{"id":"d344372d-1e49-4b9c-9ba9-c235020812d8","slug":"how-to-compare-outcomes-and-complications-in-neurosurgery-we-must-make-the-mission-possible","title":"How to compare outcomes and complications in neurosurgery: We must make the mission possible!","authors":["Morgan Broggi","Costanza Zattra","Paolo Ferroli"],"abstract":"Background: The classification and definition of complications in neurosurgery are essential for quality assessment across different surgical centers. The letter discusses the challenges in comparing surgical outcomes and highlights the lack of a shared classification system for complications in neurosurgery. Summary: The authors express their agreement with Brock et al. regarding the importance of surgical complexity in outcome comparisons. They emphasize that while surgical complexity is significant, it is insufficient alone for quality assessment. The letter proposes a structured approach that includes a common definition of complications and the use of established grading systems. Conclusion: The authors advocate for a collaborative effort to establish a shared definition and classification of complications in neurosurgery. They believe that without a common framework, meaningful comparisons between centers and improvements in healthcare quality will remain unattainable. Keywords: neurosurgery, complications, surgical outcomes, quality assessment, surgical complexity, classification systems, Milan Complexity Scale","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d344372d-1e49-4b9c-9ba9-c235020812d8/featured/hero-1782420866355.png","publishDate":"2018-03-19T00:00:00.000Z","doi":"10.4103/sni.sni_424_17","categories":["General Neurosurgery","Letter to the Editor"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2018/03/8809/SNI-9-65.pdf"}