Consensus-Based Development of a Global Registry for Traumatic Brain Injury: Establishment, Protocol, and Implementation

Alexis J. Joannides, NIHR Global Health Research Group on Acquired Brain and Spine Injury, University of Cambridge, Cambridge, Cambridgeshire, UK.
Tommi K. Korhonen, NIHR Global Health Research Group on Acquired Brain and Spine Injury, University of Cambridge, Cambridge, Cambridgeshire, UK.
David Clark, NIHR Global Health Research Group on Acquired Brain and Spine Injury, University of Cambridge, Cambridge, Cambridgeshire, UK.
Sujit Gnanakumar, NIHR Global Health Research Group on Acquired Brain and Spine Injury, University of Cambridge, Cambridge, Cambridgeshire, UK.
Sara Venturini, NIHR Global Health Research Group on Acquired Brain and Spine Injury, University of Cambridge, Cambridge, Cambridgeshire, UK.
Midhun Mohan, NIHR Global Health Research Group on Acquired Brain and Spine Injury, University of Cambridge, Cambridge, Cambridgeshire, UK.
Thomas Bashford, NIHR Global Health Research Group on Acquired Brain and Spine Injury, University of Cambridge, Cambridge, Cambridgeshire, UK.
Ronnie Baticulon, Division of Neurosurgery, Department of Neurosciences, Philippine General Hospital & University of the Philippines Manila, Manila, Philippines.
Indira Devi Bhagavatula, Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences, NIMHANS, Bengaluru, Karnataka, India.
Ignatius Esene, Division of Neurosurgery, Faculty of Health Sciences, The University of Bamenda, Bambili, Cameroon.
Rocío Fernández-Méndez, NIHR Global Health Research Group on Acquired Brain and Spine Injury, University of Cambridge, Cambridge, Cambridgeshire, UK.
Anthony Figaji, Division of Neurosurgery, Neurosciences Institute, University of Cape Town, Cape Town, South Africa.
Deepak Gupta, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Tariq Khan, Department of Neurosurgery, North Western General and Research Hospital, Peshawar, Pakistan.
Tsegazeab Laeke, Division of Neurosurgery, Department of Surgery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Michael Martin, Orion MedTech Ltd. CIC, Cambridge, Cambridgeshire, UK.
David Menon, Division of Anaesthesia, Department of Medicine, University of Cambridge & Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambridgeshire, UK.
Wellingson Paiva, Division of Neurosurgery, Department of Neurology, School of Medicine, University of São Paulo, São Paulo, Brazil.
Kee B. Park, Department of Global Health and Social Medicine, Global Neurosurgery Initiative-Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA.
Jogi V. Pattisapu, University of Central Florida College of Medicine, Orlando, Florida, USA.
Andres M. Rubiano, Neurosciences Institute, El Bosque University, Bogotá, Colombia.
Vijaya Sekhar, Department of Neurosurgery, King George Hospital, Visakhapatnam, Andhra Pradesh, India.
Hamisi K. Shabani, Department of Neurosurgery, Muhimbili Orthopaedic Institute, Dar es Salaam, Tanzania.
Kachinga Sichizya, Department of Neurosurgery, University Teaching Hospital, Lusaka, Zambia.
Davi Solla, Division of Neurosurgery, Department of Neurology, School of Medicine, University of São Paulo, São Paulo, Brazil.
Abenezer Tirsit, Division of Neurosurgery, Department of Surgery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Manjul Tripathi, Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Carole Turner, NIHR Global Health Research Group on Acquired Brain and Spine Injury, University of Cambridge, Cambridge, Cambridgeshire, UK.
Bart Depreitere, Neurosurgery, University Hospitals Leuven, Leuven, Belgium.
Corrado Iaccarino, Department of Biomedical, Metabolic and Neural Sciences, School of Neurosurgery, University of Modena and Reggio Emilia, Modena, Italy.
Laura Lippa, Department of Neurosurgery, Ospedale Niguarda, Milan, Italy.
Andrew Reisner, Departments of Neurosurgery and Pediatrics, Children's Healthcare of Atlanta & Emory University School of Medicine, Atlanta, Georgia, USA.

Document Type

Journal Article

Publication Date

9-25-2023

Journal

Neurosurgery

DOI

10.1227/neu.0000000000002661

Abstract

BACKGROUND AND OBJECTIVES: Global disparity exists in the demographics, pathology, management, and outcomes of surgically treated traumatic brain injury (TBI). However, the factors underlying these differences, including intervention effectiveness, remain unclear. Establishing a more accurate global picture of the burden of TBI represents a challenging task requiring systematic and ongoing data collection of patients with TBI across all management modalities. The objective of this study was to establish a global registry that would enable local service benchmarking against a global standard, identification of unmet need in TBI management, and its evidence-based prioritization in policymaking. METHODS: The registry was developed in an iterative consensus-based manner by a panel of neurotrauma professionals. Proposed registry objectives, structure, and data points were established in 2 international multidisciplinary neurotrauma meetings, after which a survey consisting of the same data points was circulated within the global neurotrauma community. The survey results were disseminated in a final meeting to reach a consensus on the most pertinent registry variables. RESULTS: A total of 156 professionals from 53 countries, including both high-income countries and low- and middle-income countries, responded to the survey. The final consensus-based registry includes patients with TBI who required neurosurgical admission, a neurosurgical procedure, or a critical care admission. The data set comprised clinically pertinent information on demographics, injury characteristics, imaging, treatments, and short-term outcomes. Based on the consensus, the Global Epidemiology and Outcomes following Traumatic Brain Injury (GEO-TBI) registry was established. CONCLUSION: The GEO-TBI registry will enable high-quality data collection, clinical auditing, and research activity, and it is supported by the World Federation of Neurosurgical Societies and the National Institute of Health Research Global Health Program. The GEO-TBI registry (https://geotbi.org) is now open for participant site recruitment. Any center involved in TBI management is welcome to join the collaboration to access the registry.

Department

Neurological Surgery

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