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炫耀我们的资产。充分利用北欧注册中心的金矿:以脑瘫为例。

Flaunting our assets. Making the most of the Nordic registry goldmine: Cerebral palsy as an example.

机构信息

Lund University, Skane University Hospital, Department of Clinical Sciences Lund, Orthopedics, Lund, Sweden.

Arcada University of Applied Sciences, Helsinki, Finland.

出版信息

Scand J Public Health. 2020 Feb;48(1):113-118. doi: 10.1177/1403494819829338. Epub 2019 Feb 28.

Abstract

To describe the early experiences of a Nordic multidisciplinary cerebral palsy (CP) registry research program combining data from national medical quality registries, follow-up programs and cohort data, in addition to data from other national registries; to explore the scientific and practical uses of such research, and provide recommendations for facilitating similar work in the future. : The work was divided into three themes: medical outcomes, social and public health outcomes, and health economics; and three cross-cutting teams: a reference team, a challenge team, and a communication and dissemination team. Initially each country will perform domestic research, and in the second stage data will be merged across all Nordic countries. Data from national registries with vital statistics, education and work, social benefits, and healthcare will be used. Comparisons will be matched for both the individuals with CP and their parents. : Initial work has been done on agreeing which variables to request from the respective agencies and planning the correct procedures and steps required to acquire the data. As of 2018, Sweden, Norway, and Finland have received approved ethics board applications. Iceland and Denmark are waiting for their approvals. A webpage and a platform for internal communication have been created. : Nordic register research has great potential. Linking national CP quality registries and follow-up programs with other large national registries holds particular promise because problems identified through research can be applied at a population level. It is imperative that ethical clearance and data delivery processes are streamlined and transparent, and that data variables are measured the same way in the different countries.

摘要

描述一个北欧多学科脑瘫(CP)注册研究项目的早期经验,该项目结合了来自国家医疗质量登记处、随访计划和队列数据的数据,以及来自其他国家登记处的数据;探讨这种研究的科学和实际用途,并为未来促进类似工作提出建议。该工作分为三个主题:医疗结果、社会和公共卫生结果以及健康经济学;以及三个跨领域团队:参考团队、挑战团队和沟通与传播团队。最初每个国家都将进行国内研究,然后在第二阶段将所有北欧国家的数据合并。将使用来自具有人口统计、教育和工作、社会福利和医疗保健的国家登记处的数据。将对 CP 患者及其父母进行匹配比较。目前已经完成了初步工作,即商定从各自机构请求哪些变量,并规划获取数据所需的正确程序和步骤。截至 2018 年,瑞典、挪威和芬兰已获得伦理委员会的批准申请。冰岛和丹麦正在等待批准。已经创建了一个网页和一个内部沟通平台。北欧登记研究具有巨大的潜力。将国家 CP 质量登记处和随访计划与其他大型国家登记处联系起来具有特别的前景,因为通过研究发现的问题可以在人群层面上应用。至关重要的是,伦理审查和数据交付流程要精简和透明,并且不同国家的数据变量要以相同的方式进行测量。

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