Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries
Background The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An example for the use of routine data on a large scope is the investigation of surgical site in...
Ausführliche Beschreibung
Autor*in: |
Mellinghoff, Sibylle C. [verfasserIn] |
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E-Artikel |
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Englisch |
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2022 |
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© The Author(s) 2022 |
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Übergeordnetes Werk: |
Enthalten in: BMC medical research methodology - London : BioMed Central, 2001, 22(2022), 1 vom: 12. Aug. |
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Übergeordnetes Werk: |
volume:22 ; year:2022 ; number:1 ; day:12 ; month:08 |
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DOI / URN: |
10.1186/s12874-022-01702-w |
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SPR050920022 |
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520 | |a Background The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An example for the use of routine data on a large scope is the investigation of surgical site infections (SSI). Ongoing surveillance programs evaluate the incidence of SSI on a national or regional basis in a limited number of procedures. For example, analyses by the European Centre for Disease Prevention (ECDC) nine procedures and provides a mapping table for two coding systems (ICD9, National Healthcare Safety Network [NHSN]). However, indicator procedures do not reliably depict overall SSI epidemiology. Thus, a broader analysis of all surgical procedures is desirable. The need for manual translation of country specific procedures codes, however, impedes the use of routine data for such an analysis on an international level. This project aimed to create an international surgical procedure coding systems allowing for automatic translation and categorization of procedures documented in country-specific codes. Methods We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were grouped in ever more categories until each group represented a coherent unit based on method of surgery, interventions performed, extent and site of the surgical procedure. Next two ID specialist (arbitrated by a third in case of disagreement) independently assigned country-specific codes to the resulting categories. Finally, specialist from each surgical discipline reviewed these assignments for their respective field. Results A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%) procedure codes from the SALT coding system were classified as orthopaedic and trauma surgeries, thus this medical field represents the most diverse group within the SALT coding system, followed by abdominal surgical procedures with 2390 (15%) procedure codes. Conclusion Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity to harmonize big data sets containing surgical procedures from international centres, and may simplify comparability of future international trial findings. Trial registration The study was registered at clinicaltrials.gov under NCT03353532 on November $ 27^{th} $, 2017. | ||
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700 | 1 | |a Cornely, Florian B. |4 aut | |
700 | 1 | |a Grosheva, Maria |4 aut | |
700 | 1 | |a Hampl, Jürgen A. |4 aut | |
700 | 1 | |a Jakob, Carolin |4 aut | |
700 | 1 | |a Koehler, Felix C. |4 aut | |
700 | 1 | |a Lechmann, Max |4 aut | |
700 | 1 | |a Maged, Bijan |4 aut | |
700 | 1 | |a Otto-Lambertz, Christina |4 aut | |
700 | 1 | |a Rongisch, Robert |4 aut | |
700 | 1 | |a Rutz, Jule |4 aut | |
700 | 1 | |a Salmanton-Garcia, Jon |4 aut | |
700 | 1 | |a Schlachtenberger, Georg |4 aut | |
700 | 1 | |a Stemler, Jannik |4 aut | |
700 | 1 | |a Vehreschild, Janne |4 aut | |
700 | 1 | |a Wülfing, Sophia |4 aut | |
700 | 1 | |a Cornely, Oliver A. |4 aut | |
700 | 1 | |a Liss, Blasius J. |4 aut | |
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10.1186/s12874-022-01702-w doi (DE-627)SPR050920022 (SPR)s12874-022-01702-w-e DE-627 ger DE-627 rakwb eng Mellinghoff, Sibylle C. verfasserin (orcid)0000-0003-3928-2503 aut Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An example for the use of routine data on a large scope is the investigation of surgical site infections (SSI). Ongoing surveillance programs evaluate the incidence of SSI on a national or regional basis in a limited number of procedures. For example, analyses by the European Centre for Disease Prevention (ECDC) nine procedures and provides a mapping table for two coding systems (ICD9, National Healthcare Safety Network [NHSN]). However, indicator procedures do not reliably depict overall SSI epidemiology. Thus, a broader analysis of all surgical procedures is desirable. The need for manual translation of country specific procedures codes, however, impedes the use of