Sauter S, Kaatsch P, Creutzig U, Michaelis J
Universitäts-Kinderklinik Freiburg.
Klin Padiatr. 1994 Jul-Aug;206(4):306-12. doi: 10.1055/s-2008-1046620.
Large multicenter trials have made a major contribution to the improvement of treatment results in childhood malignancies. Coordination and central documentation ensure the quality of treatment and permit clinical and scientific investigations. This kind of cooperation requires a vast amount of documentation, which by itself has become a critical factor in answering important medical questions. The problems result from non-standardized documentation systems in different studies, from insufficient integration of clinical work and documentation and from a lack of application of modern computer based data management systems. The working group "Applied Informatics" of the German "Gesellschaft für Pädiatrische Onkologie und Hämatologie (GPOH)" has started a project to create an uniform basic data set for the German pediatric oncology group. Relevant initial diagnostic data, information about planned and realized treatment as well as data concerning negative event had to be standardized. A minimal common data set with a substantially reduced documentation, which is applicable for all patients and trials, would have failed to fulfil the clinical as well as the research needs. The data set presented here is a detailed information structure introduced as a basic tool for the improvement of data management in the German pediatric oncology group. This first version of the basic data set will need further development, since some of the problems still need to be resolved and the requirements for such data pools are changing. Based on this data set new computer software and clinical information systems have to be developed to enable documentation and processing of all clinical and study related data.
大型多中心试验对改善儿童恶性肿瘤的治疗效果做出了重大贡献。协调和集中记录确保了治疗质量,并为临床和科学研究提供了便利。这种合作需要大量的记录,而记录本身已成为回答重要医学问题的关键因素。这些问题源于不同研究中记录系统的不标准化、临床工作与记录的整合不足以及现代计算机数据管理系统的应用缺乏。德国“儿科肿瘤学和血液学协会(GPOH)”的“应用信息学”工作组已启动一个项目,为德国儿科肿瘤学组创建一个统一的基础数据集。相关的初始诊断数据、关于计划和实施的治疗信息以及有关不良事件的数据都必须标准化。一个记录大幅减少的最小公共数据集,适用于所有患者和试验,将无法满足临床和研究需求。这里介绍的数据集是一种详细的信息结构,作为改善德国儿科肿瘤学组数据管理的基本工具引入。这个基础数据集的第一版还需要进一步完善,因为一些问题仍有待解决,而且对此类数据库的要求也在不断变化。基于这个数据集,必须开发新的计算机软件和临床信息系统,以便对所有临床和研究相关数据进行记录和处理。