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Volumn 20, Issue 3, 2008, Pages 320-325

Surgical outcomes research: A progression from performance audits, to assessment of administrative databases, to prospective risk-adjusted analysis - How far have we come?

Author keywords

Administrative data; Quality; Risk adjustment; Surgical outcomes

Indexed keywords

CLINICAL RESEARCH; HOSPITAL CARE; HOSPITAL MANAGEMENT; HUMAN; MEDICAL AUDIT; MEDICAL RECORD; MORBIDITY; MORTALITY; OUTCOME ASSESSMENT; PATIENT SAFETY; PEDIATRICS; PRIORITY JOURNAL; QUALITY CONTROL; REVIEW; TREATMENT OUTCOME;

EID: 43449121255     PISSN: 10408703     EISSN: None     Source Type: Journal    
DOI: 10.1097/MOP.0b013e3283005857     Document Type: Review
Times cited : (18)

References (43)
  • 1
    • 0003413171 scopus 로고    scopus 로고
    • Kohn LT, Corrigan JM, Donaldson MS, editors, Washington DC: National Academies Press;
    • Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: building a safer health system. Washington DC: National Academies Press; 2000.
    • (2000) To err is human: Building a safer health system
  • 2
    • 0003525850 scopus 로고    scopus 로고
    • Institute of Medicine Committee on Quality Healthcare in America, Washington DC: National Academies Press;
    • Institute of Medicine Committee on Quality Healthcare in America. Crossing the quality chasm: a new health system for the 21st century. Washington DC: National Academies Press; 2001.
    • (2001) Crossing the quality chasm: A new health system for the 21st century
  • 4
    • 0032014744 scopus 로고    scopus 로고
    • Historical perspective. Ernest Amory Codman, 1869-1940: A pioneer of evidence-based medicine: the end result idea
    • Kaska S, Weinstein J. Historical perspective. Ernest Amory Codman, 1869-1940: a pioneer of evidence-based medicine: the end result idea. Spine 1998; 23:629-633.
    • (1998) Spine , vol.23 , pp. 629-633
    • Kaska, S.1    Weinstein, J.2
  • 5
    • 0025149784 scopus 로고    scopus 로고
    • Neuhauser D. Ernest Amory Codman, M.D., and end results of medical care. Int J Technol Assess Healthcare 1990; 6:307-325.
    • Neuhauser D. Ernest Amory Codman, M.D., and end results of medical care. Int J Technol Assess Healthcare 1990; 6:307-325.
  • 6
    • 0028997272 scopus 로고    scopus 로고
    • Wright J. The history of surgical audit. J Qual Clin Pract 1995; 15:81-88. This paper reviews the historical context of the personal surgical audit from the time of Codman to its more general application in the conventional surgical morbidity and mortality conference.
    • Wright J. The history of surgical audit. J Qual Clin Pract 1995; 15:81-88. This paper reviews the historical context of the personal surgical audit from the time of Codman to its more general application in the conventional surgical morbidity and mortality conference.
  • 7
    • 0016750908 scopus 로고
    • Problem-oriented surgical audit in the community hospital: A concept in evolution
    • Strauch G. Problem-oriented surgical audit in the community hospital: a concept in evolution. Am J Surg 1975; 129:401-406.
    • (1975) Am J Surg , vol.129 , pp. 401-406
    • Strauch, G.1
  • 8
    • 0026343273 scopus 로고
    • Evaluation of surgical services in a large university-affiliated VA hospital: Use of an in-house-generated quality assurance data base
    • Andrus C, Daly J. Evaluation of surgical services in a large university-affiliated VA hospital: use of an in-house-generated quality assurance data base. South Med J 1991; 84:1447-1450.
    • (1991) South Med J , vol.84 , pp. 1447-1450
    • Andrus, C.1    Daly, J.2
  • 9
    • 0032939696 scopus 로고    scopus 로고
    • Systematic scientific quality improvement in surgical specialties: The AQS model
    • Rageth J, Haner C, Hess P, et al. Systematic scientific quality improvement in surgical specialties: the AQS model. Swiss Surg 1999; 5:62-72.
    • (1999) Swiss Surg , vol.5 , pp. 62-72
    • Rageth, J.1    Haner, C.2    Hess, P.3
  • 10
    • 4444226884 scopus 로고    scopus 로고
    • A new and feasible model for predicting operative risk
    • Donati A, Ruzzi M, Andrario E, et al. A new and feasible model for predicting operative risk. Br J Anaesth 2004; 93:393-399.
