The Validity of Hospital Discharge Data for Autologous Breast Reconstruction Research

Talia, Jordan; Agarwal, Shailesh; Momoh, Adeyiza O.; Wilkins, Edwin G.; Kozlow, Jeffrey H.

doi:10.1097/prs.0000000000000894

Cited by 9 publications

(6 citation statements)

References 16 publications

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“…Similar to the NSQIP, using ICD-9 codes for complication reporting, as is common with studies utilizing administrative databases, is also limited by potentially inaccurate and incomplete data. 30 Thus, it is imperative that future efforts focus on developing standardized outcome measures with consistent definitions for complications. This process can be led by our speciality societies, a collaborative group of researchers, and/or major journals in our specialty.…”

Section: Discussionmentioning

confidence: 99%

Quality of Surgical Outcomes Reporting in Plastic Surgery: A 15-Year Analysis of Complication Data

Parikh

Sharma

Al-Qureshi

et al. 2018

Plastic &Amp; Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

Quality of Surgical Outcomes Reporting in Plastic Surgery: A 15-Year Analysis of Complication Data

Parikh

Sharma

Al-Qureshi

et al. 2018

Plastic &Amp; Reconstructive Surgery

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“… 8 Furthermore, data accuracy is limited to reporting in patient charts and subsequent data abstraction. 25 Finally, we were unable to directly address comorbidities among patients who underwent bilateral or unilateral mastectomy; however, our cohorts were matched based on age.…”

Section: Limitationsmentioning

confidence: 99%

Association between unilateral or bilateral mastectomy and breast cancer death in patients with unilateral ductal carcinoma

Agarwal¹,

Pappas²,

Agarwal³

2017

CMAR

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BackgroundUtilization of bilateral mastectomy for unilateral breast cancer is increasing despite cost and surgical risks with conflicting reports of survival benefit. Current studies evaluating death after bilateral mastectomy have included patients treated both with breast conservation therapy and unilateral mastectomy. In this study, we directly compared breast cancer–specific death of patients who underwent bilateral or unilateral mastectomy for unilateral breast cancer using a matched cohort analysis.MethodsThis was an observational study of women diagnosed with unilateral breast cancer from 1998 through 2002, using the Surveillance, Epidemiology, and End Results (SEER) database. A 4-to-1 matched cohort of patients was selected including 14,075 patients. Mortality of the groups was compared using Cox proportional hazards models for cause-specific death.ResultsA total of 41,510 patients diagnosed with unilateral breast cancer were included. Unilateral mastectomy was performed in 93% of patients, while bilateral mastectomy was performed in the remaining 7% of patients. When 4-to-1 matching was performed, 11,260 unilateral mastectomy and 2,815 bilateral mastectomy patients were included. Patients with bilateral mastectomy did not have a significantly lower hazard of breast cancer–specific death when compared with patients with unilateral mastectomy (hazard ratio: 0.92 vs 1.00, p=0.11).ConclusionBilateral mastectomy did not provide a clinically or statistically significant breast cancer–specific mortality benefit over unilateral mastectomy based on a matched cohort analysis of a nationwide population database. These findings should be interpreted in the context of patient preference and alternative benefits of bilateral mastectomy.

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“…Second, in developing them, we can look for markers of specific activities that correlate with actual patient outcomes and thus mitigate some types of reporting bias. For example, our DVT prophylaxis signature looks for times where one of the commonly used agents is actually administered, as opposed to asking staff to fill out a checkbox saying that “DVT prophylaxis has been addressed.” More broadly, this kind of search allows automated searching beyond simple billing codes and administrative data, which are notoriously variable in accuracy [ 9 – 12 ].…”

Section: Resultsmentioning

confidence: 99%

Automating Quality Metrics in the Era of Electronic Medical Records: Digital Signatures for Ventilator Bundle Compliance

Lan¹,

Ahmed²,

Herasevich

et al. 2015

BioMed Research International

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Ventilator-associated events (VAEs) are associated with increased risk of poor outcomes, including death. Bundle practices including thromboembolism prophylaxis, stress ulcer prophylaxis, oral care, and daily sedation breaks and spontaneous breathing trials aim to reduce rates of VAEs and are endorsed as quality metrics in the intensive care units. We sought to create electronic search algorithms (digital signatures) to evaluate compliance with ventilator bundle components as the first step in a larger project evaluating the ventilator bundle effect on VAE. We developed digital signatures of bundle compliance using a retrospective cohort of 542 ICU patients from 2010 for derivation and validation and testing of signature accuracy from a cohort of random 100 patients from 2012. Accuracy was evaluated against manual chart review. Overall, digital signatures performed well, with median sensitivity of 100% (range, 94.4%–100%) and median specificity of 100% (range, 100%–99.8%). Automated ascertainment from electronic medical records accurately assesses ventilator bundle compliance and can be used for quality reporting and research in VAE.

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The Validity of Hospital Discharge Data for Autologous Breast Reconstruction Research

Abstract: Diagnostic, II.

Cited by 9 publications

References 16 publications

Quality of Surgical Outcomes Reporting in Plastic Surgery: A 15-Year Analysis of Complication Data

Quality of Surgical Outcomes Reporting in Plastic Surgery: A 15-Year Analysis of Complication Data

Association between unilateral or bilateral mastectomy and breast cancer death in patients with unilateral ductal carcinoma

Automating Quality Metrics in the Era of Electronic Medical Records: Digital Signatures for Ventilator Bundle Compliance

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