Evidence map›Paper›PMID 42498458›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Data matter: the creation of an acute care surgery registry.

Laura Allen, Shane Smith, Muriel Brackstone, Daryl Gray, Brad Moffat, Rich Hilsden, Ken Leslie, Theo Wigle, Shakeel Rashid, Fatima Nadeem and 2 more

Abstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Laura AllenFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem).
Shane SmithFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem).
Muriel BrackstoneFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem).
Daryl GrayFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem).
Brad MoffatFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem).
Rich HilsdenFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem).
Ken LeslieFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem).
Theo WigleFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem).
Shakeel RashidFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem).
Fatima NadeemFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem).
Neil ParryFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem).
Kelly VogtFrom the London Health Sciences Centre, London, Ont. (Allen, Smith, Brackstone, Gray, Moffat, Hilsden, Leslie, Wigle, Parry, Vogt); the Schulich School of Medicine and Dentistry, Western University, London, Ont. (Rashid, Nadeem). kelly.vogt@lhsc.on.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients presenting to hospital with emergency general surgery (EGS) conditions such as appendicitis, biliary disease, and hernias represent 11% of hospital admissions in Canada. This study evaluated the establishment of a local registry of EGS patients by auditing the accuracy of data abstracted from administrative records compared with manual chart review.

methodsPatients admitted to and consulted by the Acute Care Surgery (ACS) service at London Health Sciences Centre during a 1-year period were entered into a prospective registry. Data on demographics, comorbidities, imaging, diagnosis, treatment, and outcomes were collected from both manual chart review of patient electronic health records and routinely collected administrative data. Accuracy of data from administrative sources compared with those from manual chart review was audited for a 6-month period. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated for comorbidities, imaging, and complications to determine which variables can be accurately collected using administrative data.

resultsA total of 2159 patients were included in the analysis. Overall accuracy was good for most comorbidities, ranging from 83.8% to 100%; however, sensitivity, specificity, NPV, and PPV ranged drastically, suggesting that data on some comorbidities may not be accurately collected through health records. Imaging procedures were consistent between the 2 data collection methods, with good overall accuracy of 97.6%. For assessed complications, accuracy was excellent overall, with an average accuracy of 99.6% (range 98.3% to 100%).

conclusionThis study shows that a substantial portion of data necessary for an ACS registry can be reliably extracted from routinely collected administrative data.

Indexed as

Acute Care SurgeryRegistriesAdultAgedElectronic Health RecordsFemaleHumansMaleMiddle AgedProspective StudiesSensitivity and Specificity

Identifiers

PMID42498458
PMCPMC13426718

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.