routine data for such an analysis on an international level. This project aimed to create an international surgical procedure coding systems allowing for automatic translation and categorization of procedures documented in country-specific codes. Methods We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were grouped in ever more categories until each group represented a coherent unit based on method of surgery, interventions performed, extent and site of the surgical procedure. Next two ID specialist (arbitrated by a third in case of disagreement) independently assigned country-specific codes to the resulting categories. Finally, specialist from each surgical discipline reviewed these assignments for their respective field. Results A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%) procedure codes from the SALT coding system were classified as orthopaedic and trauma surgeries, thus this medical field represents the most diverse group within the SALT coding system, followed by abdominal surgical procedures with 2390 (15%) procedure codes. Conclusion Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity to harmonize big data sets containing surgical procedures from international centres, and may simplify comparability of future international trial findings. Trial registration The study was registered at clinicaltrials.gov under NCT03353532 on November $ 27^{th} $, 2017. International procedure code (dpeaa)DE-He213 Surgical procedure (dpeaa)DE-He213 Bruns, Caroline aut Al-Monajjed, Rouvier aut Cornely, Florian B. aut Grosheva, Maria aut Hampl, Jürgen A. aut Jakob, Carolin aut Koehler, Felix C. aut Lechmann, Max aut Maged, Bijan aut Otto-Lambertz, Christina aut Rongisch, Robert aut Rutz, Jule aut Salmanton-Garcia, Jon aut Schlachtenberger, Georg aut Stemler, Jannik aut Vehreschild, Janne aut Wülfing, Sophia aut Cornely, Oliver A. aut Liss, Blasius J. aut Enthalten in BMC medical research methodology London : BioMed Central, 2001 22(2022), 1 vom: 12. Aug. (DE-627)326643818 (DE-600)2041362-2 1471-2288 nnns volume:22 year:2022 number:1 day:12 month:08 https://dx.doi.org/10.1186/s12874-022-01702-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 12 08 |
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10.1186/s12874-022-01702-w doi (DE-627)SPR050920022 (SPR)s12874-022-01702-w-e DE-627 ger DE-627 rakwb eng Mellinghoff, Sibylle C. verfasserin (orcid)0000-0003-3928-2503 aut Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An example for the use of routine data on a large scope is the investigation of surgical site infections (SSI). Ongoing surveillance programs evaluate the incidence of SSI on a national or regional basis in a limited number of procedures. For example, analyses by the European Centre for Disease Prevention (ECDC) nine procedures and provides a mapping table for two coding systems (ICD9, National Healthcare Safety Network [NHSN]). However, indicator procedures do not reliably depict overall SSI epidemiology. Thus, a broader analysis of all surgical procedures is desirable. The need for manual translation of country specific procedures codes, however, impedes the use of routine data for such an analysis on an international level. This project aimed to create an international surgical procedure coding systems allowing for automatic translation and categorization of procedures documented in country-specific codes. Methods We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were grouped in ever more categories until each group represented a coherent unit based on method of surgery, interventions performed, extent and site of the surgical procedure. Next two ID specialist (arbitrated by a third in case of disagreement) independently assigned country-specific codes to the resulting categories. Finally, specialist from each surgical discipline reviewed these assignments for their respective field. Results A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%) procedure codes from the SALT coding system were classified as orthopaedic and trauma surgeries, thus this medical field represents the most diverse group within the SALT coding system, followed by abdominal surgical procedures with 2390 (15%) procedure codes. Conclusion Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity to harmonize big data sets containing surgical procedures from international centres, and may simplify comparability of future international trial findings. Trial registration The study was registered at clinicaltrials.gov under NCT03353532 on November $ 27^{th} $, 2017. International procedure code (dpeaa)DE-He213 Surgical procedure (dpeaa)DE-He213 Bruns, Caroline aut Al-Monajjed, Rouvier aut Cornely, Florian B. aut Grosheva, Maria aut Hampl, Jürgen A. aut Jakob, Carolin aut Koehler, Felix C. aut Lechmann, Max aut Maged, Bijan aut Otto-Lambertz, Christina aut Rongisch, Robert aut Rutz, Jule aut Salmanton-Garcia, Jon aut Schlachtenberger, Georg aut Stemler, Jannik aut Vehreschild, Janne aut Wülfing, Sophia aut Cornely, Oliver A. aut Liss, Blasius J. aut Enthalten in BMC medical research methodology London : BioMed Central, 2001 22(2022), 1 vom: 12. Aug. (DE-627)326643818 (DE-600)2041362-2 1471-2288 nnns volume:22 year:2022 number:1 day:12 month:08 https://dx.doi.org/10.1186/s12874-022-01702-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 12 08 |
