Level of agreement on postoperative complications after one-stage hypospadias correction comparing medical records and parent reports

Dokter, E.M.J.; Goosen, Evelina Ec; Zanden, Loes Fm van der; Kortmann, Barbara; Gier, R.P. de; Roeleveld, Nel; Feitz, W.F.J.; Rooij, Iris Alm van

doi:10.1016/j.jpedsurg.2019.01.057

Cited by 4 publications

(2 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although medical records were reviewed to gather information on treatment-related factors and complications, these were not always reported in a standardized manner and were based on the clinical opinion of the evaluating physician or nurse practitioner. As observed in previous studies, complication registration in medical records may be incomplete [20,21], which could have reduced the accuracy of the model.…”

Section: Strengths and Limitationsmentioning

confidence: 89%

Development of a prediction model for postoperative complications after primary hypospadias correction

Dokter¹,

Zanden²,

Laumer³

et al. 2020

Journal of Pediatric Surgery

Self Cite

View full text Add to dashboard Cite

To develop a prediction model for postoperative complications after primary one-stage hypospadias correction to improve preoperative parental counseling. Materials and methods: In this retrospective cohort study, data were collected from 356 patients with anterior or middle hypospadias who had a one-stage hypospadias correction from 2003 onwards. Potential treatment-and patient-related factors were selected and used to develop a prediction model for postoperative complications within one year (wound-related complications, urinary tract infections, fistulas, stenosis, and prepuce-related complications). Multivariable logistic regression analysis with stepwise backward selection and a p-value of 0.20 was used to select the final model, which was internally validated using the bootstrap procedure. Results: Complications within one year postoperatively occurred in 66 patients (19%), of which 13% and 37% were seen in anterior and middle type of hypospadias, respectively. Hypospadias phenotype, surgical technique, chordectomy, and surgeon's experience were included in the final prediction model, whereas none of the patientrelated factors were. The final model had a good discriminative ability (bias corrected C statistic 0.70) and calibration. Conclusion: Using easily obtainable information, this model showed good accuracy in predicting complications within one year after hypospadias surgery. It is a first step towards individualized risk prediction of postoperative complications for anterior and middle hypospadias and can assist in preoperative parental counseling.

show abstract

Section: Strengths and Limitationsmentioning

confidence: 89%

Development of a prediction model for postoperative complications after primary hypospadias correction

Dokter¹,

Zanden²,

Laumer³

et al. 2020

Journal of Pediatric Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…Additional outcomes include healthcare use, such as clinic visits, acute care evaluations, hospital admissions and secondary procedures. These outcomes will be ascertained by a patient or caregiver self-report and abstraction from the EHR 33–35. Centers for Disease Control and Prevention definitions for nosocomial urinary tract infections and multidrug resistant organisms will be used 36 37…”

Section: Methodsmentioning

confidence: 99%

Comparative effectiveness of paediatric kidney stone surgery (the PKIDS trial): study protocol for a patient-centred pragmatic clinical trial

et al. 2022

View full text Add to dashboard Cite

Introduction The strength of the evidence base for the comparative effectiveness of three common surgical modalities for paediatric nephrolithiasis (ureteroscopy, shockwave lithotripsy and percutaneous nephrolithotomy) and its relevance to patients and caregivers are insufficient. We describe the methods and rationale for the Pediatric KIDney Stone (PKIDS) Care Improvement Network Trial with the aim to compare effectiveness of surgical modalities in paediatric nephrolithiasis based on stone clearance and lived patient experiences. This protocol serves as a patient-centred alternative to randomised controlled trials for interventions where clinical equipoise is lacking. Methods and analysis The PKIDS is a collaborative learning organisation composed of 26 hospitals that is conducting a prospective pragmatic clinical trial comparing the effectiveness of ureteroscopy, shockwave lithotripsy and percutaneous nephrolithotomy for youth aged 8–21 years with kidney and/or ureteral stones. Embedded within clinical care, the PKIDS trial will collect granular patient-level, surgeon-level and institution-level data, with a goal enrolment of 1290 participants over a 21-month period. The primary study outcome is stone clearance, defined as absence of a residual calculus of >4 mm on postoperative ultrasound. Secondary outcomes include patient-reported physical, emotional and social health outcomes (primarily using the Patient-Reported Outcome Measurement Information System), analgesic use and healthcare resource use. Timing and content of secondary outcomes assessments were set based on feedback from patient partners. Heterogeneity of treatment effect for stone clearance and patient-reported outcomes by participant and stone characteristics will be assessed. Ethics and dissemination This study is approved by the central institutional review board with reliance across participating sites. Participating stakeholders will review results and contribute to development dissemination at regional, national and international meetings. Trial registration number NCT04285658; Pre-results.

show abstract

The hypospadias-specific health-related quality of life conceptual framework: a scoping review of the literature

et al. 2021

View full text Add to dashboard Cite

Level of agreement on postoperative complications after one-stage hypospadias correction comparing medical records and parent reports

Cited by 4 publications

References 29 publications

Development of a prediction model for postoperative complications after primary hypospadias correction

Development of a prediction model for postoperative complications after primary hypospadias correction

Comparative effectiveness of paediatric kidney stone surgery (the PKIDS trial): study protocol for a patient-centred pragmatic clinical trial

The hypospadias-specific health-related quality of life conceptual framework: a scoping review of the literature

Contact Info

Product

Resources

About