Validation of data and indicators in the Danish Cholecystectomy Database

Kirstine Moll Harboe; Kristian Anthonsen; Linda Bardram

doi:10.1093/intqhc/mzp009

Validation of data and indicators in the Danish Cholecystectomy Database

Kirstine Moll Harboe, Kristian Anthonsen, Linda Bardram

Gastroenheden AHH

43 Citationer (Scopus)

Abstrakt

Kvalitetsindikatorerne i Dansk Galde Database (DGD) er en kombination af kliniske data og administrative data fra Landspatientregisteret (LPR). Indikatorerne "Indlæggelse 0-1 dag uden genindlæggelse", ">3 dage indlæggelse og/eller genindlæggelse", "reoperation inden for 30 dage", "rekonstruktiv galdevejskirurgi", "ikke-rekonstruktiv galdevejskirurgi" og "30 dages mortalitet" kommer fra LPR. Dette studie undersøger validiteten af de anvendte administrative data og evaluerer graden af association mellem indikatorer og postoperative komplikationer efter kolecystektomi.

Design: Data fra 1360 journaler fra patienter med kolecystektomi var sammenlignet med relevant administrativ data fra LPR. Journaldata agerede som "guld standard". Association mellem de enkelte indikatorer og tilstedeværelse af postoperative komplikationer blev målt.

Beregninger: Validitet blev beregnet som % overensstemmelse (inklusiv kappa-værdier), sensitivitet/specificitet og prædiktive værdier. Association mellem indikatorer og komplikationer blev beregnet som crude event rater og odds ratioer.

Resultater: Validiteten af data i LPR var fremragende (97,1-100% overensstemmelse, k =0,73-1,00). Alle indikatorer, pånær ikke-rekonstruktiv galdevejskirurgi var signifikant associeret med postoperative komplikationer. En underinddeling af indikatorerne forstærkede sammenhængen.

Konklusion: Dansk Galde Database er et validt værktøj til at monitorere kvaliteten af kolecystektomi i Danmark.

Udgivelsesdato: 21 march

Originalsprog	Engelsk
Tidsskrift	International Journal for Quality in Health Care
Vol/bind	21
Udgave nummer	3
Sider (fra-til)	160-168
Antal sider	9
ISSN	1353-4505
DOI	https://doi.org/10.1093/intqhc/mzp009
Status	Udgivet - 2009

Emneord

kvalitetsindikatorer
klinik database
administrative data
validering
Landspatientregisteret
kolecystektomi

Adgang til dokumentet

10.1093/intqhc/mzp009

Trykte artikelForlagets udgivne version, 170 KB

Citationsformater

@article{e5c49c1bd0fb4d78b93e72d4fbf22a51,

title = "Validation of data and indicators in the Danish Cholecystectomy Database",

abstract = " OBJECTIVES: In The Danish Cholecystectomy Database quality indicators are derived from clinical data in combination with administrative data from the National Patient Registry. The indicators {"}Length of postoperative stay £ 1 day and no readmission{"}, {"}Length of stay > 3 days and/or readmission{"}, {"}Additional procedures within 30 days{"}, {"}Reconstructive bile duct surgery{"}, {"}Other surgery of the bile duct{"} and {"}Death within 30 days{"} are all derived from administrative data. This study investigates the validity of the administrative data and evaluates the association between these indicators and postoperative complicationsRESEARCH DESIGN AND SUBJECTS: Data from 1360 medical records of patients undergoing cholecystectomy were compared to the relevant administrative data from the National Patient Registry. The medical records served as the {"}gold standard{"}. The association between the individual indicators and the occurrence of a postoperative complication was assessed.MEASURES: Validation of administrative data against the gold standard was done by the calculation of per cent agreement (including kappa-values) sensitivity/specificity and predictive values. The association between indicators and complications was analyzed with crude event rates and odds ratios.",

keywords = "kvalitetsindikatorer, klinik database, administrative data, validering, Landspatientregisteret, kolecystektomi, quality indicators, clinical database, administrative data, validation, National Patient Registry, cholecystectomy",

author = "Harboe, {Kirstine Moll} and Kristian Anthonsen and Linda Bardram",

year = "2009",

doi = "10.1093/intqhc/mzp009",

language = "English",

volume = "21",

pages = "160--168",

journal = "International Journal for Quality in Health Care",

issn = "1353-4505",

publisher = "Oxford University Press",

number = "3",

}

TY - JOUR

T1 - Validation of data and indicators in the Danish Cholecystectomy Database

AU - Harboe, Kirstine Moll

AU - Anthonsen, Kristian

AU - Bardram, Linda

PY - 2009

Y1 - 2009

N2 - OBJECTIVES: In The Danish Cholecystectomy Database quality indicators are derived from clinical data in combination with administrative data from the National Patient Registry. The indicators "Length of postoperative stay £ 1 day and no readmission", "Length of stay > 3 days and/or readmission", "Additional procedures within 30 days", "Reconstructive bile duct surgery", "Other surgery of the bile duct" and "Death within 30 days" are all derived from administrative data. This study investigates the validity of the administrative data and evaluates the association between these indicators and postoperative complicationsRESEARCH DESIGN AND SUBJECTS: Data from 1360 medical records of patients undergoing cholecystectomy were compared to the relevant administrative data from the National Patient Registry. The medical records served as the "gold standard". The association between the individual indicators and the occurrence of a postoperative complication was assessed.MEASURES: Validation of administrative data against the gold standard was done by the calculation of per cent agreement (including kappa-values) sensitivity/specificity and predictive values. The association between indicators and complications was analyzed with crude event rates and odds ratios.

AB - OBJECTIVES: In The Danish Cholecystectomy Database quality indicators are derived from clinical data in combination with administrative data from the National Patient Registry. The indicators "Length of postoperative stay £ 1 day and no readmission", "Length of stay > 3 days and/or readmission", "Additional procedures within 30 days", "Reconstructive bile duct surgery", "Other surgery of the bile duct" and "Death within 30 days" are all derived from administrative data. This study investigates the validity of the administrative data and evaluates the association between these indicators and postoperative complicationsRESEARCH DESIGN AND SUBJECTS: Data from 1360 medical records of patients undergoing cholecystectomy were compared to the relevant administrative data from the National Patient Registry. The medical records served as the "gold standard". The association between the individual indicators and the occurrence of a postoperative complication was assessed.MEASURES: Validation of administrative data against the gold standard was done by the calculation of per cent agreement (including kappa-values) sensitivity/specificity and predictive values. The association between indicators and complications was analyzed with crude event rates and odds ratios.

KW - kvalitetsindikatorer

KW - klinik database

KW - administrative data

KW - validering

KW - Landspatientregisteret

KW - kolecystektomi

KW - quality indicators

KW - clinical database

KW - administrative data

KW - validation

KW - National Patient Registry

KW - cholecystectomy

U2 - 10.1093/intqhc/mzp009

DO - 10.1093/intqhc/mzp009

M3 - Journal article

C2 - 19304994

VL - 21

SP - 160

EP - 168

JO - International Journal for Quality in Health Care

JF - International Journal for Quality in Health Care

SN - 1353-4505

IS - 3

ER -

Validation of data and indicators in the Danish Cholecystectomy Database

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