Section of Gastrointestinal Surgery, Hospital del Mar, Universitat Autònoma de Barcelona, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Service of Surgery, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, Spain.
Eur J Surg Oncol. 2021 Dec;47(12):3081-3087. doi: 10.1016/j.ejso.2021.04.025. Epub 2021 Apr 25.
Although the number of nationwide clinical registries in upper gastrointestinal cancer is increasing, few of them perform regular clinical audits. The Spanish EURECCA Esophagogastric Cancer Registry (SEEGCR) was launched in 2013. The aim of this study was to assess the reliability of the data in terms of completeness and accuracy.
Patients who were registered (2014-2017) in the online SEEGCR and underwent esophagectomy or gastrectomy with curative intent were selected for auditing. Independent teams of surgeons visited each center between July 2018 and December 2019 and checked the reliability of data entered into the registry. Completeness was established by comparing the cases reported in the registry with those provided by the Medical Documentation Service of each center. Twenty percent of randomly selected cases per hospital were checked during on-site visits for testing the accuracy of data (27 items per patient file). Correlation between the quality of the data and the hospital volume was also assessed.
Some 1839 patients from 19 centers were included in the registry. The mean completeness rate in the whole series was 97.8% (range 82.8-100%). For the accuracy, 462 (25.1%) cases were checked. Out of 12,312 items, 10,905 were available for verification, resulting in a perfect agreement of 95% (87.1-98.7%). There were 509 (4.7%) incorrect and 35 (0.3%) missing entries. No correlation between hospital volume and the rate of completeness and accuracy was observed.
Our results indicate that the SEEGCR contains reliable data.
尽管全国范围内上消化道癌症的临床登记数量正在增加，但很少有登记处定期进行临床审核。西班牙 EURECCA 食管胃交界部癌症登记处（SEEGCR）于 2013 年成立。本研究旨在评估数据的完整性和准确性。
选择在在线 SEEGCR 中登记（2014-2017 年）并接受根治性食管切除术或胃切除术的患者进行审核。外科医生独立团队于 2018 年 7 月至 2019 年 12 月期间访问每家中心，并检查登记处输入的数据的可靠性。通过将登记处报告的病例与每家中心的医疗文件服务提供的病例进行比较，确定完整性。在现场访问期间，对每家医院随机抽取 20%的病例进行数据准确性检查（每个患者档案 27 项）。还评估了数据质量与医院容量之间的相关性。
19 家中心的 1839 名患者被纳入登记处。整个系列的平均完整性率为 97.8%（范围为 82.8-100%）。在准确性方面，检查了 462 例（25.1%）病例。在 12312 个项目中，有 10905 个可用于验证，完全一致率为 95%（87.1-98.7%）。有 509 个（4.7%）错误条目和 35 个（0.3%）缺失条目。未观察到医院容量与完整性和准确性之间存在相关性。
我们的结果表明，SEEGCR 包含可靠的数据。
