STATISTICS and OUTCOMES QUARTERLY REPORT
November 2012
Distribution of Quarterly Reports
The table below shows the schedule for the dissemination of Quarterly Performance
Reports and the Quarterly Statistics and Outcomes Reports. Each report is designed to
encompass the indicated calendar time for patient enrollment (the 6-day cycle numbers for
enrollment periods are also shown). The Performance report includes information on data
collection. The Statistics and Outcomes report describes the patients in the registry.
N2QOD
Calendar Months
Cycle
Numbers
Jan – June 2012
July – Sep 2012
Oct – Dec 2012
Jan – Mar 2013
Apr – Jun 2013
Jul – Sep 2013
Oct –Dec 2013
Jan – Mar 2014
1 – 18
19 – 30
31 – 42
43 – 53
54 – 64
65 – 75
76 – 87
88 – 98
Dates of Data Entry Performance
Quarterly
Report Date
Jan 23 – June 15
July 15, 2012
June 18 – Sep21
Oct 21, 2012
Sep 24 – Dec 28
Jan 28, 2013
Dec 31 – Mar28
Apr 28, 2013
Mar 30 – June 26
Jul 26, 2013
Jun 28- Sept 24
Oct 24, 2013
Sep26 – Dec 31
Jan 31, 2014
Jan 2 April 28, 2014
Outcomes
Quarterly
Report Date
Aug 20, 2012
Nov 20, 2012
Feb 20, 2013
May 20, 2013
Aug 20, 2013
Nov 20, 2013
Feb 20, 2014
May 20, 2014
Section I.
1.
2.
Current Cohort Report. The current cohort report is for the period June 18 – September
21, 2012 (Cycles 19-30).
Cumulative Cohort Report. The cumulative report includes the current cohort and all prior
cohorts.
November 2012: Past Cohort: Cycles 1-18 (January 23, 2012-June 15, 2012)
3-Month Outcomes
Section II. Findings on Indicators of Safety and Quality of Care
Section III. Raw Data on Patient-Centered Outcomes for Quality Improvement
Statistical and Outcomes Quarterly Report
November 2012: Current Cohort: Cycles 19-30 (June 18, 2012-September 21, 2012)
November 2012: Cumulative Cohort: Cycles 1-30 (January 23, 2012-September 21, 2012)
Practice Group Name
Section I: Patient Enrollment Description
Table 1. Frequency
N2QOD Total
# Surgeons
# hospitals
# Operations
N2QOD Total
Practice Group
Table 2. Patient Sample Description
Patient Description
Gender
Female
Male
Age
Race
Native American
Asian
African American
Pacific Islander
Caucasian
Other
Hispanic
Education
Less than high school
High school
2-year college
4-year college
Post college
Payor
Medicare
Medicaid
VA/Government
Private
Practice Group
N2QOD Total
# (%)
# (%)
Mean (SD)
# (%)
# (%)
Mean (SD)
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
# (%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
# (%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
# (%)
# (%)
#(%)
# (%)
# (%)
# (%)
#(%)
# Patients
Accrued
Uninsured
Liability (Yes %)
Workers Compensation
Disability Insurance
Motor Vehicle Injury
Employment
Employed
Return to work plans
#(%)
#(%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
Practice Group
# (%)
N2QOD Total
# (%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
Table 3. Patient History Description
Patient History
Major Surgery in past year
Comorbidity
Diabetes
Coronary Artery Disease
Osteoporosis
Anxiety
Depression
Smoking
Current Every Day
Current Some Day
Former Smoker
Never Smoker
Smoker, status unknown
Unknown if ever smoked
Table 4. Patient Clinical Description
In this table, because of the lag between baseline and 3-month data collection, denominators for
variables (asterisk) on the 3-moth data form will not match the baseline numbers .