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10.1186/s12874-022-01702-w doi (DE-627)SPR050920022 (SPR)s12874-022-01702-w-e DE-627 ger DE-627 rakwb eng Mellinghoff, Sibylle C. verfasserin (orcid)0000-0003-3928-2503 aut Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An example for the use of routine data on a large scope is the investigation of surgical site infections (SSI). Ongoing surveillance programs evaluate the incidence of SSI on a national or regional basis in a limited number of procedures. For example, analyses by the European Centre for Disease Prevention (ECDC) nine procedures and provides a mapping table for two coding systems (ICD9, National Healthcare Safety Network [NHSN]). However, indicator procedures do not reliably depict overall SSI epidemiology. Thus, a broader analysis of all surgical procedures is desirable. The need for manual translation of country specific procedures codes, however, impedes the use of routine data for such an analysis on an international level. This project aimed to create an international surgical procedure coding systems allowing for automatic translation and categorization of procedures documented in country-specific codes. Methods We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were grouped in ever more categories until each group represented a coherent unit based on method of surgery, interventions performed, extent and site of the surgical procedure. Next two ID specialist (arbitrated by a third in case of disagreement) independently assigned country-specific codes to the resulting categories. Finally, specialist from each surgical discipline reviewed these assignments for their respective field. Results A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%) procedure codes from the SALT coding system were classified as orthopaedic and trauma surgeries, thus this medical field represents the most diverse group within the SALT coding system, followed by abdominal surgical procedures with 2390 (15%) procedure codes. Conclusion Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity to harmonize big data sets containing surgical procedures from international centres, and may simplify comparability of future international trial findings. Trial registration The study was registered at clinicaltrials.gov under NCT03353532 on November $ 27^{th} $, 2017. International procedure code (dpeaa)DE-He213 Surgical procedure (dpeaa)DE-He213 Bruns, Caroline aut Al-Monajjed, Rouvier aut Cornely, Florian B. aut Grosheva, Maria aut Hampl, Jürgen A. aut Jakob, Carolin aut Koehler, Felix C. aut Lechmann, Max aut Maged, Bijan aut Otto-Lambertz, Christina aut Rongisch, Robert aut Rutz, Jule aut Salmanton-Garcia, Jon aut Schlachtenberger, Georg aut Stemler, Jannik aut Vehreschild, Janne aut Wülfing, Sophia aut Cornely, Oliver A. aut Liss, Blasius J. aut Enthalten in BMC medical research methodology London : BioMed Central, 2001 22(2022), 1 vom: 12. Aug. (DE-627)326643818 (DE-600)2041362-2 1471-2288 nnns volume:22 year:2022 number:1 day:12 month:08 https://dx.doi.org/10.1186/s12874-022-01702-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 12 08 |
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10.1186/s12874-022-01702-w doi (DE-627)SPR050920022 (SPR)s12874-022-01702-w-e DE-627 ger DE-627 rakwb eng Mellinghoff, Sibylle C. verfasserin (orcid)0000-0003-3928-2503 aut Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An example for the use of routine data on a large scope is the investigation of surgical site infections (SSI). Ongoing surveillance programs evaluate the incidence of SSI on a national or regional basis in a limited number of procedures. For example, analyses by the European Centre for Disease Prevention (ECDC) nine procedures and provides a mapping table for two coding systems (ICD9, National Healthcare Safety Network [NHSN]). However, indicator procedures do not reliably depict overall SSI epidemiology. Thus, a broader analysis of all surgical procedures is desirable. The need for manual translation of country specific procedures codes, however, impedes the use of routine data for such an analysis on an international level. This project aimed to create an international surgical procedure coding systems allowing for automatic translation and categorization of procedures documented in country-specific codes. Methods We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were grouped in ever more categories until each group represented a coherent unit based on method of surgery, interventions performed, extent and site of the surgical