    • (2004) Br J Anaesth , vol.93 , pp. 393-399
    • Donati, A.1    Ruzzi, M.2    Andrario, E.3
  • 11
    • 1542375960 scopus 로고    scopus 로고
    • Surgical mortality score: Risk management tool for auditing surgical performance
    • Hadjianastassiou V, Tekkis P, Poloniecki J, et al. Surgical mortality score: risk management tool for auditing surgical performance. World J Surg 2004; 28:193-200.
    • (2004) World J Surg , vol.28 , pp. 193-200
    • Hadjianastassiou, V.1    Tekkis, P.2    Poloniecki, J.3
  • 12
    • 0036098812 scopus 로고    scopus 로고
    • Quality of complication reporting in the surgical literature
    • Martin Rn, Brennan M, Jaques D. Quality of complication reporting in the surgical literature. Ann Surg 2002; 235:803-813.
    • (2002) Ann Surg , vol.235 , pp. 803-813
    • Martin, R.1    Brennan, M.2    Jaques, D.3
  • 13
    • 0026920133 scopus 로고
    • Need to measure outcome after discharge in surgical audit
    • Hardwick R, Saltrese-Taylor A, Collins C. Need to measure outcome after discharge in surgical audit. Qual Healthcare 1992; 1:165-167.
    • (1992) Qual Healthcare , vol.1 , pp. 165-167
    • Hardwick, R.1    Saltrese-Taylor, A.2    Collins, C.3
  • 14
    • 36248987447 scopus 로고    scopus 로고
    • Overview of automated databases in pharmacoepidemiology
    • Strom BL, Kimmel SE, editors, West Sussex, UK: John Wiley & Sons, Ltd;
    • Strom BL. Overview of automated databases in pharmacoepidemiology. In: Strom BL, Kimmel SE, editors. Textbook of pharmacoepidemiology. West Sussex, UK: John Wiley & Sons, Ltd; 2006. pp. 167-172.
    • (2006) Textbook of pharmacoepidemiology , pp. 167-172
    • Strom, B.L.1
  • 15
    • 34548618719 scopus 로고    scopus 로고
    • The holy grail of surgical quality improvement: Process measures or risk-adjusted outcomes?
    • Rogers SO. The holy grail of surgical quality improvement: process measures or risk-adjusted outcomes? Am Surg 2006; 72:1046-1050.
    • (2006) Am Surg , vol.72 , pp. 1046-1050
    • Rogers, S.O.1
  • 16
    • 0036197685 scopus 로고    scopus 로고
    • Best WR, Khuri SF, Phelan M, et al. Identifying patient preoperative risk factors and postoperative adverse events in administrative databases: results from the Department of Veterans Affairs National Surgical Quality Improvement Program. J Am Coll Surg 2002; 194:257-266. This review of VAH NSQIP data demonstrates the limitation of the administrative database as a tool for determining surgical quality. Using administrative data diminished both the sensitivity as well as the positive predictive value of measured surgical outcomes when compared with the standard NSQIP practice of using a nurse data manager.
    • Best WR, Khuri SF, Phelan M, et al. Identifying patient preoperative risk factors and postoperative adverse events in administrative databases: results from the Department of Veterans Affairs National Surgical Quality Improvement Program. J Am Coll Surg 2002; 194:257-266. This review of VAH NSQIP data demonstrates the limitation of the administrative database as a tool for determining surgical quality. Using administrative data diminished both the sensitivity as well as the positive predictive value of measured surgical outcomes when compared with the standard NSQIP practice of using a nurse data manager.
  • 17
    • 13544250503 scopus 로고    scopus 로고
    • Mortality after noncardiac surgery: Prediction from administrative versus clinical data
    • Gordon H, Johnson M, Wray N, et al. Mortality after noncardiac surgery: prediction from administrative versus clinical data. Med Care 2005; 43:159-167.
    • (2005) Med Care , vol.43 , pp. 159-167
    • Gordon, H.1    Johnson, M.2    Wray, N.3
  • 18
    • 84874682438 scopus 로고    scopus 로고
    • Healthcare Cost and Utilization Project, Accessed 1 February 2008, This paper describes HCUP, a family of healthcare databases available for longitudinal outcomes assessment of hospitalized patients
    • Agency for Healthcare Research and Quality (AHRQ). Overview of HCUP (Healthcare Cost and Utilization Project). http://www.hcup-us.ahrq.gov/overview. jsp. [Accessed 1 February 2008]. This paper describes HCUP, a family of healthcare databases available for longitudinal outcomes assessment of hospitalized patients.