Clinical Variables
Principal Diagnosis
Lumbar Disc Herniation
Recurrent Disc Herniation
Spondylolisthesis
Stenosis
Adjacent Segment Disease
Predominate Symptom
Back Pain
Leg Pain
Both
Motor Deficits
Duration
Less than 3 months
Greater than 3 months
Unknown
Evidence of modic endplate
changes
ASA Grade* (N= )
1
2
3
4
5
Surgical Approach* (N= )
Anterior Only
Anterior-Posterior
Laminectomy Performed
Level 1
Level 2
Level 3
Level 4
Disc Herniation Surgical (N= )
Approach*
Decompression alone (no
arthrodesis)
Arthrodesis
Interbody Graft
Posteriorly/TLIF
ALIF/direct lateral via 2nd stage
Practice Group
N2QOD Total
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (%)
# (%)
# (%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (%)
# (%)
#(%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (%)
# (%)
# (%)
# (%)
# (%)
#(%)
# (%)
# (%)
# (%)
#(%)
Anterior Approach alone
Laminectomy Performed
Level 1
Level 2
Level 3
Level 4
Stenosis Surgical Approach* (N =
Decompression alone (no
arthrodesis)
Arthrodesis
Interbody Graft
Posteriorly/TLIF
ALIF/direct lateral via 2nd stage
Anterior Approach alone
Laminectomy Performed
Level 1
Level 2
Level 3
Level 4
Spondylolisthesis Surgical (N=)
Approach*
Decompression alone (no
arthrodesis)
Arthrodesis
Interbody Graft
Posteriorly/TLIF
ALIF/direct lateral via 2nd stage
Anterior Approach alone
Laminectomy Performed
Level 1
Level 2
Level 3
Level 4
Recurrent Disc Herniation
Surgical Approach* (N=)
Decompression alone (no
arthrodesis)
Arthrodesis
Interbody Graft
Posteriorly/TLIF
ALIF/direct lateral via 2nd stage
Anterior Approach alone
Laminectomy Performed
Level 1
Level 2
Level 3
Level 4
#(%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
#(%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (%)
# (%)
# (%)
# (%)
# (%)
#(%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (%)
# (%)
# (%)
#(%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (%)
# (%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (%)
# (%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
Adjacent Segment Disease
Surgical Approach* (N=)
Decompression alone (no
arthrodesis)
Arthrodesis
Interbody Graft
Posteriorly/TLIF
ALIF/direct lateral via 2nd stage
Anterior Approach alone
Laminectomy Performed
Level 1
Level 2
Level 3
Level 4
# (%)
# (%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (%)
# (%)
# (%)
#(%)
#(%)
# (n/N%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
# (n/#laminectomy%)
Table 5. Patient Baseline Quality of Life
Patient Baseline
Pain
Back Pain
Leg Pain
ODI Score
EQ-5D Score
Practice Group
N2QOD Total
Mean (sd)
Mean (sd)
Mean (sd)
Mean (sd)
Mean (SD)
Mean (SD)
Mean (sd)
Mean (sd)
Section II. Findings on Indicators of Safety and Quality of Care
November 2012: Past Cohort: Cycles 1-18 (January 23, 2012-June 15, 2012)
Safety and Quality Measure
Mortality
Hospital Mortality
30-day Mortality
3-Month Mortality
1-year Mortality
Major Adverse Events
Pulmonary Embolism
Stroke
Myocardial Infarction
Surgical Site Infection
Surgical Site Hematoma
Motor Deficit
Any Major ADE
Minor Adverse Events
Deep Venous Thrombosis
Urinary Tract Infection
Any Minor ADE
Patient Satisfaction
1
2
3
4
Top 2 (1&2)
Utilization
Estimated Blood Loss
Duration of Surgery
Return to OR
Hospital Length of Stay
3-month Revision surgery
1-year Revision surgery
30-day Hospital Readmission
3-Month Hospital Readmission
Practice Group
N2QOD Total
Mean (sd)
Mean (sd)
Mean (SD)
Mean (SD)
Mean (sd)
Mean (sd)
Mean (sd)
Mean (sd)
Section III. Raw Data on Patient-Centered Outcomes for Quality Improvement
Tables
PatientCentered
Outcome
Pain
Back Pain
Leg Pain
ODI Score
EQ-5D Score
Return to
Activity
Return to Work
Practice Group
Baseline
3-Month
Mean (sd)
Mean (sd)
Mean (sd)
Mean (sd)
12-Month
N/A
N2QOD Total
Baseline
3-Month
Mean (SD)
Mean (SD)
12-Month
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
By Diagnosis
Charts
By Practice Group: Variation Report (showing all Practice Groups with confidential anonymous codes)
Notes:
Employment situation
Employed and working
Full time
Part time
Employed and not working
On short term disability
On leave
Unemployed
On disability
Due to spine problems
Due to other conditons
Retired
Homemaker
None of the above
Intent to work
Yes, no, unknown
School
Participate in activities inside home
Yes, No
Sedentary,light/ moderate/ strenuous
Participate in activities outside of home
Yes, No
Sedentary,light/ moderate/ strenuous
Were you able to return to work: Yes/no/not applicable
Full time/ part time
Date:
Were you able to return to your previous activities: Yes/No
Section IV. Risk-Adjusted Findings on Patient Centered Outcomes for Comparisons and Effectiveness
Section V. Descriptive Statistics on N2QOD Variables
Patient Baseline
Pain
Back Pain
Leg Pain
ODI Score
EQ-5D Score
Practice Group
N2QOD Total
Mean (sd)
Mean (sd)
Mean (sd)
Mean (sd)
Mean (SD)
Mean (SD)
Mean (sd)
Mean (sd)