Optimizing workflows for metastatic central nervous system disease: a systematic review and proposed guidelines.

Journal: Journal of neuro-oncology
Published Date: May 27, 2025

Abstract

INTRODUCTION: Brain and spine metastases are a major cause of morbidity and mortality in patients with malignancy. Aside from advancements in medical, surgical, and radiation therapies, patient workflow optimization augments care. Here, we present the first systematic review to identify opportunities in workflow optimization and use these findings to present guidelines for operational excellence.

Authors

  • John Y Chen
    Department of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Lennox Hill Hospital/Northwell Health, 130 E 77th St., 3rd Floor Black Hall, New York, NY, 10075, USA. chenj3@amc.edu.
  • Aaliyah Schultz
    Department of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Lennox Hill Hospital/Northwell Health, 130 E 77th St., 3rd Floor Black Hall, New York, NY, 10075, USA.
  • Nadine M Khoury
    Department of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Lennox Hill Hospital/Northwell Health, 130 E 77th St., 3rd Floor Black Hall, New York, NY, 10075, USA.
  • Karthik Rangavajhula
    Department of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Lennox Hill Hospital/Northwell Health, 130 E 77th St., 3rd Floor Black Hall, New York, NY, 10075, USA.
  • Avi A Gajjar
    Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh , Pennsylvania , USA.
  • Iñigo L Sistiaga
    Department of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Lennox Hill Hospital/Northwell Health, 130 E 77th St., 3rd Floor Black Hall, New York, NY, 10075, USA.
  • Mihir Tandon
    Albany Medical College, Albany, NY, United States.
  • Laura Mittelman
    Department of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Lennox Hill Hospital/Northwell Health, 130 E 77th St., 3rd Floor Black Hall, New York, NY, 10075, USA.
  • Daniel M Sciubba
    Department of Neurosurgery, The Johns Hopkins Hospital, 600 North Wolfe Street; Meyer Building, Room 7-109, Baltimore, MD 21287, USA. Electronic address: Dsciubb1@jhmi.edu.
  • Sheng-Fu L Lo
    Department of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Lennox Hill Hospital/Northwell Health, 130 E 77th St., 3rd Floor Black Hall, New York, NY, 10075, USA.
  • Daniel G Eichberg
    Department of Neurological Surgery, University of Miami, Miami, FL, USA.
  • Randy S D'Amico
    Neurological Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, USA.

Keywords

No keywords available for this article.

External Resources

Popular Topics
Recent Journals