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为伊朗西北部食管闭锁登记处定义一个核心数据集。

Defining a Core Data Set for Registry of Esophageal Atresia in the Northwest of Iran.

作者信息

Saeedkhani Kamran, Kalankesh Leila R, Dastgiri Saeed, Rafeey Mandana

出版信息

J Registry Manag. 2018 Fall;45(3):132-135.

Abstract

UNLABELLED

Defining the core data set is the main step for establishing a registry system. The aim of this study was to define the core data set for the registry of esophageal atresia in the northwest of Iran.

METHODS

First, the preliminary list of data elements was extracted from the related registries of other countries, as well as from the literature. Then, a group of multidisciplinary experts was asked to score the tabulated list of data elements in terms of their importance using a 5-point Likert scale through a dual-round Delphi technique. Availability of data was assessed through a medical record review of 410 patients with esophageal atresia who had been hospitalized between March 2006 and March 2016 in Tabriz Children's Hospital.

RESULTS

The main classes of data were defined, including maternal information, patient demographics, clinical information, complications, and follow-up data. Thirty-two of 51 data elements (the core data elements) had 100% availability. Demographic data were completely available for 60% of the data elements. For clinical data, the availability rate was above 75%, while for complications and follow-up, it was 100% (except for the weight and height). In the category of maternal data, no data was available on the genetic screening and amniocentesis.

CONCLUSION

This study presents the core data set required for establishing an esophageal atresia registry in the northwest of Iran. A considerable number of identified cases and high availability of patient data indicated the feasibility of establishing the first esophageal atresia registry in the area.

摘要

未标注

定义核心数据集是建立注册系统的主要步骤。本研究的目的是确定伊朗西北部食管闭锁注册的核心数据集。

方法

首先,从其他国家的相关注册库以及文献中提取数据元素的初步清单。然后,通过两轮德尔菲技术,要求一组多学科专家使用5点李克特量表对数据元素列表按其重要性进行评分。通过对2006年3月至2016年3月在大不里士儿童医院住院的410例食管闭锁患者的病历审查来评估数据的可获得性。

结果

确定了主要的数据类别,包括母亲信息、患者人口统计学、临床信息、并发症和随访数据。51个数据元素中有32个(核心数据元素)的可获得率为100%。60%的数据元素的人口统计学数据完全可获得。临床数据的可获得率高于75%,而并发症和随访数据的可获得率为100%(体重和身高除外)。在母亲数据类别中,没有关于基因筛查和羊膜穿刺术的数据。

结论

本研究提出了在伊朗西北部建立食管闭锁注册所需的核心数据集。大量已识别病例和患者数据的高可获得性表明在该地区建立首个食管闭锁注册的可行性。

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