Nixon I, Kunanandam T, Mackenzie K
Department of ENT, Gartnavel General Hospital, Glasgow, UK.
J Laryngol Otol. 2010 Sep;124(9):980-5. doi: 10.1017/S0022215110001246. Epub 2010 Jun 8.
Airway endoscopy carries a risk of detrimental effects. We aimed to develop a minimum endolaryngeal surgery dataset, for use in laryngology practice as an audit tool.
A minimum dataset was designed, incorporating pre- and post-operative clinical, surgical and patient-reported data. We prospectively recruited 272 consecutive patients between May 2007 and May 2009. The Voice Symptom Scale was used to assess patient-reported vocal morbidity.
Complete clinical and surgical details were obtained for 272 patients (100 per cent). Thus, information on diagnosis, procedure type and procedure aim was obtained for all patients. The Voice Symptom Scale was completed pre-operatively by 250 patients, and three months post-operatively by 169 patients (68 per cent). A statistically significant improvement in Voice Symptom Scale score was observed in patients undergoing surgery to improve their voice, compared with pre-operative measurements (p = 0.01).
We developed a minimum dataset to characterise endolaryngeal surgical activity and outcomes. This dataset could be used to determine best practice, and to audit endolaryngeal surgery outcomes for surgeon recertification and revalidation.
气道内镜检查存在有害影响的风险。我们旨在开发一个最小化的喉内手术数据集，用作喉科学实践中的审核工具。
设计了一个最小数据集，纳入术前和术后的临床、手术及患者报告数据。我们前瞻性地招募了2007年5月至2009年5月期间连续的272例患者。使用嗓音症状量表评估患者报告的嗓音发病率。
获取了272例患者（100%）完整的临床和手术细节。因此，获得了所有患者的诊断、手术类型及手术目的信息。250例患者在术前完成了嗓音症状量表评估，169例患者（68%）在术后三个月完成了评估。与术前测量结果相比，接受改善嗓音手术的患者嗓音症状量表评分有统计学意义的改善（p = 0.01）。
我们开发了一个最小数据集来描述喉内手术活动及结果。该数据集可用于确定最佳实践，并审核喉内手术结果以进行外科医生的重新认证和再验证。
