CORI: Consortium Expansion and Database Enhancement

描述（申请人提供）：提高质量和降低成本的压力 医疗保健的有效性促进了对医疗保健有效性的评估。 干预，如胃肠道（GI）内窥镜检查。尽管广泛使用 内镜在胃肠道疾病的诊断和治疗中， 了解社区环境中的使用情况和有效性。的 临床结果研究倡议（科里）建立了一个医生联盟 他们向国家内窥镜数据库提供数据， 在不同的实践环境中进行内窥镜手术。这些数据已 用于研究内窥镜的利用率，内窥镜检查的频率和严重程度 结果，内镜治疗的结果，内镜对治疗质量的影响 生活和健康护理利用，新的内窥镜创新，不良事件 与内窥镜检查和慢性疾病的自然史相关。这 项目跨越生物医学研究和信息的接口 技术. 科里的成功取决于维持一个以实践为基础的联盟， 将数据发送到国家存储库的临床医生。一个大的，多样化的 协会允许研究内窥镜检查在“真实的生活”中的有效性 实践在项目的第一阶段，所有临床附属机构都使用计算机化的 专为项目开发的报告生成器。在第二阶段， 将创建接口，以从其他计算机化的 报告生成器、图像管理系统和非内窥镜数据 电子记录，同时保持质量控制和保存患者 隐私.这些增强功能将丰富数据存储库， 有效性研究。该提案的主要目标是利用信息 技术，以加强科里的研究使命，通过：扩大 参与商业软件用户的科里， 将非内窥镜数据纳入内窥镜数据库，增强 联盟建设与成员沟通的新方法，收购 用于研究和术语验证的内窥镜图像。

Description (provided by applicant): Pressure to improye quality and lower cost of health care has stimulated the evaluation of the effectiveness of medical interventions, such as gastrointestinal (GI) endoscopy. Despite widespread use of endoscopy in the diagnosis and treatment of GI diseases, very little is known about the utilization and effectiveness in community-based settings. The Clinical Outcomes Research Initiative (CORI) built a consortium of physicians who contribute data to a national endoscopic data repository to study outcomes of endoscopic procedures in diverse practice settings. These data have been used to study endoscopic utilization, frequency and severity of endoscopic findings, outcomes of endoscopic treatment, impact of endoscopy on quality of life and heath care utilization, new endoscopic innovations, adverse events associated with endoscopy, and natural history of chronic conditions. This project spans the interface of biomedical research and information technologies. CORI's success depends upon maintaining a consortium of practice-based clinicians who send data to the national repository. A large, diverse consortium allows the study of effectiveness of endoscopy in "real life" practice. In Phase I of the project, all clinical affiliates use a computerized report generator developed specifically for the project. In Phase II, interfaces will be created to capture endoscopic data from other computerized report generators, image management systems, and non-endoscopic data from electronic records while maintaining quality control and preserving patient privacy. These enhancements will enrich the data repository and enhance effectiveness research. The primary goal of this proposal is to use information technologies to enhance CORI's research mission through: Expansion of participation in CORI to users of commercial software, Incorporation of non-endoscopic data into the endoscopic database, Enhancement of consortium-building with novel methods of member communication, Acquisition of endoscopic images for research and validation of terminology.