Jakobsen Jakob Kristian, Öztürk Buket, Søgaard Mette
Department of Urology.
Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus Nord, Denmark.
Clin Epidemiol. 2016 Oct 25;8:589-594. doi: 10.2147/CLEP.S99513. eCollection 2016.
The Danish National Penile Cancer Quality database (DaPeCa-data) aims to improve the quality of cancer care and monitor the diagnosis, staging, and treatment of all incident penile cancer cases in Denmark. The aim is to assure referral practice, guideline adherence, and treatment and development of the database in order to enhance research opportunities and increase knowledge and survival outcomes of penile cancer.
The DaPeCa-data registers all patients with newly diagnosed invasive squamous cell carcinoma of the penis in Denmark since June 2011.
Data are systematically registered at the time of diagnosis by a combination of automated data-linkage to the central registries as well as online registration by treating clinicians. The main variables registered relate to disease prognosis and treatment morbidity and include the presence of risk factors (phimosis, lichen sclerosus, and human papillomavirus), date of diagnosis, date of treatment decision, date of beginning of treatment, type of treatment, treating hospital, type and time of complications, date of recurrence, date of death, and cause of death.
Registration of these variables correlated to the unique Danish ten-digit civil registration number enables characterization of the cohort, individual patients, and patient groups with respect to age; 1-, 3-, and 5-year disease-specific and overall survival; recurrence patterns; and morbidity profile related to treatment modality. As of August 2015, more than 200 patients are registered with ∼65 new entries per year.
The DaPeCa-data has potential to provide meaningful, timely, and clinically relevant quality data for quality maintenance, development, and research purposes.
丹麦国家阴茎癌质量数据库(DaPeCa-data)旨在提高癌症护理质量,并监测丹麦所有新发阴茎癌病例的诊断、分期和治疗情况。目的是确保转诊实践、遵循指南以及数据库的治疗与发展,以增加阴茎癌的研究机会,提高相关知识水平和改善生存结局。
DaPeCa-data登记了自2011年6月以来丹麦所有新诊断为阴茎浸润性鳞状细胞癌的患者。
数据在诊断时通过自动数据链接至中央登记处以及治疗临床医生在线登记相结合的方式进行系统登记。登记的主要变量涉及疾病预后和治疗并发症,包括风险因素(包茎、硬化性苔藓和人乳头瘤病毒)的存在情况、诊断日期、治疗决策日期、治疗开始日期、治疗类型、治疗医院、并发症类型和时间、复发日期、死亡日期及死亡原因。
这些变量与丹麦唯一的十位数字民事登记号码相关联进行登记,从而能够对队列、个体患者和患者群体在年龄、1年、3年和5年疾病特异性生存率及总生存率、复发模式以及与治疗方式相关的并发症情况等方面进行特征描述。截至2015年8月,已登记200多名患者,每年约有65个新病例录入。
DaPeCa-data有潜力为质量维持、发展和研究目的提供有意义、及时且与临床相关的质量数据。