Table 1

Principles in selecting taxonomy elements for the abstraction tool

PrincipleDefinition
Importance to patients
  • Element should reflect what most patients, families and caregivers perceive as important to them.

Evidence-based
  • Element is supported by consensus-based guidelines, documented best practices, standards or benchmarks—from regulatory bodies, professional societies or national institutes (online supplementary file 1).

Relevance to cohort
  • Element is relevant to informed consent documents for all elective procedures, regardless of level of invasiveness or surgical specialty.

  • Element is pertinent to a diversity of patients who have varying healthcare preferences and needs.

Ease of collection
  • Element can be assessed in a manner in which data collection does not place an undue burden on patients and hospitals (eg, related to medical chart abstraction and data transfer).

Reliability of measurement
  • Element can be defined and measured in a consistent way such that clear instruction and training of raters yield high inter-rater reliability.