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
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
OAI-PMH
Pubmed
Web of science
Création de la notice
19/11/2007 13:01
Dernière modification de la notice
20/08/2019 13:38