TY - JOUR
T1 - What is the real rate of surgical site infection?
AU - Taylor, Jolyn S.
AU - Marten, Claire A.
AU - Potts, Kimberly A.
AU - Cloutier, Lynn M.
AU - Cain, Katherine E.
AU - Fenton, Shauna L.
AU - Tatum, Tara N.
AU - James, Deepthi A.
AU - Myers, Keith N.
AU - Hubbs, Cheryl A.
AU - Burzawa, Jennifer K.
AU - Vachhani, Shital
AU - Nick, Alpa M.
AU - Meyer, Larissa A.
AU - Graviss, Linda S.
AU - Ware, Kathy M.
AU - Park, Anne K.
AU - Aloia, Thomas A.
AU - Bodurka, Diane C.
AU - Levenback, Charles F.
AU - Schmeler, Kathleen M.
N1 - Publisher Copyright:
© Copyright 2016 by American Society of Clinical Oncology.
PY - 2016/10
Y1 - 2016/10
N2 - Purpose: Surgical site infections (SSIs) are associated with patient morbidity and increased health care costs. Although several national organizations including the University HealthSystem Consortium (UHC), the National Surgical Quality Improvement Program (NSQIP), and the National Healthcare Safety Network (NHSN) monitor SSI, there is no standard reporting methodology. Methods We queried the UHC, NSQIP, and NHSN databases from July 2012 to June 2014 for SSI after gynecologic surgery at our institution. Each organization uses different definitions and inclusion and exclusion criteria for SSI. The rate of SSI was also obtained from chart review from April 1 to June 30, 2014. SSI was classified as superficial, deep, or organ space infection. The rates reported by the agencies were compared with the rates obtained by chart review using Fisher's exact test. Results: Overall SSI rates for the databases were as follows: UHC, 1.5%; NSQIP, 8.8%; and NHSN, 2.8% (P < .001). The individual databases had wide variation in the rate of deep infection (UHC, 0.7%; NSQIP, 4.7%; NHSN, 1.3%; P < .001) and organ space infection (UHC, 0.4%; NSQIP, 4.4%; NHSN, 1.4%; P < .001). In agreement with the variation in reporting methodology, only 19 cases (24.4%) were included in more than one database and only one case was included in all three databases (1.3%). Conclusion There is discordance among national reporting agencies tracking SSI. Adopting standardized metrics across agencies could improve consistency and accuracy in assessing SSI rates.
AB - Purpose: Surgical site infections (SSIs) are associated with patient morbidity and increased health care costs. Although several national organizations including the University HealthSystem Consortium (UHC), the National Surgical Quality Improvement Program (NSQIP), and the National Healthcare Safety Network (NHSN) monitor SSI, there is no standard reporting methodology. Methods We queried the UHC, NSQIP, and NHSN databases from July 2012 to June 2014 for SSI after gynecologic surgery at our institution. Each organization uses different definitions and inclusion and exclusion criteria for SSI. The rate of SSI was also obtained from chart review from April 1 to June 30, 2014. SSI was classified as superficial, deep, or organ space infection. The rates reported by the agencies were compared with the rates obtained by chart review using Fisher's exact test. Results: Overall SSI rates for the databases were as follows: UHC, 1.5%; NSQIP, 8.8%; and NHSN, 2.8% (P < .001). The individual databases had wide variation in the rate of deep infection (UHC, 0.7%; NSQIP, 4.7%; NHSN, 1.3%; P < .001) and organ space infection (UHC, 0.4%; NSQIP, 4.4%; NHSN, 1.4%; P < .001). In agreement with the variation in reporting methodology, only 19 cases (24.4%) were included in more than one database and only one case was included in all three databases (1.3%). Conclusion There is discordance among national reporting agencies tracking SSI. Adopting standardized metrics across agencies could improve consistency and accuracy in assessing SSI rates.
UR - http://www.scopus.com/inward/record.url?scp=84991209222&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84991209222&partnerID=8YFLogxK
U2 - 10.1200/JOP.2016.011759
DO - 10.1200/JOP.2016.011759
M3 - Article
C2 - 27460495
AN - SCOPUS:84991209222
SN - 1554-7477
VL - 12
SP - e878-e883
JO - Journal of oncology practice
JF - Journal of oncology practice
IS - 10
ER -