Comparison of Clinical and Claims Data

Overview

Featured Article


Lawson EH, Louie R, Zingmond DS, et al. A comparison of clinical registry versus administrative claims data for reporting of 30-day surgical complications. Ann Surg 2012;256:973-981

Expert Reviews


Methodological Reviewer: Lillian Kao MD, MS, FACS, Department of Surgery, University of Texas HSC of Houston
Clinical Reviewer: Geoff Porter MD, FRCSC, FACS, Department of Surgery, Dalhousie University
Clinical Reviewer: Justin B. Dimick, MD, MPH, Department of Surgery, University of Michigan

Supplementary Articles


Iezzoni LI. Assessing quality using administrative data. Ann Int Med 1997;127:666-674

Reference articles on NSQIP: Khuri SF. The NSQIP: A new frontier in surgery. Surg 2005;135:837-843

Khuri SF, Daley J, Henderson W, et al. The Department of Veteran Affairs’ NSQIP. The first national validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. Ann Surg 1998;228(4):491-507

Questions


Please read the provided articles and be prepared to discuss the following:

  1. What is the clinical question being addressed?
  2. What is the study design? Is it appropriate?
  3. What is the rationale for the study?
  4. What are the sources of data?
  5. Are the data accurate and valid?
  6. What outcomes were considered?
  7. How large and precise was the difference in the outcome?
  8. Are there any factors (confounders) that might explain the difference in the results?
  9. State the conclusion. Have the authors addressed the clinical question posed?
  10. Does the evidence support the conclusion?