Murphy Melissa, Alavi Karim, Maykel Justin
Department of Colon and Rectal Surgery, University of Massachusetts Medical School, Worcester, Massachusetts.
Clin Colon Rectal Surg. 2013 Mar;26(1):5-11. doi: 10.1055/s-0033-1333627.
Outcomes research has established itself as an integral part of surgical research as physicians and hospitals are increasingly required to demonstrate attainment of performance markers and surgical safety indicators. Large-volume and clinical and administrative databases are used to study regional practice pattern variations, health care disparities, and resource utilization. Understanding the unique strengths and limitations of these large databases is critical to performing quality surgical outcomes research. In the current work, we review the currently available large-volume databases including selection processes, modes of analyses, data application, and limitations.
随着医生和医院越来越需要证明达到绩效指标和手术安全指标,结果研究已成为外科研究不可或缺的一部分。大容量以及临床和行政数据库被用于研究区域实践模式差异、医疗保健差距和资源利用情况。了解这些大型数据库的独特优势和局限性对于开展高质量的外科手术结果研究至关重要。在当前的工作中,我们回顾了目前可用的大容量数据库,包括选择过程、分析模式、数据应用和局限性。