Gromov Kirill, Fristed Jakob V, Brix Michael, Troelsen Anders
Ortopædisk Afdeling, Hvidovre Hospital, 2650 Hvidovre, Denmark.
Dan Med J. 2013 Oct;60(10):A4712.
Fracture-related surgery is among the most common orthopaedic procedures. However, to our knowledge, register-based quality assessment of fracture-related surgery has not previously been conducted. The Danish Fracture Database (DFDB) has been developed for the purpose of web-based quality assessment, but its properties as a valid data source have not previously been explored. We therefore investigated: 1) the completeness of data in the DFDB, and 2) if the entered data are valid data sources for future quality assessment.
We have developed the internet-based DFDB in which data entry is performed by the surgeon. Data collection includes primary fracture surgery and reoperations. After full implementation of the database at two orthopaedic departments, we assessed the completeness and validity of the entered data for 322 patients operated during a one-month period. Validity was calculated as observed agreement.
We recorded 83% completeness for all types of data entry, with 88% completeness for primary fracture surgery and 77% for reoperations, respectively. Patient- and trauma-related data were 82-100% valid. Surgery-related data included method of osteosynthesis and was valid in 89-99% of the cases.
The DFDB is an easy to use web-based database for registration of fracture-related surgery. Shortly after its implementation, we recorded satisfactory completeness and high data validity, which makes the DFDB a valuable tool with potential for nationwide quality assessment of fracture-related surgery.
骨折相关手术是最常见的骨科手术之一。然而，据我们所知，此前尚未对骨折相关手术进行基于登记处的质量评估。丹麦骨折数据库（DFDB）已开发用于基于网络的质量评估，但其作为有效数据源的特性此前尚未得到探索。因此，我们进行了以下研究：1）DFDB中数据的完整性，以及2）输入的数据是否是未来质量评估的有效数据源。
我们开发了基于互联网的DFDB，数据由外科医生输入。数据收集包括初次骨折手术和再次手术。在两个骨科部门全面实施该数据库后，我们评估了在一个月期间接受手术的322例患者输入数据的完整性和有效性。有效性以观察到的一致性计算。
我们记录了所有类型数据输入的完整性为83%，其中初次骨折手术的完整性为88%，再次手术为77%。患者和创伤相关数据的有效性为82%-100%。手术相关数据包括骨固定方法，在89%-99%的病例中有效。
DFDB是一个易于使用的基于网络的数据库，用于登记骨折相关手术。在实施后不久，我们记录了令人满意的完整性和高数据有效性，这使得DFDB成为一个有价值的工具，具有对骨折相关手术进行全国范围质量评估的潜力。