procedure. Next two ID specialist (arbitrated by a third in case of disagreement) independently assigned country-specific codes to the resulting categories. Finally, specialist from each surgical discipline reviewed these assignments for their respective field. Results A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%) procedure codes from the SALT coding system were classified as orthopaedic and trauma surgeries, thus this medical field represents the most diverse group within the SALT coding system, followed by abdominal surgical procedures with 2390 (15%) procedure codes. Conclusion Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity to harmonize big data sets containing surgical procedures from international centres, and may simplify comparability of future international trial findings. Trial registration The study was registered at clinicaltrials.gov under NCT03353532 on November $ 27^{th} $, 2017. International procedure code (dpeaa)DE-He213 Surgical procedure (dpeaa)DE-He213 Bruns, Caroline aut Al-Monajjed, Rouvier aut Cornely, Florian B. aut Grosheva, Maria aut Hampl, Jürgen A. aut Jakob, Carolin aut Koehler, Felix C. aut Lechmann, Max aut Maged, Bijan aut Otto-Lambertz, Christina aut Rongisch, Robert aut Rutz, Jule aut Salmanton-Garcia, Jon aut Schlachtenberger, Georg aut Stemler, Jannik aut Vehreschild, Janne aut Wülfing, Sophia aut Cornely, Oliver A. aut Liss, Blasius J. aut Enthalten in BMC medical research methodology London : BioMed Central, 2001 22(2022), 1 vom: 12. Aug. (DE-627)326643818 (DE-600)2041362-2 1471-2288 nnns volume:22 year:2022 number:1 day:12 month:08 https://dx.doi.org/10.1186/s12874-022-01702-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 12 08 |
allfieldsSound |
10.1186/s12874-022-01702-w doi (DE-627)SPR050920022 (SPR)s12874-022-01702-w-e DE-627 ger DE-627 rakwb eng Mellinghoff, Sibylle C. verfasserin (orcid)0000-0003-3928-2503 aut Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An example for the use of routine data on a large scope is the investigation of surgical site infections (SSI). Ongoing surveillance programs evaluate the incidence of SSI on a national or regional basis in a limited number of procedures. For example, analyses by the European Centre for Disease Prevention (ECDC) nine procedures and provides a mapping table for two coding systems (ICD9, National Healthcare Safety Network [NHSN]). However, indicator procedures do not reliably depict overall SSI epidemiology. Thus, a broader analysis of all surgical procedures is desirable. The need for manual translation of country specific procedures codes, however, impedes the use of routine data for such an analysis on an international level. This project aimed to create an international surgical procedure coding systems allowing for automatic translation and categorization of procedures documented in country-specific codes. Methods We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were grouped in ever more categories until each group represented a coherent unit based on method of surgery, interventions performed, extent and site of the surgical procedure. Next two ID specialist (arbitrated by a third in case of disagreement) independently assigned country-specific codes to the resulting categories. Finally, specialist from each surgical discipline reviewed these assignments for their respective field. Results A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%) procedure codes from the SALT coding system were classified as orthopaedic and trauma surgeries, thus this medical field represents the most diverse group within the SALT coding system, followed by abdominal surgical procedures with 2390 (15%) procedure codes. Conclusion Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity to harmonize big data sets containing surgical procedures from international centres, and may simplify comparability of future international trial findings. Trial registration The study was registered at clinicaltrials.gov under NCT03353532 on November $ 27^{th} $, 2017. International procedure code (dpeaa)DE-He213 Surgical procedure (dpeaa)DE-He213 Bruns, Caroline aut Al-Monajjed, Rouvier aut Cornely, Florian B. aut Grosheva, Maria aut Hampl, Jürgen A. aut Jakob, Carolin aut Koehler, Felix C. aut Lechmann, Max aut Maged, Bijan aut Otto-Lambertz, Christina aut Rongisch, Robert aut Rutz, Jule aut Salmanton-Garcia, Jon aut Schlachtenberger, Georg aut Stemler, Jannik aut Vehreschild, Janne aut Wülfing, Sophia aut Cornely, Oliver A. aut Liss, Blasius J. aut Enthalten in BMC medical research methodology London : BioMed Central, 2001 22(2022), 1 vom: 12. Aug. (DE-627)326643818 (DE-600)2041362-2 1471-2288 nnns volume:22 year:2022 number:1 day:12 month:08 https://dx.doi.org/10.1186/s12874-022-01702-w kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2022 1 12 08 |
