Background: The Dutch Surgical Aneurysm Audit (DSAA) is a nationwide mandatory quality registry that evaluates the perioperative outcomes of abdominal aortic aneurysms (AAAs). The DSAA includes... Show moreBackground: The Dutch Surgical Aneurysm Audit (DSAA) is a nationwide mandatory quality registry that evaluates the perioperative outcomes of abdominal aortic aneurysms (AAAs). The DSAA includes perioperative outcomes that occur up to 30 days, but various complications following AAA repair occur after this period. Administrative healthcare data yield the possibility to evaluate later occuring outcomes such as reinterventions, without increasing the registration burden. The aim of this study is to assess the feasibility and the potential benefit of administrative healthcare data to evaluate mid-term reinterventions following intact AAA repair. Method: All patients that underwent primary endovascular aneurysm repair (EVAR) or open surgical repair (OSR) for an intact infrarenal AAA between January 2017 and December 2018 were selected from the DSAA. Subsequently, these patients were identified in a database containing reimbursement data. Healthcare activity codes that refer to reinterventions following AAA repair were examined to assess reinterventions within 12 and 15 months following EVAR and OSR. Results: We selected 4043 patients from the DSAA, and 2059 (51%) patients could be identified in the administrative healthcare database. Reintervention rates of 10.4% following EVAR and 9.5% following OSR within 12 months (p = 0.719), and 11.5% following EVAR and 10.8% following OSR within 15 months (p = 0.785) were reported. Conclusion: Administrative healthcare data as an addition to the DSAA is potentially beneficial to evaluate midterm reinterventions following intact AAA repair without increasing the registration burden for clinicians. Further validation is necessary before reliable implementation of this tool is warranted. Show less
This book is about changing public values and perceptions of political corruption in an important period of Dutch history, between 1748 and 1813. It consists of three parts. Part one provides the... Show moreThis book is about changing public values and perceptions of political corruption in an important period of Dutch history, between 1748 and 1813. It consists of three parts. Part one provides the research question and discusses public values and public value dynamics, political corruption and administrative history. Part two connects these elements to the socio-political context of Dutch early modern public administration. Part three offers three case studies of scandals of political corruption, involving taxation and bureaucratization around 1750, patronage and nepotism in the 1770s and 1780s and corruption following the Batavian revolution of 1795. The cases uncover public values and assumptions of what was considered __good__ or __bad__ public administration and serve to assess change and continuity therein. In this way, the study shows how Dutch public morality evolved amidst fundamental political and social change in a period in which many of the modern foundations of Dutch government and administration were shaped. It therefore provides knowledge to assess origins and essence of current Dutch thinking on __proper__ public administration. The study also expressly aims to combine historical and social-scientific explorations and aims to contribute to developing methodological and theoretical avenues for further historical comparative research into changing public morality. Show less
