Kanaji Shingo, Takahashi Arata, Miyata Hiroaki, Marubashi Shigeru, Kakeji Yoshihiro, Konno Hiroyuki, Gotoh Mitsukazu, Seto Yasuyuki
The Japanese Society of Gastroenterological Surgery, National Clinical Database Data Quality Management Subcommittee, 3-1-17, Mita, Minato‑ku, Tokyo, 108‑0073, Japan.
The Japanese Society of Gastroenterological Surgery, Database Committee, 3-1-17, Mita, Minato‑ku, Tokyo, 108‑0073, Japan.
Surg Today. 2019 Apr;49(4):328-333. doi: 10.1007/s00595-018-1733-9. Epub 2018 Nov 7.
To evaluate the reliability of data collected from the gastroenterological section of the National Clinical Database of Japan (NCD), which began registrations in 2011 with ten surgical subspecialty societies.
During 2014 and 2015, 1,136,700 cases involving 115 procedures at 4374 hospitals were registered in the gastroenterological surgery section of the NCD. After a test audit using the 2014 data, 17 hospitals were selected for the first audit and data verification for 2015. The data accuracy of patient demographics, surgical outcomes, and processes was assessed using 45 items from the cases registered, in comparison with the medical records.
In the first audit of the 2015 data, case registration accuracy verification involved 338 patients (99.4% of the extracted cases). The data accuracy with the maximum postoperative variables was > 95%. Accuracy of the mortality and status 30 days after the surgery was high (> 99%) with a sensitivity of 1.00 and a specificity of 1.00. Among the six complications studied, the recorded cases had high specificity but lower sensitivity (0.70-0.89).
We verified the data from the gastroenterological section of the NCD and found high accuracy of data entry.
评估从日本国家临床数据库（NCD）胃肠病科收集的数据的可靠性，该数据库于2011年与十个外科亚专业学会开始进行注册。
在2014年和2015年期间，4374家医院的1136700例涉及115种手术的病例被注册到NCD的胃肠外科部分。在使用2014年数据进行测试审核后，选择了17家医院进行2015年的首次审核和数据验证。与病历相比，使用注册病例中的45项对患者人口统计学、手术结果和过程的数据准确性进行了评估。
在对2015年数据的首次审核中，病例注册准确性验证涉及338例患者（占提取病例的99.4%）。术后最大变量的数据准确性>95%。术后30天死亡率和状态的数据准确性很高（>99%），敏感性为1.00，特异性为1.00。在所研究的六种并发症中，记录的病例特异性高但敏感性较低（0.70 - 0.89）。
我们验证了NCD胃肠病科的数据，发现数据录入的准确性很高。
