Validity of Routinely Collected Swedish Data in the International Enhanced Recovery After Surgery (ERAS) Database

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Xu, Yin,1991-Örebro universitet,Institutionen för medicinska vetenskaper,Clinical Epidemiology and Biostatistics (author)

Validity of Routinely Collected Swedish Data in the International Enhanced Recovery After Surgery (ERAS) Database

Article/chapterEnglish2021

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2021-04-07
Springer,2021
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LIBRIS-ID:oai:DiVA.org:oru-90983
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-90983URI
https://doi.org/10.1007/s00268-021-06094-4DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:146340078URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Funding Agency:ERAS Society
BACKGROUND: This study aims to assess patient coverage, validity and data quality in the Swedish part of the International Enhanced Recovery After Surgery (ERAS) Interactive Audit System (EIAS).METHOD: All Swedish ERAS centers that recorded colorectal surgery data in EIAS between January 1, 2017, and December 31, 2017, were included (N = 12). Information registered in EIAS was compared with data from electronic medical records at each hospital to assess the overall coverage of EIAS. Twenty random-selected patients from each of the contributing centers were assessed for accuracy for a set of clinically relevant variables. All patients admitted to the contributing centers were included for the assessment of rate of missing on a selection of key clinical variables.RESULTS: Eight hospitals provided complete information for the evaluation, while four hospitals only allowed assessment of coverage and missing data. The eight hospitals had an overall coverage of 98.8% in EIAS (n = 1301) and the four 86.7% (n = 811). The average agreement for the assessed postoperative outcome variables was 96.5%. The accuracy was excellent for 'length of hospital stay,' 'reoperation,' and 'any complications,' but lower for other types of complications. Only a few variables had more than 5% missing data, and missingness was associated with hospital type and size.CONCLUSION: This validation of the Swedish part of the international ERAS database suggests high patient coverage in EIAS and high agreement and limited missingness in clinically relevant variables. This validation approach or a modified version can be used for continued validation of the International ERAS database.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng

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Udumyan, Ruzan,1971-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Clinical Epidemiology and Biostatistics(Swepub:oru)run (author)
Fall, Katja,1971-Örebro universitet,Institutionen för medicinska vetenskaper,Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden,Clinical Epidemiology and Biostatistics(Swepub:oru)kafl (author)
Ljungqvist, Olle,1954-Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Surgery, Örebro University and University Hospital, Örebro, Sweden; Institute of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden(Swepub:oru)olt (author)
Montgomery, Scott,1961-Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Clinical Epidemiology Division, Department of Medicine, Karolinska Institutet, Solna, Stockholm, Sweden; Department of Epidemiology and Public Health, University College London, London, UK(Swepub:oru)smy (author)
Gustafsson, Ulf O.Karolinska Institutet (author)
Örebro universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

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In:World Journal of Surgery: Springer45:6, s. 1622-16290364-23131432-2323

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

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By the university: Örebro University; Karolinska Institutet

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