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    How reliable is surgeon reported data? : A comparison of the British Association of Urological Surgeons radical prostatectomy audit with the National Prostate Cancer Audit Hospital Episode Statistic linked database

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    Authors
    Aning, J. J.
    Parry, M. G.
    van der Meulen, J.
    Fowler, S.
    Payne, H.
    McGrath, J. S.
    Challacombe, B.
    Clarke, Noel W
    Affiliation
    Bristol Urological Institute, North Bristol NHS Trust, Southmead Hospital, Southmead Road, Westbury-on-Trym, Bristol, BS10 5NB
    Issue Date
    2021
    
    Metadata
    Show full item record
    Abstract
    Objectives: To evaluate the accuracy and completeness of surgeon reported radical prostatectomy outcome data across a national health system by comparison with a national dataset gathered independently from clinicians directly involved in patient care. Patients and methods: Data submitted by surgeons to the British Association of Urological Surgeons (BAUS) radical prostatectomy audit for all men undergoing radical prostatectomy between 2015 and 2016 was assessed by cross linkage to the National Prostate Cancer Audit (NPCA) database. Specific data-items collected in both databases were selected for comparison analysis. Data completeness and agreement were assessed by percentages and Cohen's kappa statistic. Results: Data from 4,707 men in the BAUS and NPCA databases were matched for comparison. Compared with the NPCA, dataset completeness was higher in the BAUS dataset for type of nerve sparing procedure (92% vs 42%) and post-operative margin status (89% vs 48%) but lower for readmission (87% vs 100%) and Charlson score (80% vs 100%). For all other variables assessed completeness was comparable. Agreement and data reliability was high for most variables. However despite good agreement the inter-cohort reliability was poor for Readmission, M stage and Charlson score (κ< 0.30). Conclusions: For the first time in urology we show that surgeon reported data from the BAUS radical prostatectomy audit can reliably be used to benchmark peri-operative radical prostatectomy outcomes. For co-morbidity data, to assist with risk analysis, and longer term outcomes NPCA routinely collected data provides a more comprehensive source.
    Citation
    Aning JJ, Parry MG, van der Meulen J, Fowler S, Payne H, McGrath JS, et al. How reliable are surgeon-reported data? A comparison of the British Association of Urological Surgeons radical prostatectomy audit with the National Prostate Cancer Audit Hospital Episode Statistics-linked database. BJU Int. 2021.
    Journal
    BJU International
    URI
    http://hdl.handle.net/10541/623904
    DOI
    10.1111/bju.15399
    PubMed ID
    33752249
    Additional Links
    https://dx.doi.org/10.1111/bju.15399
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1111/bju.15399
    Scopus Count
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