The symposium is co-organised by The Ann Conroy Trust, in association with Aesculap Academia.
The Ann Conroy Trust is Registered Charity No: 1165808.
We provide Support, Education and Research for patients living with Chiari Malformation, Syringomyelia and associated conditions.
F2 Surgeons singing from the same hymn sheet: a proposal for the pre-operative investigation of patients with Chiari malformation
Mediratta S, Haden N.
The reliability provided by doing the same thing in the same way, for comparable patients, is increasingly recognised and respected in all surgical fields. NHS England has invested significantly in its GIRFT (Getting it Right First Time) project, to identify outliers in surgical practice and to help focus efforts on delivering consistency and efficiency. A challenge remains, with any low volume surgery, with regard to just what is “right”? Discussions at meetings of the British Syringomyelia-Chiari Group (BSCG) reveal how even a group of surgeons dedicated to the care of patients with these pathologies can be inconsistent in their approach to investigation, assessment and anticipated benefits of their proposed management. Local neurosurgical practice in the south-west of England has changed over time. For example, CSF flow studies, not previously an essential component of the local work-up of patients, are now seen as having specific and independent value.
This study aimed to review current UK practices and to assess literature evidence, in order to propose a set of guidelines for discussion and subsequent adoption into neurosurgical practice. An online questionnaire was sent to all members of the BSCG, to assess current practice with respect to the investigation of patients presenting with a Chiari malformation - with a request to forward this questionnaire to any colleagues locally, who also undertake such procedures. The data was collated so that current practice could be summarised. A literature review of published practice and evidence was also undertaken and comparison between this and current practice was made.
A proposed set of guidelines for consistent, comparable and complete assessment of patients presenting with Chiari malformations has been prepared for discussion.