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丹麦腹股沟疝数据库。

The Danish Inguinal Hernia database.

作者信息

Friis-Andersen Hans, Bisgaard Thue

机构信息

Surgical Department, Horsens Regional Hospital, Horsens, Denmark; Steering Committee, Danish Hernia Database.

Steering Committee, Danish Hernia Database; Surgical Gastroenterological Department 235, Copenhagen University Hospital, Hvidovre, Denmark.

出版信息

Clin Epidemiol. 2016 Oct 25;8:521-524. doi: 10.2147/CLEP.S99512. eCollection 2016.

Abstract

AIM OF DATABASE

To monitor and improve nation-wide surgical outcome after groin hernia repair based on scientific evidence-based surgical strategies for the national and international surgical community.

STUDY POPULATION

Patients ≥18 years operated for groin hernia.

MAIN VARIABLES

Type and size of hernia, primary or recurrent, type of surgical repair procedure, mesh and mesh fixation methods.

DESCRIPTIVE DATA

According to the Danish National Health Act, surgeons are obliged to register all hernia repairs immediately after surgery (3 minute registration time). All institutions have continuous access to their own data stratified on individual surgeons. Registrations are based on a closed, protected Internet system requiring personal codes also identifying the operating institution. A national steering committee consisting of 13 voluntary and dedicated surgeons, 11 of whom are unpaid, handles the medical management of the database.

RESULTS

The Danish Inguinal Hernia Database comprises intraoperative data from >130,000 repairs (May 2015). A total of 49 peer-reviewed national and international publications have been published from the database (June 2015).

CONCLUSION

The Danish Inguinal Hernia Database is fully active monitoring surgical quality and contributes to the national and international surgical society to improve outcome after groin hernia repair.

摘要

数据库目的

基于针对国内外外科界的科学循证手术策略,监测并改善全国腹股沟疝修补术后的手术效果。

研究人群

年龄≥18岁的腹股沟疝手术患者。

主要变量

疝的类型和大小、原发性或复发性、手术修复程序类型、补片及补片固定方法。

描述性数据

根据丹麦国家卫生法,外科医生有义务在手术后立即登记所有疝修补手术(登记时间为3分钟)。所有机构均可持续获取按个体外科医生分层的自身数据。登记基于一个封闭的、受保护的互联网系统,该系统需要个人代码,同时也能识别手术机构。一个由13名志愿且敬业的外科医生组成的国家指导委员会负责数据库的医学管理,其中11名无薪酬。

结果

丹麦腹股沟疝数据库包含超过130,000例修补手术的术中数据(2015年5月)。截至2015年6月,该数据库已发表49篇经同行评审的国内外出版物。

结论

丹麦腹股沟疝数据库全面积极地监测手术质量,并为国内外外科学会改善腹股沟疝修补术后的效果做出贡献。

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