Khaitan L, Apelgren K, Hunter J, Traverso L W
Department of Surgery, Vanderbilt University Medical Center, D5203 MCN, Nashville, TN 37232, USA.
Surg Endosc. 2003 Mar;17(3):365-70. doi: 10.1007/s00464-002-8844-4. Epub 2002 Dec 10.
The Society of American Gastrointestinal Endoscopic Surgeons (SAGES) Outcomes Initiative established a national database in 1999. The goal was to provide a vehicle whereby surgeons could accumulate meaningful data about their surgical activity and procedure outcomes.
Through a secure Internet site, participants entered core data at the time of operation on all patients undergoing any laparoscopic or open procedure. Procedure-specific data was accumulated for cholecystectomy, inguinal hernia, and fundoplication. A second data set was collected at the time of follow-up evaluation. Individual data and a summary of national data were available through the Web site for contemporaneous review.
Between May 1999 and December 2001, 4,100 cases were entered by 73 surgeons, including data for 1070 cholecystectomies, 1,070 antireflux procedures, and 300 hernias. The remaining cases encompassed all other procedures. Perioperative and follow-up data showed many interesting findings. For example, 30% of cholecystectomies were first-assisted by a nonphysician. The rate of conversion from laparoscopic cholecystectomy to open surgery was 3%. In the gastroesophageal reflex disease (GERD) report on fundoplications, 21% of the patients had a previous fundoplication. This report contains a summary of the data collected during this period in the national database.
The SAGES Outcomes Initiative allows surgeons to be involved in data collection about their practice. It provides data on the general practice of surgery, which are more useful for setting benchmarks than published data from the surgical elite.
美国胃肠内镜外科医师协会（SAGES）成果倡议于1999年建立了一个全国性数据库。其目标是提供一种途径，使外科医生能够积累有关其手术活动和手术结果的有意义的数据。
参与者通过一个安全的互联网网站，在对所有接受任何腹腔镜或开放手术的患者进行手术时输入核心数据。针对胆囊切除术、腹股沟疝修补术和胃底折叠术积累了特定手术的数据。在随访评估时收集了第二个数据集。通过该网站可获取个体数据和全国数据摘要以供同期审查。
在1999年5月至2001年12月期间，73名外科医生录入了4100例病例，包括1070例胆囊切除术、1070例抗反流手术和300例疝修补术的数据。其余病例涵盖所有其他手术。围手术期和随访数据显示了许多有趣的发现。例如，30%的胆囊切除术由非医生首次协助。从腹腔镜胆囊切除术转为开放手术的比例为3%。在关于胃底折叠术的胃食管反流病（GERD）报告中，21%的患者曾接受过胃底折叠术。本报告包含了在此期间全国数据库中收集的数据摘要。
SAGES成果倡议使外科医生能够参与有关其执业的数据收集。它提供了关于外科手术一般情况的数据，与外科精英发表的数据相比，这些数据在设定基准方面更有用。
