Public Reporting of Healthcare Data

医疗保健数据的公开报告
  • 文章类型: English Abstract
    死亡病例报告是病因分析和趋势监测的重要信息来源,可以相对准确地反映人口的死亡情况和特征。它有助于了解人口的健康状况和医疗保健水平。特别部署住院死亡病例审查,不仅是卫生当局在医疗质量和安全方面的高度优先事项,而且是对重视人和生命的观念的切实贯彻。目前,对各专业死亡病例的审查缺乏科学和规范的评估,不包括孕产妇和新生儿病例。规范医疗机构死亡病例质量控制和管理,湖南省复苏质量控制中心制定了《医疗机构死亡病例质量控制与管理指南(2023)》。本指引工作组成员走访医疗机构,进行研究,审查了国内和国际来源的相关指南,并综合临床经验形成初步共识。这一共识已提交专家组进行多次讨论,经历了几次修改,最后,它以问卷的形式发送给专家以征求反馈。准则明确了范围,数据收集,和死亡病例质量控制的质量控制要求,为医疗机构死亡病例的质量控制和管理提供参考。
    The report of death cases is an important source of information for cause analysis and monitoring of trends, which can reflect the death situation and characteristics of a population in a relatively accurate manner. It helps understand the health status of the population and the level of healthcare. The special deployment of case review for in-hospital deaths is not only the high priority for health authorities in terms of quality and safety of medical care but also a practical implementation of the concept that values people and life. Currently, there is a lack of scientific and standardized evaluation for the review of death cases in various specialties, excluding maternal and neonatal cases. To standardize the quality control and management of death cases in medical institutions, the Guidelines for quality control and management of death cases in medical institutions (2023) has been developed by the Hunan Province Resuscitation Quality Control Center. The members of the working group of this guideline visited medical institutions, conducted research, reviewed relevant guidelines from domestic and international sources, and integrated clinical experience to form a preliminary consensus. This consensus was submitted to the expert group for multiple discussions, underwent several revisions, and finally, it was sent to the experts in the form of a questionnaire for feedback. The guidelines clarify the scope, data collection, and quality control requirements for death case quality control, providing a reference for the quality control and management of death cases in medical institutions.
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  • 文章类型: Journal Article
    制定了POSEIDON(以患者为导向的策略,以个性化为基础的卵母细胞数量)标准,以帮助临床医生识别和分类接受辅助生殖技术(ART)的低预后患者,并为克服不孕症的可能治疗策略提供指导。自推出以来,发表的使用POSEIDON标准的研究数量稳步增加.然而,对现有证据的批判性分析表明,关键结局的报告不一致且不完整.因此,我们制定了指南,以帮助研究者提高应用POSEIDON标准的研究报告质量.我们还讨论了在ART临床研究中使用POSEIDON标准的优势,并详细介绍了可能的研究设计和关键终点。我们的最终目标是将有关POSEIDON标准临床应用的知识推广给患者,临床医生,和不孕不育社区。
    The POSEIDON (Patient-Oriented Strategies Encompassing IndividualizeD Oocyte Number) criteria were developed to help clinicians identify and classify low-prognosis patients undergoing assisted reproductive technology (ART) and provide guidance for possible therapeutic strategies to overcome infertility. Since its introduction, the number of published studies using the POSEIDON criteria has increased steadily. However, a critical analysis of existing evidence indicates inconsistent and incomplete reporting of critical outcomes. Therefore, we developed guidelines to help researchers improve the quality of reporting in studies applying the POSEIDON criteria. We also discuss the advantages of using the POSEIDON criteria in ART clinical studies and elaborate on possible study designs and critical endpoints. Our ultimate goal is to advance the knowledge concerning the clinical use of the POSEIDON criteria to patients, clinicians, and the infertility community.
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  • 文章类型: Journal Article
    背景:高质量,需要以系统评价为基础的良好报告的临床实践指南(CPGs)和共识声明(CSs).我们评估了用于乳腺癌(BC)治疗的CPGs和CSs的质量和报告。
    方法:遵循协议注册(Prosperono:CRD42020164801),对BC治疗的CPGs和CSs进行了鉴定,没有语言限制,通过对书目数据库的系统搜索(MEDLINE,EMBASE,WebofScience,Scopus,CDSR)和2017年1月至2020年6月的在线资源(12个指南数据库和51个专业协会网站)。使用AGREEII(最高得分的百分比)评估总体质量并使用RIGHT(占35个项目的百分比)报告合规性的数据一式两份;审阅者同意率分别为98%和96%。
    结果:有59份相关指导文件(43份CPG,16个CS),其中20人使用系统评价进行证据综合。中位总体质量为54.0%(IQR35.9-74.3),中位总体报告依从性为60.9%(IQR44.5-84.4)。质量与报告之间的相关性为0.9。与CS相比,CPGs具有更好的质量(55.4%vs44.2%;p=0.032)和报告(67.18%vs44.5%;p=0.005)。与主观证据分析方法相比,使用系统综述的指导文件质量较好(76.3%vs51.4%;p=0.001),报告质量较好(87.1%vs59.4%;p=0.001).
    结论:BC治疗中CPGs和CSs的质量和报告是中等强度的。应使用系统评价来提高CPG和CSS的质量和报告。
    BACKGROUND: High-quality, well-reported clinical practice guidelines (CPGs) and consensus statements (CSs) underpinned by systematic reviews are needed. We appraised the quality and reporting of CPGs and CSs for breast cancer (BC) treatment.
