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Sökning: L773:2168 1813 > (2015-2019) > Who should record s...

  • Böös, MalinLund University,Lunds universitet,Institutionen för translationell medicin,Medicinska fakulteten,Department of Translational Medicine,Faculty of Medicine,Helsingborg Hospital (författare)

Who should record surgical complications? : Results from a third-party assessment of complications after radical cystectomy

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • 2019-08-06
  • Informa Healthcare,2019
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-75818
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-75818URI
  • https://doi.org/10.1080/21681805.2019.1643912DOI
  • https://lup.lub.lu.se/record/5514196d-9fd4-412b-a706-9c234ae32c24URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agencies:Lund Medical Faculty (ALF)  Skåne University Hospital Research Funds  Sten K. Johnson Foundation  Krapperup Foundation  Skåne County Council's Research and Development Foundation  REGSKANE-622351 Gösta Jonsson Research Foundation  Hillevi Fries Research Foundation 
  • Objective: In Sweden complications after radical cystectomy have been reported to the nationwide population-based Swedish Cystectomy Registry since 2011. Here, validation of the reporting was assessed in two healthcare regions.Materials and methods: Complications were ascertained from patient records by a third party not involved in the care delivered to 429 randomly selected patients from 949 who had undergone radical cystectomy since 2011 in four hospitals. Without knowledge of the outcome in the primary registration, post-operative complications within 90 days post-operatively were assessed by an independent review of patient charts, and the results were compared with the primary reports in the Swedish Cystectomy Registry.Results: The third-party assessment identified post-operative complications in 310 patients (72%). Low-grade complications (Clavien-Dindo I-II) were noted in 110 (26%) of the patients in the primary registration, but increased to 182 (42%) in the validation (p < 0.00001). High-grade complications (Clavien-Dindo III-V) were reported in 113 (26%) patients in the primary registration, but in 128 (30%) of the patients in the validation (p = 0.02). According to the third-party assessment, 18 patients (4%) had Clavien-Dindo grade IV complications and 12 (3%) died within 90 days of surgery (Clavien-Dindo grade V); corresponding values in the primary registration were 15 (3%) and 9 (2%), respectively. The readmission rate within 90 days increased from 27 to 32% in the validation (p < 0.00001).Conclusions: Compared with registry data, third-party assessment revealed more complications and readmissions after radical cystectomy. Hence such evaluation may improve the validity of reported complication data.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Jerlström, Tomas,1969-Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Urology(Swepub:oru)tjm (författare)
  • Beckman, EvaDepartment of Urology, Skåne University Hospital, Malmö, Sweden,Uppsala University Hospital (författare)
  • Bläckberg, MatsDepartment of Urology, Helsingborg Hospital, Helsingborg, Sweden(Swepub:lu)kirp-mbl (författare)
  • Brändstedt, JohanLund University,Lunds universitet,Urologi - blåscancer, Malmö,Forskargrupper vid Lunds universitet,Urology - urothelial cancer, Malmö,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-jbt (författare)
  • Kollberg, PetterLund University,Lunds universitet,Urologi - blåscancer, Malmö,Forskargrupper vid Lunds universitet,Urology - urothelial cancer, Malmö,Lund University Research Groups,Helsingborg Hospital,Skåne University Hospital(Swepub:lu)med-pko (författare)
  • Löfgren, AnnicaLund University,Lunds universitet,Urologi - blåscancer, Malmö,Forskargrupper vid Lunds universitet,Urology - urothelial cancer, Malmö,Lund University Research Groups,Skåne University Hospital(Swepub:lu)an0083lo (författare)
  • Malmström, Per-UnoÖrebro University (författare)
  • Sahlén, GöranÖrebro University (författare)
  • Sörenby, AnneLund University,Lunds universitet,Urologi - blåscancer, Malmö,Forskargrupper vid Lunds universitet,Urology - urothelial cancer, Malmö,Lund University Research Groups,Skåne University Hospital(Swepub:lu)an7637so (författare)
  • Vikerfors, Anders,1984-Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Urology(Swepub:oru)avs (författare)
  • Åkesson, AnnaClinical Studies Sweden, Skåne University Hospital, Lund, Sweden(Swepub:lu)med-aa7 (författare)
  • Liedberg, FredrikLund University,Lunds universitet,Urologi - blåscancer, Malmö,Forskargrupper vid Lunds universitet,Urology - urothelial cancer, Malmö,Lund University Research Groups,Skåne University Hospital(Swepub:lu)urok-fli (författare)
  • Institutionen för translationell medicinMedicinska fakulteten (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Scandinavian journal of urology: Informa Healthcare53:5, s. 339-3432168-18052168-1813

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