    • Overview of HCUP
  • 19
    • 34249063971 scopus 로고    scopus 로고
    • Accessed 20 February 2008
    • Agency for Healthcare Research and Quality (AHRQ). Overview of the Nationwide Inpatient Sample (NIS). http://www.hcup_us.ahrq.gov/nisoverview.jsp. [Accessed 20 February 2008].
    • Overview of the Nationwide Inpatient Sample (NIS)
  • 20
    • 33750962924 scopus 로고    scopus 로고
    • National trends in the use of antireflux procedures for children
    • Lasser MS, Liao JG, Burd RS. National trends in the use of antireflux procedures for children. Pediatrics 2006; 118:1828-1835.
    • (2006) Pediatrics , vol.118 , pp. 1828-1835
    • Lasser, M.S.1    Liao, J.G.2    Burd, R.S.3
  • 21
    • 64949197745 scopus 로고    scopus 로고
    • Accessed 20 February 2008
    • Agency for Healthcare Research and Quality (AHRQ). Overview of the Kids' Inpatient Database (KID). http://www.hcup-us.ahrq.gov/kidoverview.jsp. [Accessed 20 February 2008].
    • Overview of the Kids' Inpatient Database (KID)
  • 22
    • 28144433021 scopus 로고    scopus 로고
    • Hospital characteristics associated with the management of pediatric splenic injuries
    • Bowman SM, Zimmerman FJ, Christakis DA, et al. Hospital characteristics associated with the management of pediatric splenic injuries. JAMA 2005; 294:2611-2617.
    • (2005) JAMA , vol.294 , pp. 2611-2617
    • Bowman, S.M.1    Zimmerman, F.J.2    Christakis, D.A.3
  • 23
    • 64949197745 scopus 로고    scopus 로고
    • SID, Accessed February 20, 2008
    • Agency for Healthcare Research and Quality (AHRQ). Overview of the State Inpatient Databases (SID). http://www.hcup-us.ahrq.gov/sidoverview.jsp. Accessed February 20, 2008.
    • Overview of the State Inpatient Databases
  • 25
    • 43449139029 scopus 로고    scopus 로고
    • Russo C, Owens P, Steiner C, Josephsen J. Ambulatory surgery in U.S. hospitals, 2003. HCUP Fact Book No. 9. AHRQ Publication No. 07-0007. Rockville, USA: Agency for Healthcare Research and Quality; 2007.
    • Russo C, Owens P, Steiner C, Josephsen J. Ambulatory surgery in U.S. hospitals, 2003. HCUP Fact Book No. 9. AHRQ Publication No. 07-0007. Rockville, USA: Agency for Healthcare Research and Quality; 2007.
  • 26
    • 0037371624 scopus 로고    scopus 로고
    • Appendicitis 2000: Variability in practice, outcomes, and resource utilization at thirty pediatric hospitals
    • Newman K, Ponsky T, Kittle K, et al. Appendicitis 2000: variability in practice, outcomes, and resource utilization at thirty pediatric hospitals. J Pediatr Surg 2003; 38:372-379.
    • (2003) J Pediatr Surg , vol.38 , pp. 372-379
    • Newman, K.1    Ponsky, T.2    Kittle, K.3
  • 27
    • 0029029323 scopus 로고
    • The National Veterans Administration Surgical Risk Study: Risk adjustment for the comparative assessment of the quality of surgical care
    • Khuri S, Henderson W, Barbour G, et al. The National Veterans Administration Surgical Risk Study: risk adjustment for the comparative assessment of the quality of surgical care. J Am Coll Surg 1995; 180:519-531.
    • (1995) J Am Coll Surg , vol.180 , pp. 519-531
    • Khuri, S.1    Henderson, W.2    Barbour, G.3
  • 28
    • 12644258519 scopus 로고    scopus 로고
    • Risk adjustment of the postoperative mortality rate for the comparative assessment of the quality of surgical care: Results of the national Veterans Affairs Surgical Risk Study
    • Khuri S, Daley J, Henderson W, et al. Risk adjustment of the postoperative mortality rate for the comparative assessment of the quality of surgical care: results of the national Veterans Affairs Surgical Risk Study. J Am Coll Surg 1997; 185:315-327.
