Key result
Extending mortality reporting to 90 days after colorectal surgery identified more mortality outliers than 30-day reporting, strongly correlating with 180-day mortality (rs=0.957, P<0.001).
Why the study?
Does 90-day mortality reporting identify more institutional mortality outliers compared to 30-day reporting in adults undergoing colorectal surgery?
Population
171,688 adults undergoing elective and emergency colorectal resection between April 2001 and February 2007…
Comparison
90-day mortality reporting vs 30-day mortality reporting
Design
Cohort
Follow-up
up to 365 days
Authors
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90-day mortality may better inform surgical quality metrics; leaves open need for validation before practice change.
Cohort (n=171,688)
Yes
Does 90-day mortality reporting identify more institutional mortality outliers compared to 30-day reporting in adults undergoing colorectal surgery?
Effect estimate: rs 0.957
p-value: p=<0.001
Ninety-day mortality reporting identifies a greater number of mortality outliers compared with the 30-day death rate, suggesting it as a preferred indicator of perioperative outcome.
Byrne et al. (2013) conducted a cohort in Colorectal surgery (n=171,688). 90-day mortality assessment vs. 30-day mortality assessment was evaluated on Correlation between 90-day and 180-day mortality (rs 0.957, p=<0.001). Extending mortality reporting to 90 days after colorectal surgery identified more mortality outliers than 30-day reporting, strongly correlating with 180-day mortality (rs=0.957, P<0.001).
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