Can the decision to operate be judged retrospectively? A study of medical records.

Détails

ID Serval
serval:BIB_11294
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Can the decision to operate be judged retrospectively? A study of medical records.
Périodique
The European Journal of Surgery
Auteur(s)
Jeannot J.G., Vader J.P., Porchet F., Larequi-Lauber T., Burnand B.
ISSN
1102-4151
ISSN-L
1102-4151
Statut éditorial
Publié
Date de publication
1999
Peer-reviewed
Oui
Volume
165
Numéro
6
Pages
516-521
Langue
anglais
Résumé
OBJECTIVE: To examine the precision and completeness of information in medical records for evaluating the appropriateness of operative indications for lumbar disc surgery. DESIGN: Retrospective review of records. SETTING: University department of neurosurgery, Switzerland. SUBJECT: 100 patients. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Proportion of pre-defined, detailed appropriateness criteria present in the records. Proportion of cases that could unequivocally be classified as to the appropriateness of the indication for operation. RESULTS: The criteria were present and precise for 52 of the items (range 9-90); present but imprecise for 38 of the items, and absent for 10. Because of this imprecision, the appropriateness of only 7 of the operative indications could be unequivocally assessed retrospectively. CONCLUSION: Medical records are of limited use in assessing the appropriate management of care. The process of care should therefore be evaluated prospectively.
Mots-clé
Female, Humans, Intervertebral Disk Displacement, Lumbar Vertebrae, Male, Medical Records, Middle Aged, Process Assessment (Health Care), Retrospective Studies, Surgical Procedures, Operative
Pubmed
Web of science
Création de la notice
19/11/2007 13:01
Dernière modification de la notice
20/08/2019 13:38
Données d'usage