    METHODS: Following protocol registration (Prospero no: CRD42020164801), CPGs and CSs on BC treatment were identified, without language restrictions, through a systematic search of bibliographic databases (MEDLINE, EMBASE, Web of Science, Scopus, CDSR) and online sources (12 guideline databases and 51 professional society websites) from January 2017 to June 2020. Data were extracted in duplicate assessing overall quality using AGREE II (% of maximum score) and reporting compliance using RIGHT (% of total 35 items); reviewer agreement was 98% and 96% respectively.
    RESULTS: There were 59 relevant guidance documents (43 CPGs, 16 CSs), of which 20 used systematic reviews for evidence synthesis. The median overall quality was 54.0% (IQR 35.9-74.3) and the median overall reporting compliance was 60.9% (IQR 44.5-84.4). The correlation between quality and reporting was 0.9. Compared to CSs, CPGs had better quality (55.4% vs 44.2%; p = 0.032) and reporting (67.18% vs 44.5%; p = 0.005). Compared to subjective methods of evidence analysis, guidance documents that used systematic reviews had better quality (76.3% vs 51.4%; p = 0.001) and reporting (87.1% vs 59.4%; p = 0.001).
    CONCLUSIONS: The quality and reporting of CPGs and CSs in BC treatment were moderately strong. Systematic reviews should be used to improve the quality and reporting of CPGs and CSs.
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  • 文章类型: Journal Article
    背景:需要基于证据的干预措施来治疗烧伤伤口感染(BWI)。证据综合受到用于报告各试验BWI的指标异质性的限制。商定的一套最低指标将有助于BWI的一致报告。烧伤感染共识研究旨在就BWI的核心指标集(CIS)达成专家共识。
    方法:TheCIS是通过开发从系统评价和专家输入中确定的一长串BWI指标而建立的。在Delphi调查中,英国专家参与者根据日常实践中的使用情况对指标进行了评级,对BWI患者的诊断和观察频率的重要性。如果≥75%的参与者认为这对诊断很重要并在日常实践中使用,则将指标包括在CIS中。≥50%的参与者认为它在BWI患者中经常观察到。
    结果:从系统评价中确定了一百九十五个指标,并通过合并具有相同含义的项目减少到29个调查项目。75名英国专家参加了德尔福调查。在进行了一轮调查和与专家小组的共识会议之后,CIS中包括四个项目:发热,蔓延的红斑,白细胞计数的变化,和病原微生物的存在。
    结论:为了促进证据综合,单一国家的系统,采用专家知情的方法开发aCIS,以便在报告BWI作为结局的试验中一致报告.未来的工作需要国际专家对CIS进行验证。
    BACKGROUND: Evidence-based interventions are needed to treat burn wound infection (BWI). Evidence syntheses have been limited by heterogeneity of indicators used to report BWI across trials. Consistent reporting of BWI would be facilitated by an agreed minimum set of indicators. The Infection Consensus in Burns study aimed to achieve expert consensus about a core indicator set (CIS) for BWI.
    METHODS: The CIS was established through development of a long list of BWI indicators identified from a systematic review and expert input. In a Delphi survey, UK expert participants rated the indicators according to use in everyday practice, importance for diagnosis and frequency of observation in patients with BWI. Indicators were included in the CIS if ≥75% of participants agreed it was important for diagnosis and used in everyday practice, and ≥50% of participants rated it as frequently observed in patients with BWI.
    RESULTS: One hundred and ninety-five indicators were identified from the systematic review and reduced to 29 survey items through merging of items with the same meaning. Seventy-five UK experts participated in the Delphi survey. Following a single survey round and a consensus meeting with an expert panel, four items were included in the CIS: pyrexia, spreading erythema, change in white cell count, and presence of pathogenic microbes.
    CONCLUSIONS: To facilitate evidence synthesis, a single-country systematic, expert-informed approach was taken to develop a CIS to be reported consistently across trials reporting BWI as an outcome. Future work requires verification of the CIS with international experts.
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  • 文章类型: Journal Article
    OBJECTIVE: Assessing reporting quality is important as it allows distinctions to be made between poor methodology and poor reporting practices. The Reporting Items for practice Guidelines in Healthcare (RIGHT) Statement checklist was published in 2017 to improve the thoroughness and reporting quality of clinical practice guidelines (CPGs). CPGs are evidence-based recommendations developed to assist clinician decision-making in the diagnosis and management of patients. The aim of this study is to assess the completeness of reporting in CPGs listed by the American College of Gastroenterology (ACG) and their frequency of reporting items listed in the RIGHT Statement.
    METHODS: Using the 22 criteria (35 items) of the RIGHT Statement checklist, two researchers independently documented the adherence to each item for all eligible guidelines listed by the ACG. This study was conducted from 01/10/18 to 05/12/18. Data were recorded onto a prespecified Google data abstraction form and extracted into MS Excel for statistical analysis.
    RESULTS: Out of 38 eligible guidelines, nine of the 35 RIGHT (25.7%) checklist items were met with less than 50% adherence. The mean adherence was 26.8 (SD ± 9.5); median adherence was 30 (interquartile range 21.5-33.5). The publication dates ranged from 2007 to 2017 with seven of the guidelines (18.4%) published between 2007 and 2009, 11 (29%) published between 2010 and 2013, and 20 (52.6%) published between 2014 and 2017.
    CONCLUSIONS: The completeness of reporting in CPGs listed by the ACG remains inadequate in several key areas. Poor adherence to items of the RIGHT Statement checklist demonstrates that there is area for improvement in reporting quality.
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