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      Bibliometric analysis of academic journal recommendations and requirements for surgical and anesthesiologic adverse events reporting

      research-article
      , MD a , b , , MD a , , MD a , , MD a , c , , MD a , d , , MD a , , MD a , , MD bb , , MD z , , MD l , , MD y , , MD j , k , s , , MD e , , MD t , , MD n , , MD o , , MD f , , MD r , , MD q , , MD h , , MD aa , , MD cc , , MD v , , MD w , x , , MD u , , MD a , , MD a , , MD a , , MD m , , MD g , , MD i , , PhD p , , MD a , , MD a ,
      International Journal of Surgery (London, England)
      Lippincott Williams & Wilkins
      adverse event reporting, quality improvement, surgical safety

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          Background:

          Standards for reporting surgical adverse events (AEs) vary widely within the scientific literature. Failure to adequately capture AEs hinders efforts to measure the safety of healthcare delivery and improve the quality of care. The aim of the present study is to assess the prevalence and typology of perioperative AE reporting guidelines among surgery and anesthesiology journals.

          Materials and methods:

          In November 2021, three independent reviewers queried journal lists from the SCImago Journal & Country Rank (SJR) portal (www.scimagojr.com), a bibliometric indicator database for surgery and anesthesiology academic journals. Journal characteristics were summarized using SCImago, a bibliometric indicator database extracted from Scopus journal data. Quartile 1 (Q1) was considered the top quartile and Q4 bottom quartile based on the journal impact factor. Journal author guidelines were collected to determine whether AE reporting recommendations were included and, if so, the preferred reporting procedures.

          Results:

          Of 1409 journals queried, 655 (46.5%) recommended surgical AE reporting. Journals most likely to recommend AE reporting were: by category surgery (59.1%), urology (53.3%), and anesthesia (52.3%); in top SJR quartiles (i.e. more influential); by region, based in Western Europe (49.8%), North America (49.3%), and the Middle East (48.3%).

          Conclusions:

          Surgery and anesthesiology journals do not consistently require or provide recommendations on perioperative AE reporting. Journal guidelines regarding AE reporting should be standardized and are needed to improve the quality of surgical AE reporting with the ultimate goal of improving patient morbidity and mortality.

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          Most cited references40

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          Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey.

          Although quality assessment is gaining increasing attention, there is still no consensus on how to define and grade postoperative complications. This shortcoming hampers comparison of outcome data among different centers and therapies and over time. A classification of complications published by one of the authors in 1992 was critically re-evaluated and modified to increase its accuracy and its acceptability in the surgical community. Modifications mainly focused on the manner of reporting life-threatening and permanently disabling complications. The new grading system still mostly relies on the therapy used to treat the complication. The classification was tested in a cohort of 6336 patients who underwent elective general surgery at our institution. The reproducibility and personal judgment of the classification were evaluated through an international survey with 2 questionnaires sent to 10 surgical centers worldwide. The new ranking system significantly correlated with complexity of surgery (P < 0.0001) as well as with the length of the hospital stay (P < 0.0001). A total of 144 surgeons from 10 different centers around the world and at different levels of training returned the survey. Ninety percent of the case presentations were correctly graded. The classification was considered to be simple (92% of the respondents), reproducible (91%), logical (92%), useful (90%), and comprehensive (89%). The answers of both questionnaires were not dependent on the origin of the reply and the level of training of the surgeons. The new complication classification appears reliable and may represent a compelling tool for quality assessment in surgery in all parts of the world.
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            Receiver operating characteristic curve in diagnostic test assessment.

            The performance of a diagnostic test in the case of a binary predictor can be evaluated using the measures of sensitivity and specificity. However, in many instances, we encounter predictors that are measured on a continuous or ordinal scale. In such cases, it is desirable to assess performance of a diagnostic test over the range of possible cutpoints for the predictor variable. This is achieved by a receiver operating characteristic (ROC) curve that includes all the possible decision thresholds from a diagnostic test result. In this brief report, we discuss the salient features of the ROC curve, as well as discuss and interpret the area under the ROC curve, and its utility in comparing two different tests or predictor variables of interest.
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              The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development

              Background: A case report is a narrative that describes, for medical, scientific, or educational purposes, a medical problem experienced by one or more patients. Case reports written without guidance from reporting standards are insufficiently rigorous to guide clinical practice or to inform clinical study design. Primary Objective: Develop, disseminate, and implement systematic reporting guidelines for case reports. Methods: We used a three-phase consensus process consisting of (1) premeeting literature review and interviews to generate items for the reporting guidelines, (2) a face-to-face consensus meeting to draft the reporting guidelines, and (3) postmeeting feedback, review, and pilot testing, followed by finalization of the case report guidelines. Results: This consensus process involved 27 participants and resulted in a 13-item checklist—a reporting guideline for case reports. The primary items of the checklist are title, key words, abstract, introduction, patient information, clinical findings, timeline, diagnostic assessment, therapeutic interventions, follow-up and outcomes, discussion, patient perspective, and informed consent. Conclusions: We believe the implementation of the CARE (CAse REport) guidelines by medical journals will improve the completeness and transparency of published case reports and that the systematic aggregation of information from case reports will inform clinical study design, provide early signals of effectiveness and harms, and improve healthcare delivery.
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                Author and article information

