Secondary analysis of statutorily collected routine data

Trenner, Matthias; Eckstein, Hans‐Henning; Kallmayer, Michael; Reutersberg, Benedikt; Kühnl, A.

doi:10.1007/s00772-019-0524-y

Cited by 11 publications

(10 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…By means of controlled remote data processing (CRDP), the microdata of the diagnosis-related groups (DRG) statistics of the StBA from 2012 to 2014 were evaluated. The basic methods for CRDP of DRG statistics have been used and described in detail in previous studies [6,9,[15][16][17][18].…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Regional variation in endovascular treatment rate and in-hospital mortality of abdominal aortic aneurysms in Germany

Trenner

Salvermoser

Reutersberg

et al. 2020

Vasa

View full text Add to dashboard Cite

Summary: Background: Abdominal aortic aneurysms (AAA) can be treated by either open surgery (OAR) or endovascular aortic repair (EVAR). The aim of this study was to analyze regional variations in application of (EVAR) and in-hospital mortality after intact AAA (iAAA) repair. Methods: Using data provided by the German Federal Statistical Office, a nationwide analysis for 2012 to 2014 was conducted. Patients with a diagnosis of iAAA (I71.4) and corresponding procedure codes for OAR (5-384.5/7) or EVAR (5-38a.1) were included. Odds ratios (ORs) for use of EVAR (proportion of EVAR among total EVAR + OAR cases) and mortality were calculated for all regions in Germany. ORs for EVAR use were adjusted for age, sex, and risk (Elixhauser score). ORs for mortality were additionally adjusted for type of procedure (OAR/EVAR). Results: Finally, 31,757 procedures for iAAA were included. Median age of all patients was 73 years (interquartile range 67–78 years) and 87.1 % were male. The mean proportion of EVAR procedures was 72.6 %; however, the application of EVAR for repair of iAAA varied widely depending on region. The lowest unadjusted regional rate of EVAR use was 48.8 %, while the highest was 92.5 %. After adjustment, the lowest regional OR for EVAR use (compared to the nationwide mean) was 0.23 (95 % confidence interval [0.15–0.36]), the highest 5.93 [1.79–19.65]. Overall in-hospital mortality was 2.9 % (OAR 6.2 %; EVAR 1.7 %). The adjusted regional OR for mortality ranged from 0.31 [0.07–1.42] to 4.98 [2.08–11.93]. Conclusions: This study reveals variations in use of EVAR and in-hospital mortality for iAAA treatment in Germany. This may imply that selection of treatment might not only be influenced by patient characteristics, but also by regional location. These results need to be taken into account when discussing centralization of AAA treatment in Germany.

show abstract

Section: Methodsmentioning

confidence: 99%

“…As this study is a secondary data analysis of routinely collected statutory data, the main strengths are its nationwide and unselected coverage, which reveals real-world practice in Germany. However, several limitations apply, which have been discussed in detail very recently [17]. In brief:…”

Section: Limitationsmentioning

confidence: 99%

Regional variation in endovascular treatment rate and in-hospital mortality of abdominal aortic aneurysms in Germany

Trenner

Salvermoser

Reutersberg

et al. 2020

Vasa

View full text Add to dashboard Cite

show abstract

“…Selection bias and the risk of information bias in hard outcomes such as mortality are low. 26 However, coding errors cannot be excluded, and no individual clinical information was available to validate these data.…”

Section: Limitationsmentioning

confidence: 99%

Inter-Hospital Transfer of Patients With Ruptured Abdominal Aortic Aneurysm in Switzerland

Meuli¹,

Menges²,

Stoklasa³

et al. 2023

European Journal of Vascular and Endovascular Surgery

View full text Add to dashboard Cite

“…A few registries sometimes provide a longer follow-up and include subsequent hospital stays. As a rule, however, a hospital's participation in the registries of professional societies or research groups is voluntary, and the selection of cases and endpoints is not homogeneous, which reduces the internal and external validity [58]. This aspect may be less significant in highly centralised Scandinavian Fig.…”

Section: Even Backmentioning

confidence: 99%

Quality of care in surgical/interventional vascular medicine: what can routinely collected data from the insurance companies achieve?

et al. 2020

View full text Add to dashboard Cite

The complexity and diversity of surgical/interventional vascular medicine necessitate innovative and pragmatic solutions for the valid measurement of the quality of care in the long term. The secondary utilization of routinely collected data from social insurance institutions has increasingly become the focus of interdisciplinary medicine over the years. Owing to their longitudinal linkage and pan-sector generation, routinely collected data make it possible to answer important questions and can complement quality development projects with primary registry data. Various guidelines exist for their usage, linkage, and reporting. Studies have shown good validity, especially for endpoints with major clinical relevance. The numerous advantages of routinely collected data face several challenges that require thorough plausibility and validity procedures and distinctive methodological expertise. This review presents a discussion of these advantages and challenges and provides recommendations for starting to use this increasingly important source of data.

show abstract

Secondary analysis of statutorily collected routine data

Cited by 11 publications

References 37 publications

Regional variation in endovascular treatment rate and in-hospital mortality of abdominal aortic aneurysms in Germany

Regional variation in endovascular treatment rate and in-hospital mortality of abdominal aortic aneurysms in Germany

Inter-Hospital Transfer of Patients With Ruptured Abdominal Aortic Aneurysm in Switzerland

Quality of care in surgical/interventional vascular medicine: what can routinely collected data from the insurance companies achieve?

Contact Info

Product

Resources

About