Process / pipelineClinical / epidemiology
Risk-Adjusted Case Series
A risk-adjusted case series is an observational study design that reports outcomes for a consecutive or defined group of patients undergoing the same procedure or sharing a condition, while statistically correcting for differences in patient-level baseline risk. Rather than presenting raw complication or mortality rates, it compares observed outcomes against expected rates derived from a validated scoring model (e.g., POSSUM, APACHE, ASA grade), enabling fairer evaluation of clinical performance across institutions or over time.
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Sources
- Copeland, G. P., Jones, D., & Walters, M. (1991). POSSUM: a scoring system for surgical audit. British Journal of Surgery, 78(3), 355–360. DOI: 10.1002/bjs.1800780327 ↗
- Mayer, E. K., Bottle, A., Darzi, A. W., & Aylin, P. (2004). Case volume and outcome in the surgical treatment of colorectal cancer. British Journal of Surgery, 91(9), 1104–1110. DOI: 10.1002/bjs.4616 ↗