의무기록의 다각적 활용을 통한 충실도 높은 병원 암등록 체계의 구축: 서울아산병원의 경험

김화정; 조진희; 유용만; 이선혜; 황경하; 이무송

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자료유형: 학술저널

저자정보: 김화정 조진희 유용만 이선혜 황경하 이무송

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제43권 제3호

발행연도: 2010.1

수록면: 257 - 264 (8page)

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연구주제

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연구배경

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연구방법

🏆

연구결과

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Objectives: An accurate estimation of cancer patients is the basis of epidemiological studies and health services. However in Korea, cancer patients visiting out-patient clinics are usually ruled out of such studies and so these studies are suspected of underestimating the cancer patient population. The purpose of this study is to construct a more complete, hospital-based cancer patient registry using multiple sources of medical information. Methods: We constructed a cancer patient detection algorithm using records from various sources that were obtained from both the in-patients and out-patients seen at Asan Medical Center (AMC) for any reason. The medical data from the potentially incident cancer patients was reviewed four months after first being detected by the algorithm to determine whether these patients actually did or did not have cancer. Results: Besides the traditional practice of reviewing the charts of in-patients upon their discharge, five more sources of information were added for this algorithm, i.e., pathology reports, the national severe disease registry, the reason for treatment,prescriptions of chemotherapeutic agents and radiation therapy reports. The constructed algorithm was observed to have a PPV of 87.04%. Compared to the results of traditional practice, 36.8% of registry failures were avoided using the AMC algorithm. Conclusions: To minimize loss in the cancer registry, various data sources should be utilized, and the AMC algorithm can be a successful model for this. Further research will be required in order to apply novel and innovative technology to the electronic medical records system in order to generate new signals from data that has not been previously used.

#Completeness #Hospital-based cancer registries #Medical records linkage #Tumor registration

참고문헌 (13)

참고문헌 신청

Greene FL / 2009 / The role of the hospital registry in achieving outcome benchmarks in cancer care / J Surg Oncol 99 (8) : 497 ~ 499

Hai-Rim Shin / 2005 / Nationwide Cancer Incidence in Korea, 1999~2001; First Result Using the National Cancer Incidence Database / Cancer Research and Treatment 37 (6) : 325

Jensen O / 1991 / Purposes and uses of cancer registration. In: Cancer Registration: Principles and Methods (IARC Sicentific Publications No.95) / IARC : 7 ~ 21

Korea Central Cancer Registry / 2007 / Manual for Cancer Registration / National Cancer Center : 51 ~

Korea National Statistical Office / 2009 / Summary of Census Population by Administrative District in Korea, 2005- 2008 / Korea National Statistical Office

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