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dc.contributor.authorAlhaug, Ole Kristian
dc.contributor.authorKaur, Simran
dc.contributor.authorDolatowski, Filip C
dc.contributor.authorSmåstuen, Milada Cvancarova
dc.contributor.authorSolberg, Tore
dc.contributor.authorLønne, Greger
dc.date.accessioned2022-08-04T12:43:51Z
dc.date.available2022-08-04T12:43:51Z
dc.date.issued2022-01-06
dc.description.abstractPurpose - Data quality is essential for all types of research, including health registers. However, data quality is rarely reported. We aimed to assess the accuracy of data in a national spine register (NORspine) and its agreement with corresponding data in electronic patient records (EPR).<p> <p>Methods - We compared data in NORspine registry against data in (EPR) for 474 patients operated for spinal stenosis in 2015 and 2016 at four public hospitals, using EPR as the gold standard. We assessed accuracy using the proportion correctly classified (PCC) and sensitivity. Agreement was quantified using Kappa statistics or interaclass correlation coefficient (ICC).<p> <p>Results - The mean age (SD) was 66 (11) years, and 54% were females. Compared to EPR, surgeon-reported perioperative complications displayed weak agreement (kappa (95% CI) = 0.51 (0.33–0.69)), PCC of 96%, and a sensitivity (95% CI) of 40% (23–58%). ASA classification had a moderate agreement (kappa (95%CI) = 0.73 (0.66–0.80)). Comorbidities were underreported in NORspine. Perioperative details had strong to excellent agreements (kappa (95% CI) ranging from 0.76 ( 0.68–0.84) to 0.98 (0.95–1.00)), PCCs between 93% and 99% and sensitivities (95% CI) between 92% (0.84–1.00%) and 99% (0.98–1.00%). Patient-reported variables (height, weight, smoking) had excellent agreements (kappa (95% CI) between 0.93 (0.89–0.97) and 0.99 (0.98–0.99)).<p> <p>Conclusion - Compared to electronic patient records, NORspine displayed weak agreement for perioperative complications, moderate agreement for ASA classification, strong agreement for perioperative details, and excellent agreement for height, weight, and smoking. NORspine underreported perioperative complications and comorbidities when compared to EPRs. Patient-recorded data were more accurate and should be preferred when available.en_US
dc.identifier.citationAlhaug OK, Kaur S, Dolatowski FC, Småstuen MC, Solberg T, Lønne G. Accuracy and agreement of national spine register data for 474 patients compared to corresponding electronic patient records. European spine journal. 2022en_US
dc.identifier.cristinIDFRIDAID 1976186
dc.identifier.doi10.1007/s00586-021-07093-8
dc.identifier.issn0940-6719
dc.identifier.issn1432-0932
dc.identifier.urihttps://hdl.handle.net/10037/25965
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.relation.journalEuropean spine journal
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.titleAccuracy and agreement of national spine register data for 474 patients compared to corresponding electronic patient recordsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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