{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T16:43:34Z","timestamp":1649004214216},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Die Qualit\u00e4tssicherung in der Schilddr\u00fcsenchirurgie ist seit Langem Bestandteil des Handelns endokriner Chirurgen. Dabei wurden und werden \u00fcberwiegend Register- und Studiendaten genutzt. Zunehmend kommen administrative Daten im Rahmen der Qualit\u00e4tssicherung aus Routinedaten zur Auswertung. Ziel dieser Studie ist die Bestimmung der Reliabilit\u00e4t von Routinedaten zur Analyse von Behandlungsergebnissen und Komplikationen im Rahmen der Schilddr\u00fcsenchirurgie.<\/jats:p><jats:p>\n          Patienten und Methode In einer Querschnittsstudie der Klinik wurden die Patientenaktendaten von 121 Patienten mit Schilddr\u00fcsenoperation eines Jahres mit den Qualit\u00e4tssicherungsdaten aus Routinedaten (QSR) verglichen. Daraus wurde die Sensitivit\u00e4t, Spezifit\u00e4t und positive und negative pr\u00e4diktive Werte (PPV\/NPV) spezifischer Komplikationen ermittelt.<\/jats:p><jats:p>\n          Ergebnisse In der Auswertung administrativer Daten wurden 40 spezifische Komplikationen identifiziert, dagegen 84 in der Auswertung der Patientenakten. Die Sensitivit\u00e4t f\u00fcr die Detektion der Komplikationen mit Routinedaten schwankte zwischen 31,3 und 60,0%. Die Spezifit\u00e4t reichte von 97,0 bis 100%. Der PPV betrug 0,77\u200a\u2013\u200a1,0 und der NPV 0,56\u200a\u2013\u200a1,0.<\/jats:p><jats:p>\n          Schlussfolgerung Die QSR zur Schilddr\u00fcsenchirurgie zeigt Defizite in der Sensitivit\u00e4t bei einer hohen Spezifit\u00e4t. Um eine zuverl\u00e4ssige Qualit\u00e4tsanalyse in der Klinik vorzunehmen oder in der Versorgungsforschung daraus Volume-Outcome-Analysen zu erstellen, ist eine Steigerung der Validit\u00e4t der Routinedaten erforderlich. Der Parameter Hypokalz\u00e4mie weist die gr\u00f6\u00dften Limitationen f\u00fcr Analysen im QSR auf.<\/jats:p>","DOI":"10.1055\/a-1101-9699","type":"journal-article","created":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T00:09:45Z","timestamp":1581379785000},"page":"76-82","source":"Crossref","is-referenced-by-count":0,"title":["Zuverl\u00e4ssigkeit von DRG-Routinedaten zur Analyse der Behandlungsergebnisse und Komplikationen im Rahmen der Schilddr\u00fcsenchirurgie. Ein kritischer Vergleich zwischen Krankenaktendaten und administrativen Routinedaten"],"prefix":"10.1055","volume":"146","author":[{"given":"Maik","family":"Sahm","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Chirurgie, Medizinische Hochschule Brandenburg Theodor Fontane, Brandenburg, Deutschland"},{"name":"Klinik f\u00fcr Chirurgie, DRK Kliniken Berlin-K\u00f6penick, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chrissanti","family":"Riegel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Chirurgie, Medizinische Hochschule Brandenburg Theodor Fontane, Brandenburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Mantke","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Chirurgie, Medizinische Hochschule Brandenburg Theodor Fontane, Brandenburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathrin","family":"Reissig","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Chirurgie, Medizinische Hochschule Brandenburg Theodor Fontane, Brandenburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Hunger","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Chirurgie, Medizinische Hochschule Brandenburg Theodor Fontane, Brandenburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rene","family":"Mantke","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Chirurgie, Medizinische Hochschule Brandenburg Theodor Fontane, Brandenburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1007\/s00104-013-2705-7","article-title":"Strumachirurgie in Deutschland","volume":"85","author":"H Dralle","year":"2014","journal-title":"Chirurg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/s00104-018-0686-2","article-title":"Logop\u00e4die nach Schilddr\u00fcsenoperationen in Deutschland: eine Routineanalyse von 50.676 AOK-Patienten","volume":"90","author":"M Maneck","year":"2019","journal-title":"Chirurg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1007\/s00104-013-2705-7","article-title":"Strumachirurgie in Deutschland. Weniger Operationen, ge\u00e4nderte Resektionsstrategien, weniger Komplikationen","volume":"85","author":"H Dralle","year":"2014","journal-title":"Chirurg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1007\/s00104-017-0439-7","article-title":"Komplikationen nach Schilddr\u00fcsenoperationen in Deutschland","volume":"88","author":"M Maneck","year":"2017","journal-title":"Chirurg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"477","DOI":"10.3390\/jcm8040477","article-title":"Current practice of surgery for benign goitre-an analysis of the prospective DGAV StuDoQ|Thyroid registry","volume":"8","author":"D K