1Department of Surgery, Cabrini Monash University, Malvern, Victoria, Australia 2CCRE Therapeutics, Monash University, Malvern, Victoria, Australia.
Dis Colon Rectum. 2014 Feb;57(2):167-73. doi: 10.1097/DCR.0000000000000041.
Collection of multi-institutional data pertaining to the treatment of bowel cancer has been hindered by poor clinician compliance with data entry and the lack of incentive to participate.
This study aimed to establish if a novel browser-based model of data collection results in complete data capture.
A Web-based data collection interface was custom written, offering automated reporting modules for clinical outcome to participants and an automated reporting system for outstanding data fields, and summary reporting of surgical quality outcomes. The software was combined with a clinical feedback system incorporating fortnightly data review meetings, at the time of clinical multidisciplinary meetings.
Selected were 932 consecutive patients with opt-out consent from 3 hospital sites, including public and private medicine.
The primary outcomes measured were the analysis of data completeness and accuracy and ensuring that the highest-quality data were used for clinical audit of the surgical practices of Australian colorectal surgeons for the purpose of quality assurance.
A total of 932 men and women, 22 to 94 years of age, treated for colorectal neoplasia were evaluated. We obtained 100% completion (>27,000 data points) of perioperative data registered by 8 specialist colorectal surgeons and a full-time database manager.
Data completeness and validity are essential for clinical databases to serve the purpose of quality assurance, benchmarking, and research. The results confirm the safety and efficacy of colorectal cancer surgery in both the public and private sector in Australia. The combination of a simple multiuser interface, defined data points, automated result-reporting modules, and data-deficiency reminder module resulted in 100% data compliance in nearly 1000 clinical episodes. The unprecedented success of this model has lead to the Colorectal Surgical Society of Australia and New Zealand adopting this model for data collection for Australia and New Zealand as the binational database.
由于临床医生对数据录入的遵从性差以及参与缺乏激励，涉及结直肠癌治疗的多机构数据收集受到阻碍。
本研究旨在确定基于浏览器的新型数据收集模型是否能实现完整的数据捕获。
定制了一个基于 Web 的数据收集界面，为临床结果向参与者提供自动报告模块，并为未完成数据字段提供自动报告系统，以及手术质量结果的汇总报告。该软件与临床反馈系统相结合，包括在临床多学科会议期间每两周进行一次数据审查会议。
从 3 家医院（包括公立和私立医疗机构）选择了 932 名连续接受选择退出同意的患者。
主要观察指标是分析数据的完整性和准确性，并确保使用最高质量的数据对澳大利亚结直肠外科医生的手术实践进行临床审核，以确保质量保证。
共评估了 932 名年龄在 22 至 94 岁之间接受结直肠肿瘤治疗的男性和女性。我们获得了 8 名专科结直肠外科医生和一名全职数据库管理员对围手术期数据的 100%完成（>27000 个数据点）。
数据完整性和有效性对于临床数据库来说至关重要，以确保质量保证、基准测试和研究的目的。结果证实了澳大利亚公共和私营部门结直肠癌手术的安全性和有效性。简单的多用户界面、定义的数据点、自动结果报告模块以及数据不足提醒模块的组合，在近 1000 个临床病例中实现了 100%的数据合规性。这种模式前所未有的成功促使澳大利亚和新西兰结直肠外科学会采用这种模式来收集澳大利亚和新西兰的数据集，作为双边数据库。
