Surg Innov. 2006 Dec;13(4):274-9.

Classifying cause of death after cancer surgery.

Waljee JF, Windisch S, Finks JF, Wong SL, Birkmeyer JD.

Source

Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA. filip@med.umich.edu

Abstract

A retrospective, single-center study was conducted to understand variation in mortality after elective cancer surgery. Fifty-two patients who died perioperatively after elective cancer resections (colon, esophageal, pancreatic, lung, gastric and liver) were identified. A methodology was developed and used during medical record review to capture the occurrence and chronology of 21 postoperative complications. Data were reviewed by 3 attending surgeons who assigned cause of death based on information from the entire clinical record. This methodology demonstrated good construct validity, with 81% agreement between cause of death assigned by expert review of data from the instrument and that assigned by expert review of the clinical records (kappa = 0.75, P < .005). Cause-specific mortality can be reliably and systematically measured after cancer surgery. Understanding variation in cause-specific mortality can inform future quality improvement efforts.

PMID:: 17227926; [PubMed - indexed for MEDLINE]

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1 R01 CA098481-01A1/CA/NCI NIH HHS/United States

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