[Evaluation of data on surgical complications after cholecystectomy submitted to a nationwide quality assurance program (BQS) in Germany].

Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
J JakobP Kienle

Abstract

The BQS is a nationwide quality assurance program in Germany. The aim was to evaluate the data quality on intra-operative and postoperative complications for cholecystectomy submitted to the BQS. For 205 patients who underwent cholecystectomy in 2007 complications were retrospectively evaluated and compared with those documented in the BQS database. Additionally the risk factors for complications were documented. A total of 205 patients were included in the study. In 88% of patients the operations were initiated as laparoscopy and the conversion rate was 8.3%. Of the patients 28 suffered from intra-operative or postoperative complications. There were no injuries to the ductus hepatocholedochus (DHC). The most common operation-specific complications were disorders in wound healing (n=7). Multivariate analyses resulted in significant increases in complication rates for ASA status (Odds ratio 3.29, 95% confidence interval 2.12-5.10, p<0.01) and acute cholecystitis (odds ratio 7.71, 9% confidence interval 2.96-20.08, p<0.01). Only 13 patients out of 28 were correctly documented in the BQS database (p<0.01). Sensitivity and specificity for complications were 46 and 98%, respectively. Less than half of all cases were correctly docume...Continue Reading

References

Dec 8, 2005·Surgical Endoscopy·V VelanovichUNKNOWN SAGES Outcomes Committee
Aug 21, 2007·Surgical Endoscopy·Giuseppe BorzellinoClaudio Cordiano
Sep 25, 2007·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·P Schräder, V Ewerbeck

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Citations

Nov 16, 2010·Der Unfallchirurg·T Kostuj, R Smektala
Apr 18, 2016·Journal of Hepatology·UNKNOWN European Association for the Study of the Liver (EASL). Electronic address: easloffice@easloffice.eu
Dec 14, 2018·Journal for Labour Market Research·Farzana Munir, Rudolf Winter-Ebmer

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