Department of Respiratory Medicine, Nottingham University Hospitals, City campus, Hucknall Road, Nottingham, NG5 1PB, UK.
Respiratory medicine Department, Seville University, Seville, Spain.
BMC Cancer. 2018 Nov 20;18(1):1144. doi: 10.1186/s12885-018-5009-y.
A minority of European countries have participated in international comparisons with high level data on lung cancer. However, the nature and extent of data collection across the continent is simply unknown, and without accurate data collection it is not possible to compare practice and set benchmarks to which lung cancer services can aspire.
Using an established network of lung cancer specialists in 37 European countries, a survey was distributed in December 2014. The results relate to current practice in each country at the time, early 2015. The results were compiled and then verified with co-authors over the following months.
Thirty-five completed surveys were received which describe a range of current practice for lung cancer data collection. Thirty countries have data collection at the national level, but this is not so in Albania, Bosnia-Herzegovina, Italy, Spain and Switzerland. Data collection varied from paper records with no survival analysis, to well-established electronic databases with links to census data and survival analyses.
Using a network of committed clinicians, we have gathered validated comparative data reporting an observed difference in data collection mechanisms across Europe. We have identified the need to develop a well-designed dataset, whilst acknowledging what is feasible within each country, and aspiring to collect high quality data for clinical research.
少数欧洲国家参与了国际间的肺癌高水准数据比较。然而,整个欧洲大陆的数据收集性质和范围尚不清楚,没有准确的数据收集,就不可能比较实践并设定肺癌服务机构可以追求的基准。
利用在 37 个欧洲国家中建立的肺癌专家网络,于 2014 年 12 月分发了一份调查。结果反映了每个国家在当时,即 2015 年初的现行做法。随后的几个月里,调查结果经过了汇编并与共同作者进行了核实。
收到了 35 份完整的调查回复,描述了当前肺癌数据收集的各种做法。30 个国家在国家一级进行数据收集,但阿尔巴尼亚、波斯尼亚和黑塞哥维那、意大利、西班牙和瑞士并非如此。数据收集从没有生存分析的纸质记录到与人口普查数据和生存分析相关联的成熟电子数据库不等。
我们利用一个有承诺的临床医生网络,收集了经过验证的比较数据,报告了欧洲各地数据收集机制的观察到的差异。我们已经认识到需要制定一个设计良好的数据集,同时承认每个国家的可行性,并期望为临床研究收集高质量的数据。