Eileen M Duggan1, Dan W Gates2, Jenny M Slayton2, Martin L Blakely3. 1. Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, TN 37232-2730, USA. Electronic address: Eileen.m.duggan@vanderbilt.edu. 2. Department of Performance Management and Improvement, Monroe Carrell, Jr. Children's Hospital, Vanderbilt University Medical Center, Nashville, TN 37232-2730, USA. 3. Department of Pediatric Surgery, Vanderbilt University Medical Center, Nashville, TN 37232-2730, USA.
Abstract
BACKGROUND/ PURPOSE: NSQIP Pediatric (NSQIP-P) is a robust quality improvement effort. A limitation of the NSQIP process lies in capturing a small proportion of the total case volume. This study examines whether appendectomies captured by NSQIP-P are concordant with all appendectomies, the most commonly captured procedure in 2011. METHODS: We compared case mix and 30-day outcomes between children undergoing an appendectomy who were included in NSQIP (n=80) and children not captured by NSQIP (n=276) during 2011 at a tertiary referral children's hospital. A single surgical case reviewer reviewed all cases using NSQIP-P methodology. RESULTS: NSQIP-P captured 80 of a total of 356 appendectomies (22%). The case mix was similar between NSQIP and non-NSQIP groups (e.g., 31% of each group had complicated appendicitis). Outcomes were also similar; post-operative occurrences, readmissions and return to the operation room occurred at rates of 7.5% vs. 7.6%, 5% vs. 4.7%, and 3.8% vs. 4.3% respectively. CONCLUSION: Although NSQIP-P captured a minority of the total patient population that had an appendectomy, the case mix and outcomes were similar. Our results offer reassurance that NSQIP-P data are representative of the larger population for this procedure. Whether this concordance exists for procedures less commonly performed is unknown and a focus of ongoing work.
BACKGROUND/ PURPOSE: NSQIP Pediatric (NSQIP-P) is a robust quality improvement effort. A limitation of the NSQIP process lies in capturing a small proportion of the total case volume. This study examines whether appendectomies captured by NSQIP-P are concordant with all appendectomies, the most commonly captured procedure in 2011. METHODS: We compared case mix and 30-day outcomes between children undergoing an appendectomy who were included in NSQIP (n=80) and children not captured by NSQIP (n=276) during 2011 at a tertiary referral children's hospital. A single surgical case reviewer reviewed all cases using NSQIP-P methodology. RESULTS: NSQIP-P captured 80 of a total of 356 appendectomies (22%). The case mix was similar between NSQIP and non-NSQIP groups (e.g., 31% of each group had complicated appendicitis). Outcomes were also similar; post-operative occurrences, readmissions and return to the operation room occurred at rates of 7.5% vs. 7.6%, 5% vs. 4.7%, and 3.8% vs. 4.3% respectively. CONCLUSION: Although NSQIP-P captured a minority of the total patient population that had an appendectomy, the case mix and outcomes were similar. Our results offer reassurance that NSQIP-P data are representative of the larger population for this procedure. Whether this concordance exists for procedures less commonly performed is unknown and a focus of ongoing work.
Authors: Sara Malone; Virginia R McKay; Christina Krucylak; Byron J Powell; Jingxia Liu; Cindy Terrill; Jacqueline M Saito; Shawn J Rangel; Jason G Newland Journal: Implement Sci Date: 2021-03-19 Impact factor: 7.327