[德国截肢登记处(AMP-Registry)的更新]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI:10.1007/s00113-025-01539-0
Merkur Alimusaj, Kristina Michel, Julia Block, Urban Daub, Daniel Heitzmann, Thanh-Duc Nguyen, Maria Bisele, Sebastian I Wolf, Urs Schneider
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引用次数: 0

摘要

背景:医疗登记用于收集有价值的患者数据,以检查和控制治疗方法的质量和有效性。截肢和患者护理领域的国家登记处,如瑞典截肢和假肢登记处(SwedeAmp)和美国肢体丧失和保存登记处(LLPR),收集有关假肢装置、材料、程序和患者相关结果(如活动能力和生活质量)的信息。自2011年以来,SwedeAmp可以对截肢后的长期结果产生重大见解,并改善瑞典的假肢护理。在美国,LLPR收集从临床到心理社会方面的数据,以便进行国际比较和优化护理。材料和方法:在德国,AMP注册中心通过记录假体适合度、佩戴舒适性和修订原因的数据做出了重大贡献。AMP注册的目的是通过系统的数据收集建立一个证据基础。该计划包括发展一个方便使用者使用的资讯科技架构、进行应用评估的试验阶段,以及与专家紧密合作。标准化数据集旨在确定护理方面的缺陷,并制定循证方法。数据的收集和存储符合《通用数据保护条例》(DSGVO),并通过技术措施加以保护。结果和讨论:海德堡研究中心的初步结果证明了AMP注册的潜力。亚组分析支持护理的优化,并强调定期评估对改善长期护理的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Update of the Amputation Registry Germany (AMP-Registry)].

Background: Medical registries are used to collect valuable patient data in order to check and control the quality and effectiveness of treatment approaches. National registries in the field of amputation and patient care, such as the Swedish Amputation and Prosthetics Registry (SwedeAmp) and the Limb Loss and Preservation Registry (LLPR) in the USA, gather information on prosthetic devices, materials, procedures and patient-related outcomes such as mobility and quality of life. Since 2011 SwedeAmp could generate significant insights into long-term outcomes after amputations and improve prosthetic care in Sweden. In the USA the LLPR collects data on aspects ranging from clinical to psychosocial aspects, enabling international comparisons and the optimization of care.

Material and methods: In Germany the AMP Registry makes significant contributions by documenting data on prosthetic fit, wearing comfort and the reasons for revisions. The aim of the AMP Registry is to create an evidence base through systematic data collection. The project includes the development of a user-friendly IT structure, a pilot phase for application evaluation and close collaboration with experts. Standardized datasets aim to identify deficits in care and develop evidence-based approaches. Data collection and storage are carried out in compliance with the General Data Protection Regulation (DSGVO) and secured through technical measures.

Results and discussion: Initial results from the Heidelberg Study Center demonstrate the potential of the AMP Registry. Subgroup analyses support optimization of care and highlight the importance of regular assessments to improve long-term care.

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