话语精确度:评估儿科瘤手术报告作为对综合报告的推动力
Alisiya Petrushkevich1, Eliza Livingston1, Jacob Davidson2
1Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Journal of pediatric surgery
|February 2, 2025
概括
儿科外科瘤手术报告缺乏必要的数据完整性,特别是针对瘤的具体细节. 综合性操作报告 (SOR) 为改善儿童癌症护理数据可访问性和准确性提供了一个有希望的解决方案.
科学领域:
- 儿科外科瘤学 儿科外科瘤学
- 癌症数据管理 癌症数据管理
- 临床审计 临床审计
背景情况:
- 运营报告对于癌症诊断和治疗指导至关重要.
- 儿科外科瘤学的当前叙事报告往往缺乏完整性.
- 这项研究解决了改善儿童癌症护理数据质量的需求.
研究的目的:
- 审计儿科外科瘤学指令,以确保数据的完整性和易于收集.
- 建立一个基准来实施综合性行动报告 (SOR).
- 评估特定儿科瘤的手术报告的质量.
主要方法:
- 71份儿科手术瘤手术报告 (2010-2023) 的回顾性审计.
- 使用基于儿童瘤组 (COG) 协议的审计工具.
- 评估了四种瘤类型的一般瘤和瘤特异性数据的完整性:生殖细胞,威尔姆斯,神经母细胞瘤和肝母细胞瘤.
主要成果:
- 总的来说,数据的完整性很低 (66.0%的一般瘤,42.0%的瘤特异性).
- 威尔姆斯瘤 (58.7%) 和卵巢生殖细胞瘤 (65.9%) 的完整性高于神经母细胞瘤 (15.0%) 和肝母细胞瘤 (9.5%).
- 平均数据收集时间为每次审计6分钟,报告的转录时间平均为手术后1天.
结论:
- 儿科外科瘤学的叙述性手术报告是不够的,特别是对于关键的瘤特定信息.
- 综合性运营报告 (SOR) 是提议的解决方案,以提高数据的完整性和可访问性.
- 实施SOR可以提高数据利用率,用于儿童癌症的诊断和治疗计划.
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