The pitfalls of establishing a statewide Vascular registry : The South Carolina experience. Commentary.
Annual Scientific Meeting and Postgraduate Course Program Southeastern Surgical Congress. Tampa, FL, USA, 1999/02/13.
Concerned about the inadequacy of a centralized database and the importance of low morbidity and mortality on carotid endarterectomy efficacy, the South Carolina Vascular Surgical Society prospectively instituted a computer registry for carotid procedures performed by its members, to establish a statewide standard of practice.
From January 1994 through December 1997,23 of the 30 physician members voluntarily registered data on 1652 carotid operations at 14 hospitals into a central database.
Blinded results were reviewed biannually.
Complete data (1995-1997) were available for 1199 cases.
The patients tended to be>64 years old (72%), male (62%), and white (93%). Carotid endarterectomy was the most frequently performed operation (90%). Perioperative complications (<30 days) occurred in 173 patients (14.4%), including stroke (n=19 ; 1.6%), death (n=8 ; 0.7%), and stroke/death (n=25 ; 2.0%). Although 23 surgeons (77% of the society) contributed some data, only 10 surgeons (33%) contributed complete data on>10 patients/year.
Despite biannual efforts to boost participation, case entry remained stable (1994,358 ; 1995,347 ; 1996,425 ; and 1997,427), representing about one-third of the estimated carotid procedures performed in the state during that period.
The cost of the registry was approximately $11,500.
Audit of 8 surgeons revealed a>95 per cent match against the statewide discharge database and low error rate versus independent medical record review. (...)
Mots-clés Pascal : Endartériectomie, Carotide, Morbidité, Mortalité, Epidémiologie, Quantification, Registre, Evaluation performance, Homme, Chirurgie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Endarteriectomy, Carotid, Morbidity, Mortality, Epidemiology, Quantization, Register, Performance evaluation, Human, Surgery, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0346455
Code Inist : 002B30A01C. Création : 14/12/1999.