Interrater Reliability of Hospital Readmission Evaluations for Surgical Patients

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Amber W TrickeyJohn J Moynihan

Abstract

Value-based purchasing initiatives have helped shift attention to the accuracy of hospital readmission information at the most clinically detailed level. The purpose of this study was to determine the interrater reliability (IRR) of surgical experts in assessing surgical inpatient readmissions for categorical causes, relation to index procedure, and potential preventability. Cases were selected from the American College of Surgeons National Surgical Quality Improvement Program local database. Of 1840 cases, 156 patients (8.5%) were readmitted within 30 days of the procedure. Surgical site infection was the most common readmission cause (32%), followed by obstruction or ileus (17%). IRR was moderate for readmission cause (60% agreement, κ = 0.51), substantial for readmission in relation to surgical procedure (92%, κ = 0.70), and lowest for potential preventability of readmissions (57%, κ = 0.18). Results suggest that readmission cause and relation to surgical procedure can be determined with moderate to high degree of IRR, while preventability of readmissions may require stricter definitions to improve IRR.

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Citations

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Jun 12, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Alex GuPeter K Sculco
Aug 10, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Aaron Z ChenPeter K Sculco
Apr 20, 2019·Orthopaedic Journal of Sports Medicine·Avinesh AgarwallaBrian Forsythe
Oct 14, 2020·The Spine Journal : Official Journal of the North American Spine Society·Venkat BoddapatiK Daniel Riew
Oct 6, 2020·The Journal of Arthroplasty·Michael B HeldJeffrey A Geller
Mar 1, 2021·The Journal of Arthroplasty·Venkat BoddapatiJeffrey A Geller
Dec 23, 2020·The Journal of Arthroplasty·Theodore QuanSavyasachi C Thakkar
Jun 30, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Theodore QuanJonathan Pribaz
Oct 28, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Tom G PollardJames DeBritz
Jan 16, 2022·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Tom G PollardJames DeBritz

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Methods Mentioned

BETA
hysterectomy

Software Mentioned

Stata
SE

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