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A content validity index for relevancy and clarity for each item was computed and adjusted for chance agreement (modified kappa, <jats:italic>K<\/jats:italic>). Items with <jats:italic>K<\/jats:italic>\u2009&lt;\u20090.74 for relevancy (i.e., ratings of \u201cgood\u201d or \u201cfair\u201d) were eliminated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five out of nineteen terms scored <jats:italic>K<\/jats:italic>\u2009&lt;\u20090.74. Eliminated terms included \u201cvascular compromise\u201d; \u201ccellulitis\u201d; \u201csurgical site abscess\u201d; \u201cmalocclusion\u201d; and \u201cnon\u2010 or mal\u2010union.\u201d Terms that achieved consensus were \u201ctotal\/partial free flap failure\u201d; \u201cfree flap takeback\u201d; \u201carterial thrombosis\u201d; \u201cvenous thrombosis\u201d; \u201crevision of microvascular anastomosis\u201d; \u201cfistula\u201d; \u201cwound dehiscence\u201d; \u201chematoma\u201d; \u201cseroma\u201d; \u201cpartial skin graft failure\u201d; \u201ctotal skin graft failure\u201d; \u201cexposed hardware or bone\u201d; and \u201chardware failure.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Standardized reporting would encourage multi\u2010institutional research collaboration, larger scale quality improvement initiatives, the ability to set risk\u2010adjusted benchmarks, and enhance education and 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