丹麦国家患者登记处中隔成形术手术程序代码的高有效性和完整性。

IF 3.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Clinical Epidemiology Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI:10.2147/CLEP.S493386
Janni Øre Bredahl, Anders Bo Rønnegaard, Kenneth Stockmann Larsen, Anette Drøhse Kjeldsen
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引用次数: 0

摘要

在利用丹麦国家患者登记处(DNPR)等全国性登记进行流行病学研究时,确保临床数据的有效性和完整性至关重要。然而,关于这一主题的文献非常缺乏耳鼻喉(ENT)手术。本研究的目的是评估鼻中隔成形术在DNPR中的有效性和完整性。方法:这项基于人群的验证和完整性研究纳入了丹麦欧登塞大学医院(OUH)耳鼻喉科2021年和2022年在DNPR注册的所有中隔成形术手术代码病例。在OUH数据登记中,使用唯一的个人注册号来识别来自DNPR的病例。所有手术记录手工评估,以确定是否进行了鼻中隔成形术。主要结果是有效性(PPV)和完整性评估为敏感性,以95%置信区间(CI)表示。结果:共检出DNPR病例479例。在评估手术记录并取出重复手术后,470例患者被确认接受了鼻中隔成形术,PPV为99% (95% CI(97.6-99.7))。从OUH数据登记中,确定了485例中隔成形术登记。对手术记录的评估留下了475例确诊的中隔成形术,对应于DNPR中缺失的5例,导致灵敏度为99% (95% CI(97.6-99.7))。结论:本研究显示了中隔成形术手术程序代码在DNPR中注册的高有效性和完整性。因此,我们得出结论,DNPR是一个可靠的工具,流行病学研究有关鼻中隔成形术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
High Validity and Completeness of the Septoplasty Surgical Procedure Code in the Danish National Patient Registry.

Introduction: Ensuring the validity and completeness of clinical data is crucial when utilizing nationwide registers such as the Danish National Patient Registry (DNPR) for epidemiological research. The literature on this topic is, however, strongly lacking for Ear-nose-and-throat (ENT) surgery. The aim of this study was to assess the validity and completeness of the septoplasty surgical procedure code in DNPR.

Methods: This population-based validation and completeness study included all cases of septoplasty surgical procedure codes registered in the DNPR in 2021 and 2022 at the ENT department at Odense University Hospital (OUH) in Denmark. The unique personal registration number was used to identify cases from the DNPR in OUH data registrations. All surgical notes were evaluated manually to determine whether septoplasty had been performed. The primary outcomes were validity (PPV) and completeness assessed as the sensitivity, presented with 95% confidence intervals (CI).

Results: A total of 479 cases were identified from the DNPR. Upon evaluation of the surgical notes and after withdrawal of duplicates, 470 cases were confirmed to have undergone septoplasty, resulting in a PPV of 99% (95% CI (97.6-99.7)). From the OUH data registrations, 485 registrations of septoplasty were identified. Evaluation of the surgical notes left 475 cases of confirmed septoplasty, corresponding to five missing cases in the DNPR, resulting in a sensitivity of 99% (95% CI (97.6-99.7)).

Conclusion: This study showed high validity and completeness for registrations of the septoplasty surgical procedure code in the DNPR. We therefore conclude that the DNPR is a reliable tool for epidemiological research concerning septoplasty.

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来源期刊
Clinical Epidemiology
Clinical Epidemiology Medicine-Epidemiology
CiteScore
6.30
自引率
5.10%
发文量
169
审稿时长
16 weeks
期刊介绍: Clinical Epidemiology is an international, peer reviewed, open access journal. Clinical Epidemiology focuses on the application of epidemiological principles and questions relating to patients and clinical care in terms of prevention, diagnosis, prognosis, and treatment. Clinical Epidemiology welcomes papers covering these topics in form of original research and systematic reviews. Clinical Epidemiology has a special interest in international electronic medical patient records and other routine health care data, especially as applied to safety of medical interventions, clinical utility of diagnostic procedures, understanding short- and long-term clinical course of diseases, clinical epidemiological and biostatistical methods, and systematic reviews. When considering submission of a paper utilizing publicly-available data, authors should ensure that such studies add significantly to the body of knowledge and that they use appropriate validated methods for identifying health outcomes. The journal has launched special series describing existing data sources for clinical epidemiology, international health care systems and validation studies of algorithms based on databases and registries.
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