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Mellinghoff, Sibylle C. @@aut@@ Bruns, Caroline @@aut@@ Al-Monajjed, Rouvier @@aut@@ Cornely, Florian B. @@aut@@ Grosheva, Maria @@aut@@ Hampl, Jürgen A. @@aut@@ Jakob, Carolin @@aut@@ Koehler, Felix C. @@aut@@ Lechmann, Max @@aut@@ Maged, Bijan @@aut@@ Otto-Lambertz, Christina @@aut@@ Rongisch, Robert @@aut@@ Rutz, Jule @@aut@@ Salmanton-Garcia, Jon @@aut@@ Schlachtenberger, Georg @@aut@@ Stemler, Jannik @@aut@@ Vehreschild, Janne @@aut@@ Wülfing, Sophia @@aut@@ Cornely, Oliver A. @@aut@@ Liss, Blasius J. @@aut@@ |
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Mellinghoff, Sibylle C. Bruns, Caroline Al-Monajjed, Rouvier Cornely, Florian B. Grosheva, Maria Hampl, Jürgen A. Jakob, Carolin Koehler, Felix C. Lechmann, Max Maged, Bijan Otto-Lambertz, Christina Rongisch, Robert Rutz, Jule Salmanton-Garcia, Jon Schlachtenberger, Georg Stemler, Jannik Vehreschild, Janne Wülfing, Sophia Cornely, Oliver A. Liss, Blasius J. |
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harmonized procedure coding system for surgical procedures and analysis of surgical site infections (ssi) of five european countries |
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Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries |
abstract |
Background The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An example for the use of routine data on a large scope is the investigation of surgical site infections (SSI). Ongoing surveillance programs evaluate the incidence of SSI on a national or regional basis in a limited number of procedures. For example, analyses by the European Centre for Disease Prevention (ECDC) nine procedures and provides a mapping table for two coding systems (ICD9, National Healthcare Safety Network [NHSN]). However, indicator procedures do not reliably depict overall SSI epidemiology. Thus, a broader analysis of all surgical procedures is desirable. The need for manual translation of country specific procedures codes, however, impedes the use of routine data for such an analysis on an international level. This project aimed to create an international surgical procedure coding systems allowing for automatic translation and categorization of procedures documented in country-specific codes. Methods We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were grouped in ever more categories until each group represented a coherent unit based on method of surgery, interventions performed, extent and site of the surgical procedure. Next two ID specialist (arbitrated by a third in case of disagreement) independently assigned country-specific codes to the resulting categories. Finally, specialist from each surgical discipline reviewed these assignments for their respective field. Results A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%) procedure codes from the SALT coding system were classified as orthopaedic and trauma surgeries, thus this medical field represents the most diverse group within the SALT coding system, followed by abdominal surgical procedures with 2390 (15%) procedure codes. Conclusion Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity to harmonize big data sets containing surgical procedures from international centres, and may simplify comparability of future international trial findings. Trial registration The study was registered at clinicaltrials.gov under NCT03353532 on November $ 27^{th} $, 2017. © The Author(s) 2022 |
abstractGer |
Background The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An example for the use of routine data on a large scope is the investigation of surgical site infections (SSI). Ongoing surveillance programs evaluate the incidence of SSI on a national or regional basis in a limited number of procedures. For example, analyses by the European Centre for Disease Prevention (ECDC) nine procedures and provides a mapping table for two coding systems (ICD9, National Healthcare Safety Network [NHSN]). However, indicator procedures do not reliably depict overall SSI epidemiology. Thus, a broader analysis of all surgical procedures is desirable. The need for manual translation of country specific procedures codes, however, impedes the use of routine data for such an analysis on an international level. This project aimed to create an international surgical procedure coding systems allowing for automatic translation and categorization of procedures documented in country-specific codes. Methods We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were grouped in ever more categories until each group represented a coherent unit based on method of surgery, interventions performed, extent and site of the surgical procedure. Next two ID specialist (arbitrated by a third in case of disagreement) independently assigned country-specific codes to the resulting categories. Finally, specialist from each surgical discipline reviewed these assignments for their respective field. Results A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%) procedure codes from the SALT coding system were classified as orthopaedic and trauma surgeries, thus this medical field represents the most diverse group within the SALT coding system, followed by abdominal surgical procedures with 2390 (15%) procedure codes. Conclusion Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity to harmonize big data sets containing surgical procedures from international centres, and may simplify comparability of future international trial findings. Trial registration The study was registered at clinicaltrials.gov under NCT03353532 on November $ 27^{th} $, 2017. © The Author(s) 2022 |