    • (1997) J Am Coll Surg , vol.185 , pp. 315-327
    • Khuri, S.1    Daley, J.2    Henderson, W.3
  • 29
    • 12644271194 scopus 로고    scopus 로고
    • Risk adjustment of the postoperative morbidity rate for the comparative assessment of the quality of surgical care: Results of the National Veterans Affairs Surgical Risk Study
    • Daley J, Khuri SF, Henderson W, et al. Risk adjustment of the postoperative morbidity rate for the comparative assessment of the quality of surgical care: results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg 1997; 185:328-340.
    • (1997) J Am Coll Surg , vol.185 , pp. 328-340
    • Daley, J.1    Khuri, S.F.2    Henderson, W.3
  • 30
    • 18744421369 scopus 로고    scopus 로고
    • Khuri S, Daley J, Henderson W, et al. The Department of Veterans Affairs' NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Quality Improvement Program. Ann Surg 1998; 228:491-507. This sentinel paper details both the methodology as well as outcomes from the development and application of a NSQIP to VAH. This application allowed the development of a stratification of performance from low to high which in turn allowed hospitals to seek out 'best-in-class' to serve as a model for quality improvement. Presurgical risk factors, in-hospital process-of-care factors, and 30-day postoperative morbidity and mortality were assessed to achieve these improvements in both morbidity and mortality rates
    • Khuri S, Daley J, Henderson W, et al. The Department of Veterans Affairs' NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Quality Improvement Program. Ann Surg 1998; 228:491-507. This sentinel paper details both the methodology as well as outcomes from the development and application of a NSQIP to VAH. This application allowed the development of a stratification of performance from low to high which in turn allowed hospitals to seek out 'best-in-class' to serve as a model for quality improvement. Presurgical risk factors, in-hospital process-of-care factors, and 30-day postoperative morbidity and mortality were assessed to achieve these improvements in both morbidity and mortality rates.
  • 31
    • 0033971043 scopus 로고    scopus 로고
    • Using the Veterans Administration National Surgical Quality Improvement Program to improve patient outcomes
    • Neumayer L, Mastin M, Vanderhoof L, Hinson D. Using the Veterans Administration National Surgical Quality Improvement Program to improve patient outcomes. J Surg Res 2000; 88:58-61.
    • (2000) J Surg Res , vol.88 , pp. 58-61
    • Neumayer, L.1    Mastin, M.2    Vanderhoof, L.3    Hinson, D.4
  • 32
    • 0036139529 scopus 로고    scopus 로고
    • The comparative assessment and improvement of quality of surgical care in the Department of Veterans Affairs
    • Khuri S, Daley J, Henderson W. The comparative assessment and improvement of quality of surgical care in the Department of Veterans Affairs. Arch Surg 2002; 137:20-27.
    • (2002) Arch Surg , vol.137 , pp. 20-27
    • Khuri, S.1    Daley, J.2    Henderson, W.3
  • 33
    • 18544391076 scopus 로고    scopus 로고
    • The National Surgical Quality Improvement Program in nonveterans administration hospitals: Initial demonstration of feasibility
    • Fink A, Campbell DJ, Mentzer RJ, et al. The National Surgical Quality Improvement Program in nonveterans administration hospitals: initial demonstration of feasibility. Ann Surg 2002; 236:344-353.
    • (2002) Ann Surg , vol.236 , pp. 344-353
    • Fink, A.1    Campbell, D.J.2    Mentzer, R.J.3
  • 34
    • 19244383441 scopus 로고    scopus 로고
    • Relation of surgical volume to outcome in eight common operations: Results from the VA National Surgical Quality Improvement Program
    • Khuri SF, Daley J, Henderson W, et al. Relation of surgical volume to outcome in eight common operations: results from the VA National Surgical Quality Improvement Program. Ann Surg 1999; 230:414-429.
    • (1999) Ann Surg , vol.230 , pp. 414-429
    • Khuri, S.F.1    Daley, J.2    Henderson, W.3
  • 35
    • 27744559534 scopus 로고    scopus 로고
    • The case against volume as a measure of quality of surgical care
    • Khuri SF, Henderson WG. The case against volume as a measure of quality of surgical care. World J Surg 2005; 29:1222-1229.
