Nationwide, population-based data from 11,074 ERCP procedures from the Swedish Registry for Gallstone Surgery and ERCP
Nationwide, population-based data from 11,074 ERCP procedures from the Swedish Registry for Gallstone Surgery and ERCP
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DOI：
10.1016/j.gie.2010.07.047
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发表时间：
2010-12-01
影响因子：
7.7
通讯作者：
Persson, Gunnar
中科院分区：
文献类型：
--
作者：
Enochsson, Lars;Swahn, Fredrik;Persson, Gunnar
背景资料：瑞典胆结石手术和ERCP登记处（GallRiks）是世界上第一个全国性的基于网络的胆结石手术和ERCP质量登记处。在这篇文章中，我们报告了2007年和2008年进行的11,074例ERCP的数据。目的：本研究的目的是介绍瑞典进行的ERCP的结局、安全性数据和成功率。设计：从医疗记录数据库收集数据。患者：本研究回顾了2007年和2008年进行的11,074例ERCP。方法：在GallRiks中，记录了关于胆结石疾病手术以及所有ERCP的数据。该登记研究得到瑞典外科学会的批准，并基于具有在线数据登记的互联网平台。在线方案包括30天的后续信息以及按需检索电子报告的机会。目前的数据代表了2007年在瑞典进行的所有ERCP的76%和2008年进行的所有ERCP的95%。该数据库也已经过验证，表明97.3%的ERCP cases.Main Outcome Measurements的医疗记录和数据库之间的完全匹配：插管成功和围手术期和术后并发症。胆总管结石的存在是主要的发现，在36.8%的检查中可见。围手术期和术后并发症发生率分别为2.5%和9.8%。ERCP诱发胰腺炎的发生率为2.7%，数据库中的30天总死亡率为5.9%，但在不同诊断组之间差异显著。高容量和低容量中心之间的ERCP的适应症不同，这表明在Sweden.Limitations复杂病例的适当转诊模式：GallRiks注册是自愿的，因此不是100%。这使得选择偏倚的possibility.Conclusion：ERCP是广泛使用的瑞典医院，可接受的插管成功率和围手术期和术后并发症的发生率类似于既定的标准。GallRiks是一个基于人群的全国性登记处，具有良好的数据有效性和高纳入率。（Gastrointest Enclose 2010;72：1175-84.）
Background: The Swedish Registry for Gallstone Surgery and ERCP (GallRiks) is the first nationwide Web-based quality registry for gallstone surgery and ERCP in the world. In this article we report data from 11,074 ERCPs performed in 2007 and 2008.Objective: The aim of this study is to present outcomes, safety data, and success rates of ERCPs performed in Sweden.Design: Data gathering from a medical record database.Patients: This study reviewed 11,074 ERCPs performed in 2007 and 2008.Methods: In GallRiks, data concerning surgery performed for gallstone disease as well as all ERCPs are recorded. The registry is approved by the Swedish Surgical Society and is based on an Internet platform with online data registration. The online program includes 30-day follow-up information as well as the opportunity to retrieve electronic reports on demand. The present data represent 76% of all ERCPs performed in Sweden in 2007 and 95% of those performed in 2008. The database also has been validated, indicating a complete match between the medical records and the database in 97.3% of ERCP cases.Main Outcome Measurements: Cannulation success and perioperative and postoperative complications.Results: A successful bile duct cannulation was achieved in 92% of the ERCPs performed. The presence of common bile duct stones was the predominant finding and was seen in 36.8% of examinations. Perioperative and postoperative complication rates were 2.5% and 9.8%, respectively. The rate of ERCP-induced pancreatitis was 2.7%, and the total 30-day mortality rate in the database was 5.9% but varied significantly among the different diagnostic groups. The indications for ERCP differed between high-volume and low-volume centers, indicating an adequate referral pattern of complex cases in Sweden.Limitations: GallRiks registration is voluntary and thus not 100%. This makes selection bias a possibility.Conclusion: ERCP is widely used at Swedish hospitals, with acceptable cannulation success rates and perioperative and postoperative complication rates similar to established standards. GallRiks is a population-based nationwide registry with good data validity and high inclusion rates regarding ERCPs. (Gastrointest Enclose 2010;72:1175-84.)