Bartsch","year":"2019","journal-title":"J Clin Med"},{"key":"ref7","first-page":"197","volume-title":"Qualit\u00e4tssicherung mit Routinedaten: Volume-Outcome-Analysen zu Schilddr\u00fcsenoperationen","author":"M Maneck","year":"2017"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1007\/s00104-017-0436-x","article-title":"Komplexit\u00e4t von DRG-Routinedaten erschwert auch bei der Schilddr\u00fcsenoperation die Interpretation","volume":"88","author":"R Mantke","year":"2017","journal-title":"Chirurg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1093\/intqhc\/mzv045","article-title":"Are administrative data valid when measuring patient safety in hospitals? A comparison of data collection methods using a chart review and administrative data","volume":"27","author":"C Maass","year":"2015","journal-title":"Int J Qual Health Care"},{"key":"ref10","first-page":"189","article-title":"Qualit\u00e4tssicherung mit Routinedaten (QSR) in der Allgemein- und Viszeralchirurgie am Beispiel von Kolon- und Hernienoperationen","volume":"138","author":"R Mantke","year":"2013","journal-title":"Zentralbl Chir"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1007\/s12020-019-02014-8","article-title":"Prevalence and risk factors for hypoparathyroidism following total thyroidectomy in Spain: a multicentric and nation-wide retrospective analysis","volume":"66","author":"J J Diez","year":"2019","journal-title":"Endocrine"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"187","DOI":"10.2147\/IJGM.S204795","article-title":"Design of a predictive score to assess the risk of developing hypocalcemia after total thyroidectomy. A retrospective study","volume":"12","author":"A Papanastasiou","year":"2019","journal-title":"Int J Gen Med"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1186\/s12893-019-0552-2","article-title":"Total thyroidectomy vs. completion thyroidectomy for thyroid nodules with indeterminate cytology\/follicular proliferation: a single-centre experience","volume":"19","author":"G Sena","year":"2019","journal-title":"BMC Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"3844","DOI":"10.1245\/s10434-014-3846-8","article-title":"Total thyroidectomy is associated with increased risk of complications for low- and high-volume surgeons","volume":"21","author":"A Hauch","year":"2014","journal-title":"Ann Surg Oncol"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s00104-014-2817-8","article-title":"Vermeidung und Management des Hypoparathyreoidismus nach Schilddr\u00fcsenoperationen","volume":"86","author":"A Selberherr","year":"2015","journal-title":"Chirurg"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1007\/s00104-014-2815-x","article-title":"Komplikationen in der endokrinen Chirurgie","volume":"86","author":"H Dralle","year":"2015","journal-title":"Chirurg"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1007\/s00268-008-9477-0","article-title":"Treatment and prevention of recurrence of multinodular goiter: an evidence-based review of the literature","volume":"32","author":"J Moalem","year":"2008","journal-title":"World J Surg"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1055\/a-0600-9910","article-title":"Einflussfaktoren auf kosmetische Langzeitergebnisse nach minimalinvasiver videoassistierter Thyreoidektomie und konventioneller Schilddr\u00fcsenoperation","volume":"143","author":"M Sahm","year":"2018","journal-title":"Zentralbl Chir"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1007\/s00104-015-0033-9","article-title":"Stimmlippenparesen nach Schilddr\u00fcsenoperationen","volume":"86","author":"H Dralle","year":"2015","journal-title":"Chirurg"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.surg.2014.09.007","article-title":"Postoperative hypoparathyroidism after thyroidectomy: efficient and cost-effective diagnosis and treatment","volume":"157","author":"A Selberherr","year":"2015","journal-title":"Surgery"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1016\/j.surg.2013.04.062","article-title":"Detecting postoperative hemorrhage or hematoma from administrative data: the performance of the AHRQ Patient Safety Indicator","volume":"154","author":"G H Utter","year":"2013","journal-title":"Surgery"}],"container-title":["Zentralblatt f\u00fcr Chirurgie - Zeitschrift f\u00fcr Allgemeine, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1101-9699.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T02:39:49Z","timestamp":1613529589000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1101-9699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,10]]},"references-count":20,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,1,25]]},"published-print":{"date-parts":[[2021,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1101-9699","relation":{},"ISSN":["0044-409X","1438-9592"],"issn-type":[{"value":"0044-409X","type":"print"},{"value":"1438-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,10]]}}}