关键词: AE, adverse event CATS, Canadian Association of Thoracic Surgeons Clavien–Dindo model ECCG, Esophagectomy Complications Consensus Group ESTS, European Society of Thoracic Surgeons NSQIP, National Surgical Quality Improvement Program STS, Society of Thoracic Surgeons TM&M, Thoracic Morbidity and Mortality adverse event monitoring harmonization thoracic surgery AE, adverse event CATS, Canadian Association of Thoracic Surgeons Clavien–Dindo model ECCG, Esophagectomy Complications Consensus Group ESTS, European Society of Thoracic Surgeons NSQIP, National Surgical Quality Improvement Program STS, Society of Thoracic Surgeons TM&M, Thoracic Morbidity and Mortality adverse event monitoring harmonization thoracic surgery

来  源:   DOI:10.1016/j.xjon.2021.03.021   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
UNASSIGNED: Thoracic surgery carries significant risk of postoperative adverse events (AEs). Multiple international recording systems are used to define and collect AEs following thoracic surgery procedures. We hypothesized that a simple-yet-ubiquitous approach to AE documentation could be developed to allow universal data entry into separate international databases.
UNASSIGNED: AE definitions of the Canadian Association of Thoracic Surgeons (CATS) system and 4 international databases were matched and compared. This consisted of reviewing the definition of each AE as described by their respective database and assessing compatibility with the CATS system. We developed a single set of 4 drop-down menus to enable clear classification and facilitated data entry, using 3 single-select mandatory lists and 1 multiselect optional list classifying type and severity of these events.
UNASSIGNED: The CATS data elements were harmonized (ie, perfect or good) with 100% (European Society of Thoracic Surgeons), 89% (Society of Thoracic Surgeons), 74% (Esophagectomy Complications Consensus Group), and 73% (National Surgical Quality Improvement Program) of respective data elements. The addition of 17 AEs and 2 complication modifiers to the CATS system was implemented to achieve complete harmonization. Consequently, 100% of AE data elements currently included in all 4 international databases are perfectly or well-harmonized with the revised 4-choice drop down menu.
UNASSIGNED: We describe a framework for a ubiquitously applicable approach to AE monitoring following thoracic surgery harmonized with AE definitions of all major thoracic international associations. Use of this AE collection framework allows for comprehensive evaluation of both the incidence and severity of all AEs after thoracic surgery along with quality indicators.
摘要:
未经证实:胸外科手术存在术后不良事件(AE)的显著风险。多个国际记录系统用于定义和收集胸外科手术后的AE。我们假设可以开发一种简单而无处不在的AE文档方法,以允许将通用数据输入到单独的国际数据库中。
UNASSIGNED:对加拿大胸外科医师协会(CATS)系统和4个国际数据库的AE定义进行了匹配和比较。这包括审查各自数据库描述的每个AE的定义,并评估与CATS系统的兼容性。我们开发了一套4个下拉菜单,以实现清晰的分类和便捷的数据输入,使用3个单选强制列表和1个多选可选列表对这些事件的类型和严重性进行分类。
未经评估:对CATS数据元素进行了协调(即,完美或良好)100%(欧洲胸外科医师学会),89%(胸外科医师协会),74%(食管切除术并发症共识组),和73%(国家手术质量改进计划)的相应数据元素。在CATS系统中添加了17个AE和2个并发症修饰符,以实现完全协调。因此,目前所有4个国际数据库中包含的100%的AE数据元素与修订后的4-choice下拉菜单完美或协调良好。
UNASSIGNED:我们描述了一个框架,该框架适用于胸部手术后的AE监测,并与所有主要的胸部国际协会的AE定义相协调。使用此AE收集框架可以全面评估胸部手术后所有AE的发生率和严重程度以及质量指标。
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