Literature DB >> 12660647

Comparison of information obtained by operative note abstraction with that recorded on a standardized data collection form.

Roberta Scherer1, Qi Zhu, Patricia Langenberg, Steven Feldon, Shalom Kelman, Kay Dickersin.   

Abstract

BACKGROUND: The Ischemic Optic Neuropathy Decompression Trial compared optic nerve decompression surgery with careful follow-up for treatment of patients with nonarteritic ischemic optic neuropathy. Surgeons submitted a standardized data collection form and operative notes for 123 patients randomized to and undergoing surgery. The purpose of this study was to see whether operative notes have sufficient and reliable data to avoid development of a surgery data collection form in future trials.
METHODS: We abstracted data from Ischemic Optic Neuropathy Decompression Trial patient operative notes, calculated the proportion of completed responses, and compared abstracted responses with those originally recorded on corresponding case report forms.
RESULTS: Variables used to identify persons, dates, or eye (left/right) were reported 100% of the time on operative notes and with excellent agreement with those recorded on the case report form (median agreement, 100%; range, 95% to 100%). Categoric variables, used to establish the characteristics of surgical steps, were also reported reliably on operative notes (median agreement, 84%; range, 0 to 100%). Open-ended variables tended to be reported more frequently on operative notes (exact agreement, 57% and 34%, respectively, for complications and postoperative medications). Quantitative variables were infrequently reported but correlated well with values reported on the data collection forms (Pearson correlation coefficients, 0.78, 0.79, 0.94, 0.96). For many variables, disagreements were minor and often were related to interpretation of the operative notes by the abstractor.
CONCLUSION: In our trial, operative note abstraction adequately documented surgery date and surgeon and provided more complete information than the standardized report form with respect to complications but did not provide complete information for other variables.

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Year:  2003        PMID: 12660647     DOI: 10.1067/msy.2003.74

Source DB:  PubMed          Journal:  Surgery        ISSN: 0039-6060            Impact factor:   3.982


  7 in total

1.  A smart decision: smartphone use for operative data collection in arthroscopic shoulder instability surgery.

Authors:  Jill Mohr; Gregory J Strnad; Lutul Farrow; Kate Heinlein; Carolyn M Hettrich; Morgan H Jones; Anthony Miniaci; Eric Ricchetti; James Rosneck; Mark Schickendantz; Paul Saluan; Jose F Vega; Kurt P Spindler
Journal:  J Am Med Inform Assoc       Date:  2019-10-01       Impact factor: 4.497

2.  Smartphone Data Capture Efficiently Augments Dictation for Knee Arthroscopic Surgery.

Authors:  Joseph Featherall; Sameer R Oak; Gregory J Strnad; Lutul D Farrow; Morgan H Jones; Anthony A Miniaci; Richard D Parker; James T Rosneck; Paul M Saluan; Kurt P Spindler
Journal:  J Am Acad Orthop Surg       Date:  2019-07-22       Impact factor: 3.020

3.  Improving the Standard of Operative Notes within an Oral and Maxillofacial Surgery Department, using an Operative Note Proforma.

Authors:  Karl Payne; Keith Jones; Andrew Dickenson
Journal:  J Maxillofac Oral Surg       Date:  2011-05-06

4.  Effectiveness of a Web-Based Electronic Prospective Data Collection Tool for Surgical Data in Shoulder Arthroplasty.

Authors:  Sambit Sahoo; José A Rodríguez; Matthew Serna; Kurt P Spindler; Kathleen A Derwin; Joseph P Iannotti; Eric T Ricchetti
Journal:  Semin Arthroplasty       Date:  2021-02-13

5.  Validity and efficiency of a smartphone-based electronic data collection tool for operative data in rotator cuff repair.

Authors:  Sambit Sahoo; Jill Mohr; Gregory J Strnad; Jose Vega; Morgan Jones; Mark S Schickendantz; Lutul Farrow; Kurt P Spindler; Joseph P Iannotti; Eric T Ricchetti; Kathleen A Derwin
Journal:  J Shoulder Elbow Surg       Date:  2019-05-02       Impact factor: 3.019

6.  Differences between attendings' and residents' operative notes for laparoscopic cholecystectomy.

Authors:  Linda S G L Wauben; Richard H M Goossens; Johan F Lange
Journal:  World J Surg       Date:  2013-08       Impact factor: 3.352

7.  Smartphone Data Capture Efficiently Augments Dictation for Knee Arthroscopic Surgery.

Authors:  Joseph Featherall; Sameer R Oak; Gregory J Strnad; Lutul D Farrow; Morgan H Jones; Anthony A Miniaci; Richard D Parker; James T Rosneck; Paul M Saluan; Kurt P Spindler
Journal:  J Am Acad Orthop Surg       Date:  2020-02-01       Impact factor: 3.020

  7 in total

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