| Sign In to gain access to subscriptions and/or personal tools. |
Classifying Cause of Death After Cancer SurgeryDepartment of Surgery, University of Michigan, Ann Arbor, Michigan; 6312 Medical Sciences Building I, 1150 W. Medical Center Dr, Ann Arbor, MI 48109; filip{at}med.umich.edu
Department of Surgery, University of Michigan, Ann Arbor, Michigan
A retrospective, single-center study was conducted to understand variation in mortality after elective cancer surgery. Fifty-two patients who died perioperatively after elective cancer resections (colon, esophageal, pancreatic, lung, gastric and liver) were identified. A methodology was developed and used during medical record review to capture the occurrence and chronology of 21 postoperative complications. Data were reviewed by 3 attending surgeons who assigned cause of death based on information from the entire clinical record. This methodology demonstrated good construct validity, with 81% agreement between cause of death assigned by expert review of data from the instrument and that assigned by expert review of the clinical records (
Key Words: mortality • surgery • cancer • outcomes
Surgical Innovation, Vol. 13, No. 4,
274-279 (2006) |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 |
|
|
 |
Sign In to gain access to subscriptions and/or personal tools.
= 0.75, P < .005). Cause-specific mortality can be reliably and systematically measured after cancer surgery. Understanding variation in cause-specific mortality can inform future quality improvement efforts.