作者
Eric Monteiro, Michael C Sklar, Antoine Eskander, John R de Almeida, Mark Shrime, Patrick Gullane, Jonathan Irish, Ralph Gilbert, Dale Brown, Kevin Higgins, Danny Enepekides, David P Goldstein
发表日期
2014/12
期刊
The Laryngoscope
卷号
124
期号
12
页码范围
2726-2731
简介
Objectives/Hypothesis
The importance of reporting and grading surgical complications is central to quality improvement in head and neck surgery. The purpose of this study is to assess the interobserver reliability, content validity, and construct validity of the Clavien‐Dindo classification system for use in grading complications related to head and neck surgery.
Study Design
1 and 2.
Methods
Hypothetical cases of common head and neck surgical complications, along with a brief questionnaire, were responded to by 81 residents, fellows, and head and neck surgeons for grading to assess the interobserver reliability of the Clavien‐Dindo system. Construct validity was assessed with the a priori hypothesis that increasing complication grade resulted in an increased length of hospital stay.
Results
Interobserver reliability scores for the complication grading scenarios ranged mostly from moderate to high. The grading …
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E Monteiro, MC Sklar, A Eskander, JR de Almeida… - The Laryngoscope, 2014