The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Surgeon

Mr A Paluzzi MD FRCS
Professional Title Neurosurgeon
GMC Number 4774905
Personal Email
Secretary Cheryl Bickerton +44 (0) 121 371 6846 Cheryl.Bickerton@uhb.nhs.uk
SBNS Member? Yes

Hospitals

Training


Medical Degree, University of Padua Medical School -1999

MSc Surgical Technology, Imperial College London 2003

MRCS (Ed) Royal College of Surgeons of Edinburgh-2004

FRCS (SN), Royal College of Surgeons of Edinburgh-2010

2012

University of Padua Medical School, 1992-1999

Charing Cross Hospital, London, 2004-2005

Queens Medical Centre, Nottingham2005-2006

Northern Deanery Specialist Neurosurgical Training 2006-2010

Cerebrovascular and Skull Base Fellowship, University of Pittsburgh 2010-2012

Professional Activity


Consultant Neurosurgeon, University Hospitals Birmingham NHS Trusts-Queen Elizabeth Hospital

Honorary Consultant Neurosurgeon, Birmingham Childrens Hospital

Clinical Service Lead for Neurosurgery

Society of British Neurological Surgeons (SBNS)

British Skull Base Society (BSBS)

British Neurovascular Group (BNVG)

North American Skull Base Society (NASBS)

Clinical Activity


Neuro-vascular

Skull Base including Lateral skull base and Endoscopic anterior skull base surgery

Pituitary surgery

Neuroncology

Stereotactic radiosurgery

Clinica Service Lead for Neurosurgery

Clinical Lead of Neuro-vascular service

Research


Surgical and endoscopic anatomy of the skull base

1: Paluzzi A, Fernandez-Miranda JC, Tonya Stefko S, Challinor S, Snyderman CH, Gardner PA. Endoscopic endonasal approach for pituitary adenomas: a series of 555 patients. Pituitary. 2014 Aug;17(4):307-19.

2: Paluzzi A, Gardner P, Fernandez-Miranda JC, Snyderman C. The expanding role of endoscopic skull base surgery. Br J Neurosurg. 2012 Oct;26(5):649-61.

3: Scopel TF, Fernandez-Miranda JC, Pinheiro-Neto CD, Peris-Celda M, Paluzzi A, Gardner PA, Hirsch BE, Snyderman CH. Petrous apex cholesterol granulomas: endonasal versus infracochlear approach. Laryngoscope. 2012 Apr;122(4):751-61.

4: Paluzzi A, Gardner P, Fernandez-Miranda JC, Pinheiro-Neto CD, Scopel TF, Koutourousiou M, Snyderman CH. Endoscopic endonasal approach to cholesterol granulomas of the petrous apex: a series of 17 patients: clinical article. J Neurosurg. 2012 Apr;116(4):792-8.

5: Paluzzi A, Belli A, Bain P, Liu X, Aziz TM. Operative and hardware complications of deep brain stimulation for movement disorders. Br J Neurosurg. 2006 Oct;20(5):290-5.

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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