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电子数据收集与传统数据收集:一项多中心随机对照围手术期疼痛试验

Electronic Versus Traditional Data Collection: A Multicenter Randomized Controlled Perioperative Pain Trial.

作者信息

Khan James S, Jibb Lindsay A, Busse Jason W, Gilron Ian, Choi Stephen, Paul James E, McGillion Michael, Mackey Sean, Buckley D Norman, Lee Shun Fu, Devereaux P J

机构信息

Department of Anesthesia, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.

School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.

出版信息

Can J Pain. 2019 Jul 30;3(2):16-25. doi: 10.1080/24740527.2019.1587584. eCollection 2019.

Abstract

: Electronic data collection is increasingly available as a means to collect pain-related clinical trial data; however, effectiveness and costs relative to traditional data collection are uncertain. : The aim of this study was to evaluate data quality, protocol adherence, satisfaction, and resource requirements of electronic data collection (i.e., Internet-based electronic submission) compared to traditional data collection methods (i.e., paper-based diaries and telephone interviews) in a perioperative factorial randomized controlled trial. : This study was an open-label two-arm parallel randomized controlled trial. Women (18-75 years) undergoing breast cancer surgery were allocated to either electronic or traditional data collection and completed pain-related questionnaires at baseline, postoperative period, and 3-month follow-up (NCT02240199). : We acquired outcome data at all time points from 78 randomized patients, 38 in the electronic group and 40 in the traditional group. The number of data queries (e.g., erroneously entered data) per patient was higher in the electronic data group (4.92 [SD = 4.67] vs. 1.88 [SD = 1.51]; < 0.001). No between-group differences were observed for compliance with medications, data completeness, loss to follow-up, or patient or research assistant satisfaction. More research assistant time per patient was spent collecting data in the traditional group (42.6 min [SD = 12.8] vs. 9.92 min [SD = 7.6]; < 0.001); however, costs per patient were higher in the electronic group ($176.85 [SD = 2.90] vs. $16.33 [SD = 4.90]; < 0.001). : Electronic data collection is feasible for perioperative pain clinical trials. Additional trials, including different surgical populations, are needed to confirm our findings and optimize use of electronic data capture methods.

摘要

电子数据收集作为收集疼痛相关临床试验数据的一种手段越来越普及;然而,相对于传统数据收集方式,其有效性和成本尚不确定。本研究旨在评估在一项围手术期析因随机对照试验中,与传统数据收集方法(即纸质日记和电话访谈)相比,电子数据收集(即基于互联网的电子提交)的数据质量、方案依从性、满意度和资源需求。本研究为开放标签双臂平行随机对照试验。接受乳腺癌手术的女性(18 - 75岁)被分配至电子或传统数据收集组,并在基线期、术后及3个月随访时完成疼痛相关问卷(NCT02240199)。我们从78名随机分组患者的所有时间点获取了结局数据,电子组38例,传统组40例。电子数据组中每位患者的数据查询数量(如错误录入的数据)更高(4.92 [标准差 = 4.67] 对1.88 [标准差 = 1.51];P < 0.001)。在药物依从性、数据完整性、失访情况或患者及研究助理满意度方面,未观察到组间差异。传统组中每位患者收集数据花费的研究助理时间更多(42.6分钟 [标准差 = 12.8] 对9.92分钟 [标准差 = 7.6];P < 0.001);然而,电子组中每位患者的成本更高(176.85美元 [标准差 = 2.90] 对16.33美元 [标准差 = 4.90];P < 0.001)。电子数据收集对于围手术期疼痛临床试验是可行的。需要进行更多试验,包括不同手术人群,以证实我们的发现并优化电子数据捕获方法的使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7279/8730625/53fb0729b3e7/UCJP_A_1587584_F0001_B.jpg

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