abstract_unstemmed |
Background The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An example for the use of routine data on a large scope is the investigation of surgical site infections (SSI). Ongoing surveillance programs evaluate the incidence of SSI on a national or regional basis in a limited number of procedures. For example, analyses by the European Centre for Disease Prevention (ECDC) nine procedures and provides a mapping table for two coding systems (ICD9, National Healthcare Safety Network [NHSN]). However, indicator procedures do not reliably depict overall SSI epidemiology. Thus, a broader analysis of all surgical procedures is desirable. The need for manual translation of country specific procedures codes, however, impedes the use of routine data for such an analysis on an international level. This project aimed to create an international surgical procedure coding systems allowing for automatic translation and categorization of procedures documented in country-specific codes. Methods We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were grouped in ever more categories until each group represented a coherent unit based on method of surgery, interventions performed, extent and site of the surgical procedure. Next two ID specialist (arbitrated by a third in case of disagreement) independently assigned country-specific codes to the resulting categories. Finally, specialist from each surgical discipline reviewed these assignments for their respective field. Results A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%) procedure codes from the SALT coding system were classified as orthopaedic and trauma surgeries, thus this medical field represents the most diverse group within the SALT coding system, followed by abdominal surgical procedures with 2390 (15%) procedure codes. Conclusion Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity to harmonize big data sets containing surgical procedures from international centres, and may simplify comparability of future international trial findings. Trial registration The study was registered at clinicaltrials.gov under NCT03353532 on November $ 27^{th} $, 2017. © The Author(s) 2022 |
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Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries |
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Bruns, Caroline Al-Monajjed, Rouvier Cornely, Florian B. Grosheva, Maria Hampl, Jürgen A. Jakob, Carolin Koehler, Felix C. Lechmann, Max Maged, Bijan Otto-Lambertz, Christina Rongisch, Robert Rutz, Jule Salmanton-Garcia, Jon Schlachtenberger, Georg Stemler, Jannik Vehreschild, Janne Wülfing, Sophia Cornely, Oliver A. Liss, Blasius J. |
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Bruns, Caroline Al-Monajjed, Rouvier Cornely, Florian B. Grosheva, Maria Hampl, Jürgen A. Jakob, Carolin Koehler, Felix C. Lechmann, Max Maged, Bijan Otto-Lambertz, Christina Rongisch, Robert Rutz, Jule Salmanton-Garcia, Jon Schlachtenberger, Georg Stemler, Jannik Vehreschild, Janne Wülfing, Sophia Cornely, Oliver A. Liss, Blasius J. |
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This project aimed to create an international surgical procedure coding systems allowing for automatic translation and categorization of procedures documented in country-specific codes. Methods We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were grouped in ever more categories until each group represented a coherent unit based on method of surgery, interventions performed, extent and site of the surgical procedure. Next two ID specialist (arbitrated by a third in case of disagreement) independently assigned country-specific codes to the resulting categories. Finally, specialist from each surgical discipline reviewed these assignments for their respective field. Results A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%) procedure codes from the SALT coding system were classified as orthopaedic and trauma surgeries, thus this medical field represents the most diverse group within the SALT coding system, followed by abdominal surgical procedures with 2390 (15%) procedure codes. Conclusion Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity to harmonize big data sets containing surgical procedures from international centres, and may simplify comparability of future international trial findings. 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