Accuracy of administrative and clinical registry data in reporting postoperative complications after surgery for oral cavity squamous cell carcinoma
Version of Record online: 27 JUN 2014
© 2014 Wiley Periodicals, Inc.
Head & Neck
Volume 37, Issue 6, pages 851–861, June 2015
How to Cite
Awad, M. I., Shuman, A. G., Montero, P. H., Palmer, F. L., Shah, J. P. and Patel, S. G. (2015), Accuracy of administrative and clinical registry data in reporting postoperative complications after surgery for oral cavity squamous cell carcinoma. Head Neck, 37: 851–861. doi: 10.1002/hed.23682
- Issue online: 25 MAY 2015
- Version of Record online: 27 JUN 2014
- Accepted manuscript online: 12 MAR 2014 12:06PM EST
- Manuscript Accepted: 7 MAR 2014
- Manuscript Revised: 19 DEC 2013
- Manuscript Received: 10 SEP 2013
- postoperative complications;
- International Classification of Disease 9th edition (ICD)-9 codes;
- National Surgical Quality Improvement Program (NSQIP);
- head and neck cancer
The purpose of this study was to describe and compare how postoperative complications after oral cavity squamous cell carcinoma (SCC) surgery are reported in medical records, institutional billing claims, and national clinical registries.
The medical records of 355 previously untreated patients who underwent surgery for oral cavity SCC at our institution were retrospectively reviewed for postoperative complications. Information was compared with claims and National Surgical Quality Improvement Program (NSQIP) data.
We identified 219 patients (62%) experiencing 544 complications (10% major). Billing claims identified 29% of these patients, 36% of overall complications, and 98% of major complications. Of overlapping patients, NSQIP identified 27% of patients, 33% of overall complications, and 100% of major complications noted on chart abstraction.
The incidence of minor postoperative complications after oral cavity SCC surgery is relatively high. Both claims data and NSQIP accurately recorded major complications, but were suboptimal compared to chart abstraction in capturing minor complications. © 2014 Wiley Periodicals, Inc. Head Neck 37: 851–861, 2015