Evidence map›Paper›PMID 21076909›Full record

ArticleDer Unfallchirurg2010

[Quality assurance using routine data. Is outcome quality now measurable?].

T Kostuj, R Smektala

Abstract read
PubMed Publisher
In one paragraph

Article in Der Unfallchirurg, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. [The validity of routine data on quality assurance: A qualitative systematic review].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

T KostujAbteilung für Unfallchirurgie und Orthopädie, Knappschaftskrankenhaus Bochum-Langendreer, Klinikum der Ruhr-Universität Bochum.
R Smektala

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health service quality in Germany can be shown by the data from the external quality assurance program (BQS) but as these records are limited to the period of in-hospital stay no information about outcome after discharge from hospital can be obtained. Secondary routine administrative data contain information about long-term outcome, such as mortality, subsequent revision and the need for care following surgical treatment due to a hip fracture.Experiences in the use of secondary data dealing with treatment of hip fractures from the BQS are available in our department. In addition we analyzed routine administrative data from the health insurance companies Knappschaft Bahn-See and AOK in a cooperative study with the WidO (scientific institute of the AOK). These routine data clearly show a bias because of poor quality in coding as well as broad interpretation possibilities of some of the ICD-10 codes used.Consequently quality assurance using routine data is less valid than register-based conclusions. Nevertheless medical expertise is necessary to avoid misinterpretation of routine administrative data.

Indexed as

BiasData CollectionDisability EvaluationGermanyHip FracturesHumansInsurance Claim ReviewInternational Classification of DiseasesNational Health ProgramsOsteoarthritis, HipOutcome Assessment, Health CarePostoperative CareQuality Assurance, Health CareQuality Indicators, Health CareRegistriesReoperation

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.