E-Posters-10228

10228_Hill

Pdf Summary

This study aimed to determine the accuracy of reporting perioperative complications for sub-urethral slings using administrative data compared to manual chart review. The study found that the administrative reporting method had a sensitivity of 4.6% and a specificity of 98.3% for correctly identifying complications. The study also found no conclusive associations between perioperative complications and various clinical or demographic variables such as ASA class, age, operative time, type of sling, concomitant surgery, or prior GYN surgery. The study was limited to synthetic and autologous slings in the sub-specialty practice of urogynecology and female urology. <br /><br />The study compared two methods: a manual chart review and a computer-generated administrative data query. The manual chart review involved 82 person-hours and used a keyword search for complications, while the administrative data query used the same list of complications. The study found that complications were underreported with the administrative reporting method compared to the manual chart review. <br /><br />The table provided showed the distribution of complications in women undergoing sub-urethral sling surgeries. The complications included urinary retention, infection, accidental puncture/laceration of an organ, hematoma, 30-day readmission, hemorrhage, and death. The manual chart review identified a higher fraction and percentage of complications compared to the administrative method for all categories. <br /><br />Overall, this study suggests that the current method of determining perioperative complications using administrative data may lead to underreporting. The findings may provide guidance when choosing a method for identifying and tracking perioperative complications.

Keywords

perioperative complications

sub-urethral slings

administrative data

manual chart review

accuracy

sensitivity

specificity

clinical variables

demographic variables

urogynecology