Controversies in Neurosurgery: Disparities in Neurosurgical Care

Title: Advocacy Guest faculty: John Ratliff, MD, FACS Host: Brian R. Gantwerker, MD Dr. Ratliff will discuss his road to becoming a physician advocate. Panelists will discuss goals to set forth and the potential obstacles and allies in affecting positive change in medicine. Dr Ratliff will discuss the small and big things neurosurgeons can do to become more involved in the political processes affecting medicine, and neurosurgery in particular.

This clinical guideline has been created to improve patient care by outlining the appropriate diagnostic and decision-making processes involved in the treatment of patients with Chiari I malformation (CIM). This guideline was created as an educational tool to guide qualified physicians through a series of diagnostic and treatment decisions to improve the quality and efficiency of care for patients with CIM. J. Bradley Elder, MD David F. Bauer, MD, MPH Eric M. Jackson, MD

September 2023 Journal Club Podcast Title: Robustness of Randomized Control Trials Supporting Current Neurosurgery Guidelines To read journal article: https://journals.lww.com/neurosurgery/fulltext/2023/09000/robustness_of_randomized_control_trials_supporting.7.aspx Author: Pascal Zinn Guest faculty: Nader Pouratian Moderator: Jeffrey Traylor Co-chair: Kimberly Hoang

Title: Communication and Feedback Techniques for Neurosurgeons Guest faculty: Ellen L. Air, MD and Lynn E. Webb, PhD Hosts: Lara W. Massie, MD and Scott Zuckerman, MD, MPH This CNS Podcast episode will focus on communication and feedback techniques within the neurosurgical team. From department chair to sub-intern, patient care involves daily communication across multiple generations and increasingly numerous modalities; expanding one’s own communication skills and feedback style can help decrease miscommunications.

Title: RNS versus DBS for epilepsy  Guest faculty: Ahmed M. Raslan, MD Hosts: Rushna Ali, MD and Seth F. Oliveria, MD PhD We welcome our guest Ahmed Raslan to discuss the role of thalamic deep brain stimulation and/or responsive stimulation in the treatment of medically refractory epilepsy.

Based on the availability of new literature, the current article is a minor update only that does not result in modification of the prior recommendations: Clinicians may use ONS as a treatment option for patients with medically refractory ON. J. Bradley Elder, MD Michael D. Staudt, MD, MSc Jorge Ahmed, MD

August 2023 Journal Club Podcast Title: Neoadjuvant Arterial Embolization of Spine Metastases Associated With Improved Local Control in Patients Receiving Surgical Decompression and Stereotactic Body Radiotherapy To read journal article: https://journals.lww.com/neurosurgery/Fulltext/2023/08000/Neoadjuvant_Arterial_Embolization_of_Spine.10.aspx Author: Brad Elder Guest faculty: Ziya Gokaslan Moderator: Haydn Hoffman Co-chair: Rafael Vega

July 2023 Journal Club Podcast Title: Identifying the Sources of Racial Disparity in the Treatment of Parkinson’s Disease with Deep Brain Stimulation To read journal article: https://journals.lww.com/neurosurgery/Fulltext/2023/06000/Identifying_the_Sources_of_Racial_Disparity_in_the.7.aspx Author: Nicholas Au Yong Guest faculty: Nathan Rowland Moderator: Joseph Domino Co-chair: Kimberly Hoang

Title: Resection/Laser Ablation for Recurrent Glioblastoma Guest faculty: Ricardo J. Komotar, MD, FACS Hosts: Rushna Ali, MD and Seth F. Oliveria, MD PhD

Preoperative malnutrition has been implicated in adverse events after elective surgery, potentially impacting patient outcomes. As a potentially modifiable risk factor, this guideline attempts to determine which assessments of nutritional status were associated with specific adverse events after spine surgery. In addition, this guideline explores if a preoperative nutritional improvement intervention may be beneficial in lowering the rates of these adverse events. J. Bradley Elder, MD Erica F. Bisson, MD, MPH Gabrielle Santangelo, MD