                Contributors
                Journal
                Int J Surg
                Int J Surg
                JS9
                International Journal of Surgery (London, England)
                Lippincott Williams & Wilkins (Hagerstown, MD )
                1743-9191
                1743-9159
                May 2023
                3 May 2023
                : 109
                : 5
                : 1489-1496
                Affiliations
                [a ]Catherine and Joseph Aresty Department of Urology, Keck School of Medicine, Los Angeles, California
                [b ]Department of Urology, Einstein Healthcare Network, Philadelphia, Pennsylvania
                [c ]Department of General Surgery, Digestive Disease & Surgery Institute, Cleveland Clinic Foundation, Cleveland, Ohio
                [d ]Department of Surgery, Johns Hopkins Medicine, Baltimore, Maryland
                [e ]Department of Otolaryngology-Head & Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan
                [f ]Trauma Department, Emergency Surgery and Surgical Critical Care
                [g ]Department of Surgery, Massachusetts General Hospital and the Harvard Medical School, Boston, MA, USA
                [h ]Department of Surgery, University of California San Francisco (UCSF), San Francisco, California
                [i ]Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA
                [j ]Department of Urology, Royal Melbourne Hospital, Parkville, Victoria, Australia
                [k ]Department of Urology, Guy’s and St Thomas’ NHS Foundation Trust, London
                [l ]Department of Vascular Surgery, University of Bristol, Bristol
                [m ]Harley Clinic, London
                [n ]Department of Urology, Leeds Teaching Hospitals NHS Trust, Leeds
                [o ]Department of General Surgery, Yeovil District Hospital NHS Foundation Trust, Yeovil
                [p ]UK EQUATOR Centre, Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology, & Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, UK
                [q ]Center for Colorectal Disease, St Vincent’s University Hospital, Dublin, Ireland
                [r ]Department of Cardiac Surgery, Cardiovascular Center, Inselspital, Bern
                [s ]Department of Urology, University of Bern, Inselspital, Bern
                [t ]Clinic for Anaesthesia, Intermediate Care, Prehospital Emergency Medicine and Pain Therapy; University Hospital Basel, Switzerland
                [u ]Department of Urology, Ludwig-Maximilians-University Munich, Munich, Germany
                [v ]Department of Urology, Intitut Paoli-Calmettes Cancer Centre, Marseille, France
                [w ]Division of Oncology, Unit of Urology, URI, IRCCS Ospedale San Raffaele
                [x ]University Vita-Salute San Raffaele, Milan
                [y ]Division of Endocrine Surgery, “Agostino Gemelli” School of Medicine, University Foundation Polyclinic, Catholic University of the Sacred Heart, Rome
                [z ]Department of General and Pancreatic Surgery, University of Verona, Verona
                [aa ]Department of Ophthalmology, University Vita-Salute, IRCCS Ospedale San Raffaele, Milan, Italy
                [bb ]Department of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, Calgary, Alberta
                [cc ]Department of Urology, Queen’s University, Kingston, Ontario, Canada
                Author notes
                [* ]Corresponding author. Address: Institute of Urology, University of Southern California, Los Angeles, California 90005, USA. Tel: +1 (626) 491 1531. E-mail: giovanni.cacciamani@ 123456med.usc.edu (G.E. Cacciamani).
                Author information
                http://orcid.org/0000-0002-2059-1966
                http://orcid.org/0000-0001-9320-2987
                http://orcid.org/0000-0003-2198-833X
                http://orcid.org/0000-0002-9799-0594
                http://orcid.org/0000-0001-6336-5857
                http://orcid.org/0000-0002-8177-1098
                http://orcid.org/0000-0002-6824-4533
                http://orcid.org/0000-0002-6370-0800
                http://orcid.org/0000-0002-6293-2706
                http://orcid.org/0000-0003-4926-0957
                http://orcid.org/0000-0001-7219-7138
                http://orcid.org/0000-0003-3443-8425
                http://orcid.org/0000-0001-8498-9175
                http://orcid.org/0000-0003-3305-9343
                http://orcid.org/24559660100
                http://orcid.org/0000-0002-3356-7316
                http://orcid.org/0000-0003-3238-9682
                http://orcid.org/7004560262
                http://orcid.org/0000-0002-9167-2587
                http://orcid.org/0000-0002-3744-8234
                http://orcid.org/0000-0002-8580-8476
                http://orcid.org/26643471900
                http://orcid.org/55664955900
                http://orcid.org/0000-0002-2772-2316
                http://orcid.org/56091669400
                Article
                00044
                10.1097/JS9.0000000000000323
                10389352
                37132189
                87ded373-8d3b-45f0-892a-9fd1a63c71fd
                Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.

                This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0/

                History
                : 26 July 2022
                : 31 January 2023
                Categories
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                Surgery
                adverse event reporting,quality improvement,surgical safety
                Surgery
                adverse event reporting, quality improvement, surgical safety

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