Validation of data quality in a nationwide gastroenterological surgical database: The National Clinical Database site-visit and remote audits, 2016-2018.
Validation of data quality in a nationwide gastroenterological surgical database: The National Clinical Database site-visit and remote audits, 2016-2018.
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DOI：
10.1002/ags3.12419
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发表时间：
2021-05
影响因子：
2.7
通讯作者：
Seto Y
中科院分区：
文献类型：
--
作者：
Hasegawa H;Takahashi A;Kanaji S;Kakeji Y;Marubashi S;Konno H;Gotoh M;Miyata H;Kitagawa Y;Seto Y
2015年，日本胃肠外科学会（JSGS）在国家临床数据库（NCD）的胃肠病学部分启动了数据验证，并报告了数据输入的高准确性。2016年在试验基础上引入远程审计进行数据验证，并于2017 - 2018年正式接受使用。本研究的目的是稽查2016 - 2018年NCD胃肠科的数据质量，并确认远程稽查数据的高准确性。每年有45 - 46家医院被选中进行审计。在每家医院随机选择20例病例，将患者人口统计学和手术结局数据（46项）的准确性与通过访问医院（现场访视稽查）或将数据从医院邮寄至JSGS办公室（远程稽查）获得的相应病历进行比较。共纳入136家医院，其中88家（64.7%）进行了远程审计，评估了124936个项目，总体数据准确率为98.1%。现场访视稽查和远程稽查在数据准确性方面无显著差异。研究中心访视稽查的死亡率准确性、灵敏度和特异性分别为99.7%、89.7%和100%，远程稽查的准确性、灵敏度和特异性分别为99.8%、97.3%和100%。远程审核每例数据验证所花费的平均时间短于现场审核（10.0分钟vs 13.7分钟，P < 0.001）。审计表明，非传染性疾病数据是可靠的，具有高度准确性的特点。远程稽查可替代现场访视稽查。日本国家临床数据库（NCD）涵盖了日本95%以上的外科手术。本研究旨在稽查2016 - 2018年NCD胃肠病学部分的数据质量。审计表明，非传染性疾病数据是可靠的，具有高度准确性的特点。
In 2015, the Japanese Society of Gastroenterological Surgery (JSGS) initiated data verification in the gastroenterological section of the National Clinical Database (NCD) and reported high accuracy of data entry. Remote audits were introduced for data validation on a trial basis in 2016 and formally accepted into use in 2017‐2018. The aim of this study was to audit the data quality of the NCD gastroenterological section for 2016‐2018 and to confirm the high accuracy of data in remote audits. Each year, 45‐46 hospitals were selected for audit. Twenty cases were randomly selected in each hospital, and the accuracy of patient demographic and surgical outcome data (46 items) was compared with the corresponding medical records obtained by visiting the hospital (site‐visit audit) or by mailing data from the hospital to the JSGS office (remote audit). A total of 136 hospitals were included, of which 88 (64.7%) had a remote audit, and 124 936 items were evaluated with an overall data accuracy of 98.1%. There was no significant difference in terms of data accuracy between site‐visit audit and remote audit. Accuracy, sensitivity, and specificity of mortality were 99.7%, 89.7%, 100% for site‐visit audits and 99.8%, 97.3%, 100% for remote audits, respectively. Mean time spent on data verification per case of remote audits was shorter than that of site‐visit audits (10.0 minutes vs 13.7 minutes, P < 0.001). The audits showed that NCD data are reliable and characterized by high accuracy. Remote audits may substitute site‐visit audits. The Japanese National Clinical Database (NCD) covers > 95% of the surgical operations carried out in Japan. The aim of this study was to audit the data quality of the NCD gastroenterological section for 2016‐2018. The audits showed that NCD data are reliable and characterized by high accuracy.
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影响因子：
9
作者：
Kimura, Wataru;Miyata, Hiroaki;Mori, Masaki
通讯作者：
Mori, Masaki
影响因子：
2.5
作者：
Nakagoe, Tohru;Miyata, Hiroaki;Mori, Masaki
通讯作者：
Mori, Masaki
影响因子：
9
作者：
Markar, Sheraz R.;Zaninotto, Giovanni;Hanna, George B.
通讯作者：
Hanna, George B.
DOI：
10.1016/j.jamcollsurg.2009.09.031
发表时间：
2010-01-01
影响因子：
5.2
作者：
Shiloach, Mira;Frencher, Stanley K., Jr.;Hall, Bruce L.
通讯作者：
Hall, Bruce L.
影响因子：
3.9
作者：
Matsubara, Nagahide;Miyata, Hiroaki;Mori, Masaki
通讯作者：
Mori, Masaki