Accuracy of administrative and clinical registry data in reporting postoperative complications after surgery for oral cavity squamous cell carcinoma Journal Article
| Authors: | Awad, M. I.; Shuman, A. G.; Montero, P. H.; Palmer, F. L.; Shah, J. P.; Patel, S. G. |
| Article Title: | Accuracy of administrative and clinical registry data in reporting postoperative complications after surgery for oral cavity squamous cell carcinoma |
| Abstract: | Background The purpose of this study was to describe and compare how postoperative complications after oral cavity squamous cell carcinoma (SCC) surgery are reported in medical records, institutional billing claims, and national clinical registries. Methods The medical records of 355 previously untreated patients who underwent surgery for oral cavity SCC at our institution were retrospectively reviewed for postoperative complications. Information was compared with claims and National Surgical Quality Improvement Program (NSQIP) data. Results We identified 219 patients (62%) experiencing 544 complications (10% major). Billing claims identified 29% of these patients, 36% of overall complications, and 98% of major complications. Of overlapping patients, NSQIP identified 27% of patients, 33% of overall complications, and 100% of major complications noted on chart abstraction. Conclusion The incidence of minor postoperative complications after oral cavity SCC surgery is relatively high. Both claims data and NSQIP accurately recorded major complications, but were suboptimal compared to chart abstraction in capturing minor complications. © 2014 Wiley Periodicals, Inc. |
| Keywords: | adult; aged; cancer surgery; major clinical study; paresthesia; neck dissection; postoperative period; fistula; gastrointestinal hemorrhage; anemia; neuropathy; thrombocytopenia; dehydration; delirium; extrapyramidal symptom; deep vein thrombosis; retrospective study; hematuria; fever; pneumonia; rash; hypoxia; lung embolism; postoperative complication; postoperative complications; blood transfusion reaction; graft failure; head and neck cancer; total quality management; heart infarction; medical record; surgical infection; urinary tract infection; compartment syndrome; nausea and vomiting; nerve injury; surgical mortality; cancer registry; perioperative period; clostridium difficile infection; heart arrhythmia; malnutrition; blood clotting disorder; postoperative hemorrhage; free tissue graft; hematoma; seroma; catheter infection; epistaxis; atrial fibrillation; wound dehiscence; cranial nerve paralysis; tracheostomy; cholecystitis; congestive heart failure; trismus; supraventricular tachycardia; gastrostomy; cerebrovascular accident; cholestasis; eye irritation; respiratory failure; venous thromboembolism; cellulitis; billing and claims; jejunostomy; hoarseness; temporomandibular joint disorder; postoperative thrombosis; lung complication; pulmonary hypertension; abscess; catheter complication; foreign body; mouth squamous cell carcinoma; sialoadenitis; lung edema; stridor; acute coronary syndrome; bone resection; quality; ectropion; quadriplegia; upper gastrointestinal bleeding; subcutaneous emphysema; faintness; human; male; female; priority journal; article; decubitus; international classification of disease 9th edition (icd)-9 codes; national surgical quality improvement program (nsqip); delirium tremens; joint dislocation; paroxysmal atrial fibrillation; paroxysmal tachycardia; tinea cruris |
| Journal Title: | Head & Neck |
| Volume: | 37 |
| Issue: | 6 |
| ISSN: | 1043-3074 |
| Publisher: | John Wiley & Sons, Inc. |
| Date Published: | 2015-06-01 |
| Start Page: | 851 |
| End Page: | 861 |
| Language: | English |
| DOI: | 10.1002/hed.23682 |
| PROVIDER: | scopus |
| PUBMED: | 24623622 |
| PMCID: | PMC4976499 |
| DOI/URL: | |
| Notes: | Export Date: 2 July 2015 -- Source: Scopus |
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