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For numerator data, we used two definitions of PMV to provide sensitivity analyses given the potential limitations of retrospective data as detailed below.
We calculated national rates using weighted estimates derived from HCUP database for numerator data, and information from the US Census 2000, and population estimates for 2003 and 2006 for the denominators.
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For relevant hospitals we assessed data quality: consistency of reporting, completeness of patient postcodes and for one selected hospital, North Staffordshire Royal Infirmary (NSRI), the capture rate of numerator data reporting.
Ethnicity coding was then performed as for the numerator data.
The NSW Cancer Registry, which provided the numerator data for this study, records residential addresses at time of cancer diagnosis, or death.
To identify the number and timing of events, we drew numerator data for the population from the SMR and NRS records.
Thus, numerator data for those states was extrapolated based on that region's prevalence estimate and the respective state's population.
Some numerator data for the percentage of patients with FN were not reported but these were derived directly using the denominators and percentages reported in the papers.
Sixteen TARN hospitals out of a total of 41 hospitals meeting the initial selection criteria (continuous membership over 1996 2005 and over 70% completeness of postcodes) were found to have appropriate numerator data for trauma burden.
For SBA and PNC, the consistency ratio was much higher than one, especially for the HMIS and MCH-EPI numerator data, indicating higher consistency.
Numerator data consisted of the total number of discharges for each month for each of the most responsible diagnoses.
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