کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6253912 | 1612527 | 2014 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Association for Academic SurgeryValidation of the University HealthSystem Consortium administrative dataset: concordance and discordance with patient-level institutional data Association for Academic SurgeryValidation of the University HealthSystem Consortium administrative dataset: concordance and discordance with patient-level institutional data](/preview/png/6253912.png)
BackgroundThe University HealthSystem Consortium Clinical Database-Resource Manager (UHC CD-RM) is an administrative database increasingly queried for both research and administrative purposes, but it has not been comprehensively validated. To address this knowledge gap, we compared the UHC CD-RM with an institutional dataset to determine its validity and accuracy.Materials and methodsAge, gender, and date of operation were used to identify patients undergoing pancreaticoduodenectomy from 2009-2011 in both the UHC CD-RM and our institutional pancreatic surgery database. Patient- and intervention-specific variables including perioperative mortality, complications, length of stay, discharge disposition, and readmission were compared between datasets.ResultsA total of 107 UHC CD-RM and 105 institutional patients met inclusion criteria. In both datasets 103 matched cases were present. Between the 103 matched cases, there was concordance with respect to median age (PÂ =Â 0.87), gender (PÂ =Â 0.89), race (PÂ =Â 0.84), overall length of stay (PÂ =Â 0.46), discharge disposition (PÂ =Â 0.95), 30-d readmission rate (PÂ =Â 0.87), and 30-d mortality (PÂ =Â 0.70). Most comorbidities and complications were captured; however, several disease-specific complications were absent within the UHC CD-RM.ConclusionsMost of the clinically significant patient- and intervention-specific variables within the UHC CD-RM are reliably reported. With recognition of its limitations, the UHC CD-RM is a reliable surrogate for institutional medical records and should be considered a valuable research tool for health service researchers.
Journal: Journal of Surgical Research - Volume 190, Issue 2, August 2014, Pages 484-490