Quality Assessment for Reporting Complications and Adverse Events in Spinal Surgery: A Proposed 5-Item Checklist.

Autor: Vildoza S; Orthopaedic and Traumatology Department, Institute of Orthopedics 'Carlos E. Ottolenghi,' Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Cabrera JP; Department of Neurosurgery, Hospital Clínico Regional de Concepción, Concepción, Chile; AOSpine Latin America Research Study Group, Curitiba, Paraná, Brazil., Guiroy A; Spine Unit, Orthopedic Department, Hospital Español de Mendoza, Mendoza, Argentina; AOSpine Latin America Research Study Group, Curitiba, Paraná, Brazil., Carazzo C; Department of Neurosurgery, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil; AOSpine Latin America Research Study Group, Curitiba, Paraná, Brazil., Gagliardi M; Neurosurgery Department, Saint Michael's Hospital, University of Toronto, Toronto, Ontario, Canada; AOSpine Latin America Research Study Group, Curitiba, Paraná, Brazil., Joaquim AF; Department of Neurology, State University of Campinas, Campinas, São Paulo, Brazil; Department of Orthopedics, State University of Campinas, Campinas, São Paulo, Brazil; AOSpine Latin America Research Study Group, Curitiba, Paraná, Brazil., Camino-Willhuber G; Orthopaedic and Traumatology Department, Institute of Orthopedics 'Carlos E. Ottolenghi,' Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; AOSpine Latin America Research Study Group, Curitiba, Paraná, Brazil; UCI Medical Center, University of California Irvine, Orange, California, USA. Electronic address: gaston.camino@hospitalitaliano.org.ar.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2022 Feb; Vol. 158, pp. e423-e428. Date of Electronic Publication: 2021 Nov 08.
DOI: 10.1016/j.wneu.2021.10.189
Abstrakt: Background: Reporting complications and/or adverse events after spinal surgical procedures enables the estimation of their prevalence and of their impact on patient outcomes. However, the documentation of complications is relatively infrequent and highly heterogeneous. The purpose of this study was to evaluate the quality of complication and adverse event reporting in spinal surgery literature.
Methods: A systematic review of the literature from 5 international, peer-reviewed, indexed spinal journals was performed. Included studies were published between January and December 2020 and reported the surgical results of spinal procedures. Data on the level of evidence and study design were collected and analyzed as well as whether the studies were single-center or multicenter studies. The quality of complication reports was evaluated through a 5-item checklist, with 5 questions divided into 3 parts: definition, evaluation, and report.
Results: Complications associated with spinal surgical procedures were reported in 292 studies. According to the level of evidence, significantly higher reporting quality was seen in level I and II studies compared with level III and IV studies (P = 0.003). Regarding the 5-item checklist, 49% (143/292) of studies fulfilled the definition section, 16.4% (48/292) fulfilled the evaluation section, and 92% (270/292) fulfilled the report section.
Conclusions: Overall quality assessment when reporting complications in surgical spinal studies showed that only 13% (38/292) of publications that reported complications as part of the outcomes exhibited all items of the 5-item checklist. Additionally, significantly better reports were observed in level I studies compared with level II-IV studies.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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