Table 2

The number of providers that perform enough elective neurosurgical procedures over 3-year and 5-year periods to detect statistical outliers if the 30-day mortality rate is double the national average

Elective neurosurgeryNational average mortality rate for elective neurosurgery (%)Average annual no of procedures per surgeon/hospital (n)Minimum sample size (80% power) (n)Surgeons/hospitals achieving or exceeding minimum sample size
3 years (n, %)5 years (n, %)
Surgeons
I. All procedures and major procedures
 All procedures0.49624020/398 (0)1/407 (0.2)
 Major procedures0.58119890/390 (0)1/399 (0.3)
Hospitals
I. All procedures and major procedures
 All procedures0.41481240221/24 (87.5)24/24 (100)
 Major procedures0.51192198922/24 (91.7)23/24 (95.8)
II. Cranial and spinal procedures
 Cranial surgery1.045296917/24 (70.8)22/24 (91.7)
 Spinal surgery0.166394230/24 (0)0/24 (0)
III. Subspecialty procedures
 General neurosurgery0.73913450/24 (0)0/24 (0)
 Functional0.213845670/24 (0)0/24 (0)
 Neuro-oncology2.314541014/24 (58.3)19/24 (79.2)
 All CSF procedures0.56021760/24 (0)0/24 (0)
  CSF shunt procedures0.44022940/24 (0)0/24 (0)
 Skull base0.710114450/24 (0)0/24 (0)
 Neurovascular0.75414880/24 (0)0/24 (0)
 Simple spine0.152412 5590/24 (0)0/24 (0)
 Complex spine0.25959250/24 (0)0/24 (0)
 Intradural spine0.32635190/24 (0)0/24 (0)
  • CSF, cerebrospinal fluid.