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Impact of developing a multidisciplinary coded dataset standard on administrative data accuracy for septoplasty, septorhinoplasty and nasal trauma surgery

  • S A R Nouraei (a1), A Hudovsky (a2), J S Virk (a3) and H A Saleh (a1)
Abstract Objective:

This study aimed to develop a multidisciplinary coded dataset standard for nasal surgery and to assess its impact on data accuracy.


An audit of 528 patients undergoing septal and/or inferior turbinate surgery, rhinoplasty and/or septorhinoplasty, and nasal fracture surgery was undertaken.


A total of 200 septoplasties, 109 septorhinoplasties, 57 complex septorhinoplasties and 116 nasal fractures were analysed. There were 76 (14.4 per cent) changes to the primary diagnosis. Septorhinoplasties were the most commonly amended procedures. The overall audit-related income change for nasal surgery was £8.78 per patient. Use of a multidisciplinary coded dataset standard revealed that nasal diagnoses were under-coded; a significant proportion of patients received more precise diagnoses following the audit. There was also significant under-coding of both morbidities and revision surgery.


The multidisciplinary coded dataset standard approach can improve the accuracy of both data capture and information flow, and, thus, ultimately create a more reliable dataset for use outcomes and health planning.

Corresponding author
Address for correspondence: Mr S A R Nouraei, Department of ENT Surgery, Charing Cross Hospital, London W6 8RF, UK E-mail:
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1 Jones, NS, Smith, PA, Carney, AS, Davis, A. The prevalence of allergic rhinitis and nasal symptoms in Nottingham. Clin Otolaryngol 1998;23:547–54
2 Montnémery, P, Svensson, C, Adelroth, E, Löfdahl, CG, Andersson, M, Greiff, L et al. Prevalence of nasal symptoms and their relation to self-reported asthma and chronic bronchitis/emphysema. Eur Resp J 2001;17:596603
3 Huang, TW, Cheng, PW. Changes in nasal resistance and quality of life after endoscopic microdebrider-assisted inferior turbinoplasty in patients with perennial allergic rhinitis. Arch Otolaryngol Head Neck Surg 2006;132:990–3
4 Udaka, T, Suzuki, H, Fujimura, T, Hiraki, N, Ohkubo, J, Shiomori, T et al. Chronic nasal obstruction causes daytime sleepiness and decreased quality of life even in the absence of snoring. Am J Rhinol 2007;21:564–9
5 Hospital Episode Statistics. NHS Digital. In: [15 June 2015]
6 Nouraei, SAR, Hudovsky, A, Virk, JS, Chatrath, P, Sandhu, GS. An audit of the nature and impact of clinical coding subjectivity variability and error in otolaryngology. Clin Otolaryngol 2013;38:512–24
7 Nouraei, SAR, Virk, JS, Hudovsky, A, Wathen, C, Darzi, A, Parsons, D. Accuracy of clinician-clinical coder information handover following acute medical admissions: implication for using administrative datasets in clinical outcomes management. J Public Health (Oxf) 2016;38:352–62
8 Nouraei, SAR, O'Hanlon, S, Butler, CR, Hadovsky, A, Donald, E, Benjamin, E et al. A multidisciplinary audit of clinical coding accuracy in otolaryngology: financial, managerial and clinical governance considerations under payment-by-results. Clin Otolaryngol 2009;34:4351
9 Guidance. Payment by results in the NHS: a simple guide. Department of Health, UK Government, 2013. In: [15 June 2015]
10 News. NHS England and the Health and Social Care Information Centre launch a consultation on hospital data to raise standards and improve patient safety. NHS England, 2013. In: [15 June 2015]
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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