Quality of complication reporting in the surgical literature Journal Article
| Authors: | Martin, R. C. G. 2nd; Brennan, M. F.; Jaques, D. P. |
| Article Title: | Quality of complication reporting in the surgical literature |
| Abstract: | Objective: To identify 10 critical elements of accurate and comprehensive reports of surgical complications. Summary Background Data: Despite a venerable tradition of weekly morbidity and mortality conferences, inconsistent complication reporting is common in the surgical literature. Methods: An analysis of articles reporting short-term outcomes after pancreatectomy, esophagectomy, and hepatectomy was performed. Randomized clinical trials (RCTs) published from 1975 to 2001 and retrospective series of more than 100 patients published from 1990 to 2001 were reviewed. Results: A total of 119 articles reporting outcomes in 22,530 patients were analyzed. This included 42 RCTs and 77 retrospective series. Of the 10 criteria developed, no articles met all criteria; 2% met 9 criteria, 38% 7 or 8, 34% 5 or 6, 40% 3 or 4, and 12% 1 or 2. Outpatient information (22% of articles), definitions of complications provided (34% of articles), severity grade used (20% of articles), and risk factors included in analysis (29% of articles) were the most commonly unmet quality reporting criteria. Type of study (RCT vs. retrospective), site of institution (U.S. vs. non-U.S.) and journal (U.S. vs. non-U.S.) did not influence the quality of complication reporting. Conclusions: Short-term surgical outcomes are routinely included in the data reported in the surgical literature. This is often used to show improvements over time or to assess the impact of therapeutic changes on patient outcome. The inconsistency of reporting and the lack of accepted principles of accrual, display, and analysis of complication data argue strongly for the creation and generalized use of standards for reporting this information. |
| Keywords: | treatment outcome; conference paper; pancreas resection; research design; statistics; retrospective study; information processing; risk factor; risk assessment; outcome assessment (health care); postoperative complication; postoperative complications; disease severity; randomized controlled trials; medical record; pancreatectomy; esophagus resection; liver resection; surgical mortality; hepatectomy; esophagectomy; digestive system surgical procedures; documentation; journalism, medical; periodicals; humans; human; priority journal |
| Journal Title: | Annals of Surgery |
| Volume: | 235 |
| Issue: | 6 |
| ISSN: | 0003-4932 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2002-06-01 |
| Start Page: | 803 |
| End Page: | 813 |
| Language: | English |
| DOI: | 10.1097/00000658-200206000-00007 |
| PUBMED: | 12035036 |
| PROVIDER: | scopus |
| PMCID: | PMC1422509 |
| DOI/URL: | |
| Notes: | Presented at the 113th Annual Session of the Southern Surgical Association; 2001 Dec 3-5; Hot Springs, VA -- Export Date: 14 November 2014 -- Source: Scopus |
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