Universität zu Köln

Mellinghoff, Sibylle C., Bruns, Caroline ORCID: 0000-0003-4849-2107, Al-Monajjed, Rouvier, Cornely, Florian B., Grosheva, Maria, Hampl, Jurgen A., Jakob, Carolin, Koehler, Felix C., Lechmann, Max, Maged, Bijan, Otto-Lambertz, Christina, Rongisch, Robert, Rutz, Jule, Salmanton-Garcia, Jon, Schlachtenberger, Georg, Stemler, Jannik, Vehreschild, Janne, Wuelfing, Sophia, Cornely, Oliver A. ORCID: 0000-0001-9599-3137 and Liss, Blasius J. (2022). Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries. BMC Med. Res. Methodol., 22 (1). LONDON: BMC. ISSN 1471-2288

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Abstract

Background The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An example for the use of routine data on a large scope is the investigation of surgical site infections (SSI). Ongoing surveillance programs evaluate the incidence of SSI on a national or regional basis in a limited number of procedures. For example, analyses by the European Centre for Disease Prevention (ECDC) nine procedures and provides a mapping table for two coding systems (ICD9, National Healthcare Safety Network [NHSN]). However, indicator procedures do not reliably depict overall SSI epidemiology. Thus, a broader analysis of all surgical procedures is desirable. The need for manual translation of country specific procedures codes, however, impedes the use of routine data for such an analysis on an international level. This project aimed to create an international surgical procedure coding systems allowing for automatic translation and categorization of procedures documented in country-specific codes. Methods We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were grouped in ever more categories until each group represented a coherent unit based on method of surgery, interventions performed, extent and site of the surgical procedure. Next two ID specialist (arbitrated by a third in case of disagreement) independently assigned country-specific codes to the resulting categories. Finally, specialist from each surgical discipline reviewed these assignments for their respective field. Results A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%) procedure codes from the SALT coding system were classified as orthopaedic and trauma surgeries, thus this medical field represents the most diverse group within the SALT coding system, followed by abdominal surgical procedures with 2390 (15%) procedure codes. Conclusion Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity to harmonize big data sets containing surgical procedures from international centres, and may simplify comparability of future international trial findings.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Mellinghoff, Sibylle C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruns, Caroline UNSPECIFIED orcid.org/0000-0003-4849-2107 UNSPECIFIED Al-Monajjed, Rouvier UNSPECIFIED UNSPECIFIED UNSPECIFIED Cornely, Florian B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Grosheva, Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED Hampl, Jurgen A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Jakob, Carolin UNSPECIFIED UNSPECIFIED UNSPECIFIED Koehler, Felix C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lechmann, Max UNSPECIFIED UNSPECIFIED UNSPECIFIED Maged, Bijan UNSPECIFIED UNSPECIFIED UNSPECIFIED Otto-Lambertz, Christina UNSPECIFIED UNSPECIFIED UNSPECIFIED Rongisch, Robert UNSPECIFIED UNSPECIFIED UNSPECIFIED Rutz, Jule UNSPECIFIED UNSPECIFIED UNSPECIFIED Salmanton-Garcia, Jon UNSPECIFIED UNSPECIFIED UNSPECIFIED Schlachtenberger, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Stemler, Jannik UNSPECIFIED UNSPECIFIED UNSPECIFIED Vehreschild, Janne UNSPECIFIED UNSPECIFIED UNSPECIFIED Wuelfing, Sophia UNSPECIFIED UNSPECIFIED UNSPECIFIED Cornely, Oliver A. UNSPECIFIED orcid.org/0000-0001-9599-3137 UNSPECIFIED Liss, Blasius J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-688077
DOI:	10.1186/s12874-022-01702-w
Journal or Publication Title:	BMC Med. Res. Methodol.
Volume:	22
Number:	1
Date:	2022
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1471-2288
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NETWORK; ASEPSIS Multiple languages Health Care Sciences & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68807