Evidence map›Paper›PMID 31967444›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2020

Capturing adverse events in elective orthopedic surgery: comparison of administrative, surgeon and reviewer reporting

Katie Garland, Brian P. Chen, Stephane Poitras, Eugene K. Wai, Stephen P. Kingwell, Darren M. Roffey, Paul E. Beaulé

Open access · diamondAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Harms Reporting in the RCTs Underpinning the AAOS Clinical Practice Guidelines for Clavicle Fractures.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2025
    Review
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Katie GarlandFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont., (Garland, Chen, Wai, Kingwell, Beaulé); the School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ont. (Poitras); the Division of Orthopaedic Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ont. (Poitras, Wai, Kingwell, Beaulé); the uOttawa Combined Adult Spinal Surgery Program, The Ottawa Hospital, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé); and the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé).
Brian P. ChenFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont., (Garland, Chen, Wai, Kingwell, Beaulé); the School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ont. (Poitras); the Division of Orthopaedic Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ont. (Poitras, Wai, Kingwell, Beaulé); the uOttawa Combined Adult Spinal Surgery Program, The Ottawa Hospital, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé); and the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé).
Stephane PoitrasFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont., (Garland, Chen, Wai, Kingwell, Beaulé); the School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ont. (Poitras); the Division of Orthopaedic Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ont. (Poitras, Wai, Kingwell, Beaulé); the uOttawa Combined Adult Spinal Surgery Program, The Ottawa Hospital, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé); and the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé).
Eugene K. WaiFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont., (Garland, Chen, Wai, Kingwell, Beaulé); the School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ont. (Poitras); the Division of Orthopaedic Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ont. (Poitras, Wai, Kingwell, Beaulé); the uOttawa Combined Adult Spinal Surgery Program, The Ottawa Hospital, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé); and the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé).
Stephen P. KingwellFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont., (Garland, Chen, Wai, Kingwell, Beaulé); the School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ont. (Poitras); the Division of Orthopaedic Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ont. (Poitras, Wai, Kingwell, Beaulé); the uOttawa Combined Adult Spinal Surgery Program, The Ottawa Hospital, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé); and the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé).
Darren M. RoffeyFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont., (Garland, Chen, Wai, Kingwell, Beaulé); the School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ont. (Poitras); the Division of Orthopaedic Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ont. (Poitras, Wai, Kingwell, Beaulé); the uOttawa Combined Adult Spinal Surgery Program, The Ottawa Hospital, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé); and the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé).
Paul E. BeauléFrom the Faculty of Medicine, University of Ottawa, Ottawa, Ont., (Garland, Chen, Wai, Kingwell, Beaulé); the School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ont. (Poitras); the Division of Orthopaedic Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ont. (Poitras, Wai, Kingwell, Beaulé); the uOttawa Combined Adult Spinal Surgery Program, The Ottawa Hospital, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé); and the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Wai, Kingwell, Roffey, Beaulé).
Ottawa Hospital Research InstituteOttawa Hospital · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Summary: Ensuring adverse event (AE) recording is standardized and accurate is paramount for patient safety. In this discussion, we outline our comparison of AE data collected by orthopedic surgeons and independent clinical reviewers using the Spine Adverse Events Severity System (SAVES) and Orthopedic Surgical Adverse Events Severity System (OrthoSAVES) against AE data recorded by hospital administrative discharge abstract coders. In 164 spine, hip, knee and shoulder patients, reviewers recorded significantly more AEs than coders, and coders recorded significantly more AEs than surgeons. The AEs were recorded similarly by reviewers using SAVES and OrthoSAVES in 48 spine patients. Despite our small sample size and use of different AE tools, we believe it is important to highlight that coders, surgeons and reviewers recorded AEs differently. While further investigations on its utility and cost-effectiveness are necessary, we assert that it is feasible to use Ortho-SAVES to prospectively record AEs across all orthopedic subspecialties.

Indexed as

Outcome and Process Assessment, Health CareCanadaClinical CodingElective Surgical ProceduresHumansMedical AuditOrthopedic ProceduresOrthopedic SurgeonsPatient Discharge

Identifiers

PMID31967444
PMCPMC7828943
OpenAlexW3006254963

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.