Room for “quality” improvement? Validating National Surgical Quality Improvement Program-Pediatric (NSQIP-P) appendectomy data

Single-institution validation study comparing NSQIP-P registry data to a prospective research database for 250 pediatric appendectomies found significant discrepancies in disease severity classification and complication rates. Results question the accuracy and representativeness of NSQIP-P sampling methodology for quality benchmarking.