Effectiveness of a Web-Based Electronic Prospective Data Collection Tool for Surgical Data in Shoulder Arthroplasty.
Effectiveness of a Web-Based Electronic Prospective Data Collection Tool for Surgical Data in Shoulder Arthroplasty.
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基于网络的电子前瞻性数据收集工具对肩关节置换术手术数据的有效性。
DOI：
10.1053/j.sart.2020.12.011
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发表时间：
2021-09
影响因子：
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通讯作者：
Ricchetti ET
中科院分区：
文献类型：
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作者：
Sahoo S;Rodríguez JA;Serna M;“Cleveland Clinic Shoulder Group”;Spindler KP;Derwin KA;Iannotti JP;Ricchetti ET
这项研究的目的是证明结果管理和评估(OME)系统的有效性和效率，该系统是一种前瞻性设计的电子数据收集工具，用于收集全面和标准化的肩关节置换手术数据。对收集到OME数据库的前100例肩关节置换术的手术数据进行了分析。外科医生使用加密智能手机完成了传统的叙述性手术笔记和OME病例报告。盲审评者通过人工查表从电子病历(EMR)中的手术笔记和植入物日志中提取数据。对OME和EMR的数据进行了比较，比较了与术前病理相关的39个变量之间的数据计数和一致性，包括肩袖状态和肩袖磨损，以及手术操作。使用原始百分比和McNemar检验(具有连续性校正)对数据计数进行评估。名义变量的一致性使用科恩的未加权kappa(κ)进行分析，顺序变量的一致性使用线性加权的科恩检验进行分析。通过计算完成OME所需的中位时间来评估效率。与EMR相比，OME数据库对评估的变量中56%(39个变量中的22个)的数据计数明显更高。两个数据集中的数据之间显示出高度的比例和统计上的一致性。39个变量中有10个变量100%符合，但无法进行统计比较，因为两个数据集在这些变量下具有相同的单一响应。在比较的29个变量中，79%(23个)的变量有80%的原始比例符合，69%(20个)的变量至少有实质性的一致性(κ>；0.6)。完成OME手术数据录入的中位时间为92秒(IQR 70-126)。前瞻性设计的电子数据录入系统(OME)是收集全面和标准化的肩关节置换手术数据的有效工具。IV级
The purpose of this study was to demonstrate the validity and efficiency of the Outcomes Management and Evaluation (OME) system, a prospectively designed electronic data collection tool, for collecting comprehensive and standardized surgical data in shoulder arthroplasty. Surgical data from the first 100 cases of shoulder arthroplasty that were collected into the OME database were analyzed. Surgeons completed a traditional narrative operative note and also an OME case report using an encrypted smartphone. A blinded reviewer extracted data from the operative notes and implant logs in the electronic medical records (EMR) by manual chart review. OME and EMR data were compared with regard to data counts and agreement between 39 variables related to preoperative pathology, including rotator cuff status and glenoid wear, and surgical procedures. Data counts were assessed using both raw percentages and with McNemar’s test (with continuity correction). Agreement of nominal variables was analyzed using Cohen’s unweighted kappa (κ) and of ordinal variables using the linearly weighted Cohen’s test. Efficiency was assessed by calculating the median time needed to complete OME. Compared to the EMR, the OME database had significantly higher data counts for 56% (22 of 39) of the variables assessed. A high level of proportional and statistical agreement was demonstrated between the data in the two datasets. 10 of 39 variables had 100% agreement but could not be statistically compared because both datasets had the same single response under those variables. Among the 29 variables that were compared, 79% (23 of 29) of variables had >80% raw proportional agreement, and 69% (20 of 29) of variables showed at least substantial agreement (κ > 0.6). The median time for completing OME surgery data entry was 92 seconds (IQR 70 – 126). The prospectively designed, electronic data entry system (OME) is an efficient and valid tool for collecting comprehensive and standardized surgical data on shoulder arthroplasty. Level IV