Medicine) 1992-1997.

North Thames Neurosurgical training Programme 2002-2008

Toronto University Hospital Canada Complex Spine Fellowship 2008-2009 (Prof Michael Fehlings)

Alfred Hospital Melbourne Australia Trauma Fellowship 2009-2010

Professional Activity


SBNS representative NICE committee back pain and sciatica guidlines 2014

AO Spine North America

Society of British Neurological Surgeons SBNS (Full Member)

Clinical Activity


Complex Spine

Research


Cervical spondylosis and Myelopathy Imaging indication, in particular MRI, pre and post-operatively as indicators of severity and prognosis in decompressive cervical myelopathy

ARVIN B., KALSI-RYAN S., MERCIER D., FURLAN JC., MASSICOTTE EM., FEHLINGS Preoperative magnetic resonance imaging is associated with baseline neurological status and can predict postoperative recovery in patients with cervical spondylotic myelopathy: Spine38 (14) 1170-1176 June 2013.

ARVIN B., KALSI-RYAN S., MERCIER D., FURLAN JC., MASSICOTTE EM., FEHLINGS MG. Post-operative Magnetic Resonance Imaging can predicti neurological recovery following surgery for cervical spondylotic myelopatrhy : a prospective blinded study with blinded assessment. Neurosurgery 69 (2) 362-368 Aug 2011.

ARVIN B., FOURNIER-GOSSELIN MP and FEHLINGS MG. Os Odontoideum: etiology and surgical management. J. Neurosurgery Volume 66 issue 3 A22-31 March 2010

FEHLINGS MG and ARVIN B. Magnetic Resonance Imaging and outcome. J. Neurosurg Spine 12 (1) 56-58 January 2010

FEHLINGS MG and ARVIN B. Surgical management of cervical degenerative disease-the evidence related to indication, impact and outcome. J. Neurosurg Spine 11 (2) 97-100 August 2009

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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