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眼科学临床注册。

Clinical Registries in Ophthalmology.

机构信息

Save Sight Institute, University of Sydney, Sydney, Australia; Sydney Eye Hospital, Sydney, Australia.

Save Sight Institute, University of Sydney, Sydney, Australia.

出版信息

Ophthalmology. 2019 May;126(5):655-662. doi: 10.1016/j.ophtha.2018.12.030. Epub 2018 Dec 17.

Abstract

TOPIC

Clinical registries in ophthalmology.

CLINICAL RELEVANCE

In recent years, advancements in digital technology and increasing use of electronic medical records in health systems have led to the dramatic growth in large clinical data sets. Clinical data registries are organized systems that collect data on patients diagnosed with a disease or condition or who undergo a certain procedure.

METHODS

A search of the PUBMED database was conducted in January 2018 for clinical registries in ophthalmology.

RESULTS

Ninety-seven clinical eye registries were found, with significant growth in numbers in the last 4 decades. The most common conditions captured were blindness or low vision, corneal transplantation, glaucoma, and cataract surgery. Most registries originate in the European region, North America, and Australia. Nine registries had multinational coverage, whereas 48 were national registries. As the numbers and scope of clinical registries have expanded, valuable observational data have been used to study real-world clinical outcomes in healthcare quality measurement and improvement and to develop new guidelines and standards. Pertinent areas of its use include studying treatments and outcomes in cataract surgery, corneal transplantation, and macular degeneration.

CONCLUSIONS

The use of clinical registries for quality improvement and research has grown significantly in the last few decades, and this trend will continue as information technology infrastructures develop.

摘要

主题

眼科学临床注册。

临床相关性

近年来,数字技术的进步以及医疗系统中电子病历的广泛应用,使得大型临床数据集呈爆炸式增长。临床数据注册是一种组织系统,用于收集患有某种疾病或病症或接受某种特定程序的患者的数据。

方法

2018 年 1 月,在 PUBMED 数据库中进行了眼科学临床注册的检索。

结果

发现了 97 个临床眼科注册,在过去 40 年中数量显著增长。最常见的记录条件是失明或低视力、角膜移植、青光眼和白内障手术。大多数登记处起源于欧洲、北美和澳大利亚。有 9 个登记处覆盖了多个国家,而 48 个是国家登记处。随着临床登记处数量和范围的扩大,有价值的观察数据被用于研究医疗质量测量和改进中的真实临床结果,并制定新的指南和标准。其使用的相关领域包括研究白内障手术、角膜移植和黄斑变性的治疗和结果。

结论

在过去几十年中,临床注册在质量改进和研究方面的应用显著增长,随着信息技术基础设施的发展,这一趋势将继续下去。

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