    • (2005) World J Surg , vol.29 , pp. 1222-1229
    • Khuri, S.F.1    Henderson, W.G.2
  • 36
    • 36248995328 scopus 로고    scopus 로고
    • Comparison of mortality risk adjustment using a clinical data algorithm (American College of Surgeons National Surgical Quality Improvement Program) and an administrative data algorithm (Solucient) at the case level within a single institution
    • Hall BL, Hirbe M, Waterman B, et al. Comparison of mortality risk adjustment using a clinical data algorithm (American College of Surgeons National Surgical Quality Improvement Program) and an administrative data algorithm (Solucient) at the case level within a single institution. J Am Coll Surg 2007; 205:767-777.
    • (2007) J Am Coll Surg , vol.205 , pp. 767-777
    • Hall, B.L.1    Hirbe, M.2    Waterman, B.3
  • 37
    • 33751007245 scopus 로고    scopus 로고
    • Miller D, Filson C, Wallner L, et al. Comparing performance of Morbidity and Mortality Conference and National Surgical Quality Improvement Program for detection of complications after urologic surgery. Urology 2006; 68:931-937.
    • Miller D, Filson C, Wallner L, et al. Comparing performance of Morbidity and Mortality Conference and National Surgical Quality Improvement Program for detection of complications after urologic surgery. Urology 2006; 68:931-937.
  • 39
    • 34249314015 scopus 로고    scopus 로고
    • Rowell KS, Turrentine FE, Hutter MM, et al. Use of National Surgical Quality Improvement Program data as a catalyst for quality improvement. J Am Coll Surg 2007; 204:1293-1300. This paper using observed-to-expected performance ratios at NSQIP-participating hospitals that allowed institutions to address quality improvement. Specific examples are presented that include dramatic reductions in surgical site infections, wound complications and postoperative urinary infections. In addition, this study validated the usefulness of NSQIP in providing a forum for surgical outcomes research and quality improvement initiatives in these same institutions.
    • Rowell KS, Turrentine FE, Hutter MM, et al. Use of National Surgical Quality Improvement Program data as a catalyst for quality improvement. J Am Coll Surg 2007; 204:1293-1300. This paper using observed-to-expected performance ratios at NSQIP-participating hospitals that allowed institutions to address quality improvement. Specific examples are presented that include dramatic reductions in surgical site infections, wound complications and postoperative urinary infections. In addition, this study validated the usefulness of NSQIP in providing a forum for surgical outcomes research and quality improvement initiatives in these same institutions.
  • 40
    • 0036383276 scopus 로고    scopus 로고
    • Consensus-based method for risk adjustment for surgery for congenital heart disease
    • Jenkins K, Gauvreau K, Newburger J, et al. Consensus-based method for risk adjustment for surgery for congenital heart disease. J Thorac Cardiovasc Surg 2002; 123:110-118.
    • (2002) J Thorac Cardiovasc Surg , vol.123 , pp. 110-118
    • Jenkins, K.1    Gauvreau, K.2    Newburger, J.3
  • 41
    • 20344375237 scopus 로고    scopus 로고
    • The Aristotle method: A new concept to evaluate quality of care based on complexity
    • Lacour-Gayet F, Clarke D. The Aristotle method: a new concept to evaluate quality of care based on complexity. Curr Opin Pediatr 2005; 17:412-417.
    • (2005) Curr Opin Pediatr , vol.17 , pp. 412-417
    • Lacour-Gayet, F.1    Clarke, D.2
  • 42
    • 2342494826 scopus 로고    scopus 로고
    • The national pediatric trauma registry: A legacy of commitment to control of childhood injury
    • Tepas JI. The national pediatric trauma registry: a legacy of commitment to control of childhood injury. Semin Pediatr Surg 2004; 13:126-132.
    • (2004) Semin Pediatr Surg , vol.13 , pp. 126-132
    • Tepas, J.I.1
  • 43
    • 0035150683 scopus 로고    scopus 로고
    • Do pediatric trauma centers have better survival rates than adult trauma centers? An examination of the National Pediatric Trauma Registry
    • Osler T, Vane D, Tepas J, et al. Do pediatric trauma centers have better survival rates than adult trauma centers? An examination of the National Pediatric Trauma Registry. J Trauma 2001; 50:96-101.
    • (2001) J Trauma , vol.50 , pp. 96-101
    • Osler, T.1    Vane, D.2    Tepas, J.3


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