ArticleDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2010
[Evaluation of data on surgical complications after cholecystectomy submitted to a nationwide quality assurance program (BQS) in Germany].
Article in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed.
- [Effects of statutory quality assurance in acute inpatient care].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Review
- [Quality of documentation of intraoperative and postoperative complications : improvement of documentation for a nationwide quality assurance program and comparison with routine data].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014Review
- [Quality assurance using routine data. Is outcome quality now measurable?].Der Unfallchirurg · 2010Article
- Quality assurance in primary total hip arthroplasty.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe BQS is a nationwide quality assurance program in Germany. The aim was to evaluate the data quality on intra-operative and postoperative complications for cholecystectomy submitted to the BQS. PATIENTS AND
methodsFor 205 patients who underwent cholecystectomy in 2007 complications were retrospectively evaluated and compared with those documented in the BQS database. Additionally the risk factors for complications were documented.
resultsA total of 205 patients were included in the study. In 88% of patients the operations were initiated as laparoscopy and the conversion rate was 8.3%. Of the patients 28 suffered from intra-operative or postoperative complications. There were no injuries to the ductus hepatocholedochus (DHC). The most common operation-specific complications were disorders in wound healing (n=7). Multivariate analyses resulted in significant increases in complication rates for ASA status (Odds ratio 3.29, 95% confidence interval 2.12-5.10, p<0.01) and acute cholecystitis (odds ratio 7.71, 9% confidence interval 2.96-20.08, p<0.01). Only 13 patients out of 28 were correctly documented in the BQS database (p<0.01). Sensitivity and specificity for complications were 46 and 98%, respectively.
conclusionsLess than half of all cases were correctly documented in the BQS database. If documentation inthe BQS database was equally poor for all German surgical departments, neither benchmarking nor general conclusions on quality of surgical care could be drawn from the BQS data.
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