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67th Annual Meeting of the German Society of Neurosurgery (DGNC)
Joint Meeting with the Korean Neurosurgical Society (KNS)

German Society of Neurosurgery (DGNC)

12 - 15 June 2016, Frankfurt am Main

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German Cranial Reconstruction Registry (GCRR): Interim report of the first year

Meeting Abstract

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  • Henrik Giese - Neurochirurgische Klinik, Ruprecht-Karls-Universität, Heidelberg, Germany
  • Thomas Sauvigny - Neurochirurgische Klinik, Universitätsklinikum Hamburg-Eppendorf, Germany
  • Oliver W. Sakowitz - Neurochirurgische Klinik, Klinikum Ludwigsburg, Universität Heidelberg, Ludwigsburg, Germany
  • Jan Regelsberger - Neurochirurgische Klinik, Universitätsklinikum Hamburg-Eppendorf, Germany
  • GCRR consortium

Deutsche Gesellschaft für Neurochirurgie. 67. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 1. Joint Meeting mit der Koreanischen Gesellschaft für Neurochirurgie (KNS). Frankfurt am Main, 12.-15.06.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. DocDI.11.01

doi: 10.3205/16dgnc159, urn:nbn:de:0183-16dgnc1593

Published: June 8, 2016

© 2016 Giese et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objective: Cranioplasty (CP) is considered a standard procedure in neurosurgical practice for patients after decompressive craniectomy (DC). Nevertheless, cranioplastic surgery is not standardized, carried out in different ways and is associated with high complication rates. Evidence-based data is missing for the timing of surgery, implant materials, surgical technique including timing of CSF shunting and drainages as well as for the need for perioperative antibiotics. Therefore, a prospective multicenter registry (GCRR) was launched as a project of the DGNC Section for Neurotraumatology and Intensive Care and started to enroll DC and CP patients in July 2015.

Method: All patients undergoing DC and CP can be included in this registry after informed consent has been obtained. Surgical techniques, materials, medical history, adverse events and clinical outcome are assessed regularly. Furthermore, quality of life and patient-satisfaction are recorded. Collected data is stored and statistically analyzed in an independent biometric institute. This trial is indexed in the German Clinical Trials Register (DRKS-ID: DRKS00007931).

Results: At present 71 patients have been enrolled in the registry and will approximately exceed n=150 in June 2016. We will prepare an interim report on the first year of the GCRR. Updates on enrolment and pilot data analyses will be presented and discussed at the Annual Meeting of the DGNC, which is addressed as a translational forum for this multicenter registry.

Conclusions: This registry will secure high quality of data, reviewing our current clinical practice for DC and CP. Its goal will be to support future guidelines based on results deducted from prospective multicenter data acquisition.