Development and assessment of Memorial Sloan Kettering Cancer Center’s Surgical Secondary Events grading system Journal Article


Authors: Strong, V. E.; Selby, L. V.; Sovel, M.; Disa, J. J.; Hoskins, W.; DeMatteo, R.; Scardino, P.; Jaques, D. P.
Article Title: Development and assessment of Memorial Sloan Kettering Cancer Center’s Surgical Secondary Events grading system
Abstract: Background: Studying surgical secondary events is an evolving effort with no current established system for database design, standard reporting, or definitions. Using the Clavien–Dindo classification as a guide, in 2001 we developed a Surgical Secondary Events database based on grade of event and required intervention to begin prospectively recording and analyzing all surgical secondary events (SSE). Methods: Events are prospectively entered into the database by attending surgeons, house staff, and research staff. In 2008 we performed a blinded external audit of 1,498 operations that were randomly selected to examine the quality and reliability of the data. Results: Of 4,284 operations, 1,498 were audited during the third quarter of 2008. Of these operations, 79 % (N = 1,180) did not have a secondary event while 21 % (N = 318) had an identified event; 91 % of operations (1,365) were correctly entered into the SSE database. Also 97 % (129 of 133) of missed secondary events were grades I and II. There were 3 grade III (2 %) and 1 grade IV (1 %) secondary event that were missed. There were no missed grade 5 secondary events. Conclusions: Grade III–IV events are more accurately collected than grade I–II events. Robust and accurate secondary events data can be collected by clinicians and research staff, and these data can safely be used for quality improvement projects and research. © 2014, Society of Surgical Oncology.
Journal Title: Annals of Surgical Oncology
Volume: 22
Issue: 4
ISSN: 1068-9265
Publisher: Springer  
Date Published: 2015-04-01
Start Page: 1061
End Page: 1067
Language: English
DOI: 10.1245/s10434-014-4141-4
PROVIDER: scopus
PUBMED: 25319579
PMCID: PMC4668930
DOI/URL:
Notes: Export Date: 4 May 2015 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. William Hoskins
    255 Hoskins
  2. Joseph Disa
    266 Disa
  3. Ronald P DeMatteo
    637 DeMatteo
  4. Peter T Scardino
    671 Scardino
  5. Vivian Strong
    268 Strong
  6. Mindy Sovel
    5 Sovel
  7. Luke   Selby
    21 Selby