Academic Department of Medical and Surgical Gastroenterology and Intensive Care, Homerton University Hospital NHS Foundation Trust, London, UK.
Colorectal Dis. 2012 Aug;14(8):1015-8. doi: 10.1111/j.1463-1318.2012.02981.x.
The outcome of surgery for colorectal cancer in each unit in the UK is collated by the National Bowel Cancer Audit Project (NBOCAP). In 2008-2009 our unit had a raw 30-day postoperative mortality close to the national average, but when it was nationally adjusted it appeared to be an outlier. The purpose of this study was to identify reasons for this disparity.
All records were obtained for patients undergoing surgery for colorectal cancer over the 2 years. Data submitted to NBOCAP to determine adjusted rates were compared with actual data.
There were major discordances between submitted and actual data for American Society of Anesthesiology grades and timing of surgery. This explained why the unit appeared to be an outlier.
There is increasing emphasis on outcome of health service delivery, which has important implications. Submission of correct data is essential if objective comparison is to be made on which to base decisions on service delivery among units and within health regions.
英国各单位的结直肠癌手术结果由国家肠道癌症审核项目（NBOCAP）汇总。在 2008-2009 年，我们单位的术后 30 天死亡率接近全国平均水平，但在全国调整后，它似乎是一个异常值。本研究的目的是确定造成这种差异的原因。
获取过去两年中接受结直肠癌手术的所有患者的记录。将提交给 NBOCAP 以确定调整后比率的数据与实际数据进行比较。
美国麻醉医师协会分级和手术时间的提交数据与实际数据之间存在重大差异。这解释了为什么该单位似乎是一个异常值。
越来越重视卫生服务提供的结果，这具有重要意义。如果要在单位之间和卫生区域内的服务提供决策中进行客观比较，就必须提交正确的数据。
