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衡量皮肤癌诊疗的绩效:皮肤癌诊疗绩效评估与研究计划(SCARD)倡议

Measuring performance in skin cancer practice: the SCARD initiative.

作者信息

Rosendahl Cliff, Hansen Craig, Cameron Alan, Bourne Peter, Wilson Tobias, Cook Ben, Baker Martin, Keir Jeff, Dicker Tony, Reid Mike, Williamson Richard, Weedon David, Soyer H Peter, Youl Philippa H, Wilkinson David

机构信息

School of Medicine, The University of Queensland, Brisbane, Australia.

出版信息

Int J Dermatol. 2011 Jan;50(1):44-51. doi: 10.1111/j.1365-4632.2010.04608.x.

DOI:10.1111/j.1365-4632.2010.04608.x
PMID:21182501
Abstract

BACKGROUND

The Skin Cancer College of Australia and New Zealand (SCCANZ) has developed a unique project named SCARD - the Skin Cancer Audit and Research Database. Designed initially as a self-audit tool for primary care skin cancer practitioners, SCARD acts as a tracking tool to enhance practice safety, and it also creates practice performance reports. Pooling of de-identified data enables participating practitioners to confidentially compare their own practice to that of their peers. Additionally, this creates a large database with significant research potential, as SCARD records for every lesion de-identified practitioner and patient data, and extensive details of location, provisional and histological diagnosis, and the procedure(s) performed in its treatment.

METHODS

Preliminary data collected in the database have been presented in this study.

RESULTS

An initial pool of data from 177 practitioners contains 77,553 specimens from 41,006 individual patients.

CONCLUSIONS

The data presented are being analyzed for further studies, and additional data continues to be collected from this ongoing project. SCARD is a useful tool at practice level, and substantial uptake by Australian primary care skin cancer practitioners has provided a unique opportunity for research into skin cancer and its management. SCCANZ, a professional college of predominantly primary care medical practitioners, with a commitment to the management of skin cancer in Australia and New Zealand, has formed a partnership with the School of Medicine at the University of Queensland to ensure that these data are managed and analyzed appropriately.

摘要

背景

澳大利亚和新西兰皮肤癌学院(SCCANZ)开发了一个名为SCARD的独特项目——皮肤癌审计与研究数据库。SCARD最初设计为初级保健皮肤癌从业者的自我审计工具,它作为一种跟踪工具来提高执业安全性,还能生成执业表现报告。汇总去识别化的数据使参与的从业者能够将自己的执业情况与同行进行保密比较。此外,这创建了一个具有重大研究潜力的大型数据库,因为SCARD记录了每个病变的去识别化从业者和患者数据,以及位置、初步和组织学诊断的详细信息,以及治疗中所进行的操作。

方法

本研究展示了数据库中收集的初步数据。

结果

来自177名从业者的初始数据集包含来自41,006名个体患者的77,553个标本。

结论

所展示的数据正在进行进一步研究分析,并且从这个正在进行的项目中持续收集更多数据。SCARD在执业层面是一个有用的工具,澳大利亚初级保健皮肤癌从业者的大量使用为皮肤癌及其管理的研究提供了独特的机会。SCCANZ是一个主要由初级保健医生组成的专业学院,致力于澳大利亚和新西兰的皮肤癌管理,它与昆士兰大学医学院建立了合作关系,以确保这些数据得到妥善管理和分析。

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