Learning the hard way: the importance of accurate data

Aim The outcome of surgery for colorectal cancer in each unit in the UK is collated by the National Bowel Cancer Audit Project (NBOCAP). In 2008–2009 our unit had a raw 30‐day postoperative mortality close to the national average, but when it was nationally adjusted it appeared to be an outlier. Th...

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Veröffentlicht in:	Colorectal disease 2012-08, Vol.14 (8), p.1015-1018
Hauptverfasser:	Lewis, R. S., Graham, D. G., Watson, J. D., Lunniss, P. J.
Format:	Artikel
Sprache:	eng
Schlagworte:	audit Colorectal cancer Colorectal Neoplasms - mortality Colorectal Neoplasms - surgery Hospital Mortality Humans Outcome and Process Assessment (Health Care) outcomes United Kingdom - epidemiology
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container_end_page	1018
container_issue	8
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container_title	Colorectal disease
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creator	Lewis, R. S. Graham, D. G. Watson, J. D. Lunniss, P. J.
description	Aim The outcome of surgery for colorectal cancer in each unit in the UK is collated by the National Bowel Cancer Audit Project (NBOCAP). In 2008–2009 our unit had a raw 30‐day postoperative mortality close to the national average, but when it was nationally adjusted it appeared to be an outlier. The purpose of this study was to identify reasons for this disparity. Method All records were obtained for patients undergoing surgery for colorectal cancer over the 2 years. Data submitted to NBOCAP to determine adjusted rates were compared with actual data. Results There were major discordances between submitted and actual data for American Society of Anesthesiology grades and timing of surgery. This explained why the unit appeared to be an outlier. Conclusion There is increasing emphasis on outcome of health service delivery, which has important implications. Submission of correct data is essential if objective comparison is to be made on which to base decisions on service delivery among units and within health regions.
doi_str_mv	10.1111/j.1463-1318.2012.02981.x
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S. ; Graham, D. G. ; Watson, J. D. ; Lunniss, P. J.</creator><creatorcontrib>Lewis, R. S. ; Graham, D. G. ; Watson, J. D. ; Lunniss, P. J.</creatorcontrib><description>Aim The outcome of surgery for colorectal cancer in each unit in the UK is collated by the National Bowel Cancer Audit Project (NBOCAP). In 2008–2009 our unit had a raw 30‐day postoperative mortality close to the national average, but when it was nationally adjusted it appeared to be an outlier. The purpose of this study was to identify reasons for this disparity. Method All records were obtained for patients undergoing surgery for colorectal cancer over the 2 years. Data submitted to NBOCAP to determine adjusted rates were compared with actual data. Results There were major discordances between submitted and actual data for American Society of Anesthesiology grades and timing of surgery. This explained why the unit appeared to be an outlier. Conclusion There is increasing emphasis on outcome of health service delivery, which has important implications. Submission of correct data is essential if objective comparison is to be made on which to base decisions on service delivery among units and within health regions.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/j.1463-1318.2012.02981.x</identifier><identifier>PMID: 22329923</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>audit ; Colorectal cancer ; Colorectal Neoplasms - mortality ; Colorectal Neoplasms - surgery ; Hospital Mortality ; Humans ; Outcome and Process Assessment (Health Care) ; outcomes ; United Kingdom - epidemiology</subject><ispartof>Colorectal disease, 2012-08, Vol.14 (8), p.1015-1018</ispartof><rights>2012 The Authors. Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland</rights><rights>2012 The Authors. 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S.</creator><creator>Graham, D. G.</creator><creator>Watson, J. D.</creator><creator>Lunniss, P. J.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201208</creationdate><title>Learning the hard way: the importance of accurate data</title><author>Lewis, R. S. ; Graham, D. G. ; Watson, J. D. ; Lunniss, P. 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Results There were major discordances between submitted and actual data for American Society of Anesthesiology grades and timing of surgery. This explained why the unit appeared to be an outlier. Conclusion There is increasing emphasis on outcome of health service delivery, which has important implications. Submission of correct data is essential if objective comparison is to be made on which to base decisions on service delivery among units and within health regions.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22329923</pmid><doi>10.1111/j.1463-1318.2012.02981.x</doi><tpages>4</tpages></addata></record>
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subjects	audit Colorectal cancer Colorectal Neoplasms - mortality Colorectal Neoplasms - surgery Hospital Mortality Humans Outcome and Process Assessment (Health Care) outcomes United Kingdom - epidemiology
title	Learning the hard way: the importance of accurate data
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