Level of agreement on postoperative complications after one-stage hypospadias correction comparing medical records and parent reports
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In brief
In brief
Retrospective study comparing postoperative complication reporting between medical records and parent questionnaires in 409 children after one-stage hypospadias repair. Moderate overall agreement (κ=0.50) was found, with higher concordance for complications requiring reoperation and recent surgeries, highlighting discrepancies in outcome capture methods.
Written by the GCMD Library team from the article.
Purpose
To analyze agreement on postoperative complications after hypospadias surgery according to medical records and parents' reports.
Materials & methods
In this retrospective cohort study, data were collected from 409 children who received an initial one-stage hypospadias correction in the Radboudumc, The Netherlands.
Postoperative complications according to medical records were compared with parent-reported complications in an online questionnaire. Main complications studied were wound-related complications, urinary tract infections, fistulas, stenosis, and prepuce-related complications. Agreement was determined by Cohen's kappa coefficient.
Results
Slightly less complications were mentioned in medical records (37%) compared to parents' reports (42%). Overall agreement was moderate (κ = 0.50, 95% confidence interval (CI):0.41–0.59), but poor for some specific complications. Agreement was higher for complications that needed reoperation compared to when no reoperation was performed (κ = 0.53, 95% CI: 0.43–0.62 and κ = 0.18, 95% CI: 0.06–0.31) and for patients with recent surgery (