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Clinics in Colon and Rectal Surgery

journal
https://read.qxmd.com/read/30647550/electronic-health-record-based-registries-clinical-research-using-registries-in-colon-and-rectal-surgery
#1
REVIEW
Jacob Carlson, Jonathan Laryea
Electronic health records (EHRs) or electronic medical records (EMRs) contain a vast amount of clinical data that can be useful for multiple purposes including research. Disease registries are collections of data in predefined formats for population management, research, and other purposes. There are differences between EHRs and registries in the data structure, data standards, and protocols. Proprietary EHR systems use different coding systems and data standards, which are usually kept secret. For EHR data to flow seamlessly into registries, there is the need for interoperability between EHR systems and between EHRs and registries...
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30647549/enhanced-recovery-after-surgery-interactive-audit-system-10-years-experience-with-an-international-web-based-clinical-and-research-perioperative-care-database
#2
REVIEW
Andrew Currie, Mattias Soop, Nicolas Demartines, Kenneth Fearon, Robin Kennedy, Olle Ljungqvist
The Enhanced Recovery After Surgery (ERAS) is a managed care program that has shown the ability to reduce complications following elective colorectal surgery. In 2006, the ERAS ® Society developed the ERAS ® Interactive Audit System (EIAS), which has allowed centers in over 20 countries to enter perioperative patient data to benchmark against international practice within the audit system and act as a stimulus for quality improvement. The de-identified patient data are coded in SQL (a relational database), stored on secure servers, and data governance aspects have been secured in all involved countries...
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30647548/review-of-colorectal-studies-using-the-national-cancer-database
#3
REVIEW
Katherine A Kelley, V Liana Tsikitis
The National Cancer Database (NCDB) is a large clinical oncology database developed with data collected from Commission on Cancer (CoC)-accredited facilities. The CoC is managed under the American College of Surgeons, and is a multidisciplinary team that maintains standards in cancer care delivery in health care settings. This database has been used in multiple cancer-focused studies and reports on cancer diagnosis, hospital-level, and patient-related demographics. The focus of this review is to explore and discuss the use of NCDB in colorectal surgery research...
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30647547/surveillance-epidemiology-and-end-results-seer-and-seer-medicare-databases-use-in-clinical-research-for-improving-colorectal-cancer-outcomes
#4
REVIEW
Meghan C Daly, Ian M Paquette
The Surveillance, Epidemiology, and End Results (SEER) program is a clinical database, funded by the National Cancer Institute (NCI), which was created to collect cancer incidence, prevalence, and survival data from U.S. cancer registries. By capturing approximately 30% of the U.S. population, it serves as a powerful resource for researchers focused on understanding the natural history of colorectal cancer and improvement in patient care. The linked SEER-Medicare database is a robust database allowing investigators to perform studies focusing on health disparities, quality of care, and cost of treatment in oncologic disease...
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30647546/truven-health-analytics-marketscan-databases-for-clinical-research-in-colon-and-rectal-surgery
#5
REVIEW
Audrey S Kulaylat, Eric W Schaefer, Evangelos Messaris, Christopher S Hollenbeak
The MarketScan databases are a family of administrative claims databases that contain data on inpatient and outpatient claims, outpatient prescription claims, clinical utilization records, and healthcare expenditures. The three main databases available for use are each composed of a convenience sample for one of the following patient populations: (1) patients with employer-based health insurance from contributing employers, (2) Medicare beneficiaries who possess supplemental insurance paid by their employers, and (3) patients with Medicaid in one of eleven participating states...
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30647545/using-the-national-surgical-quality-improvement-project-nsqip-to-perform-clinical-research-in-colon-and-rectal-surgery
#6
REVIEW
Samuel Eisenstein, Sarah Stringfield, Stefan D Holubar
The American College of Surgeons' National Surgical Quality Improvement Project (ACS-NSQIP) is probably the most well-known surgical database in North American and worldwide. This clinical database was first proposed by Dr. Clifford Ko, a colorectal surgeon, to the ACS, and NSQIP first started collecting data ca. 2005 with the intent of comparing hospitals (benchmarking) and for hospital-level quality improvement projects. Since then, its popularity has grown from just a few participating hospitals in the United States to more than 708 participating hospitals worldwide, and collaboration allows regional or disease-specific data sharing...
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30647544/clinical-research-using-the-national-inpatient-sample-a-brief-review-of-colorectal-studies-utilizing-the-nis-database
#7
REVIEW
Katherine A Kelley, V Liana Tsikitis
The National Inpatient Sample (NIS) is the largest collection of longitudinal hospital care data in the United States and is sponsored by the Agency for Healthcare Research and Quality. The data are collected from state organizations, hospital associations, private organizations, and the federal government. This database has been used in more than 400 disease-focused studies to examine health care utilization, access, charges, quality, and outcomes of care. The database has been maintained since 1988, making it one of the oldest on hospital data...
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30647543/surgical-care-and-outcomes-assessment-program-scoap-a-nuanced-flexible-platform-for-colorectal-surgical-research
#8
REVIEW
Vlad V Simianu, Anjali S Kumar
The Surgical Care and Outcomes Assessment Program (SCOAP) is a surgeon-led quality improvement (QI) initiative developed in Washington State to track and reduce variability in surgical care. It has developed into a collaboration of over two-thirds of the hospitals in the state, who share data and receive regular benchmarking reports. Data are abstracted at each site by trained abstractors. While there has some overlap with other national QI databases, the data captured by SCOAP has clinical nuances that make it pragmatic for studying surgical care...
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30647542/statewide-clinic-registries-the-michigan-surgical-quality-collaborative
#9
REVIEW
Vahagn C Nikolian, Scott E Regenbogen
Regional clinical registries provide a unique opportunity for shared learning and population-based analyses of the quality of surgical care. Through the "Michigan Model" of pay for participation in strategic Value Partnerships, exemplified by the Michigan Surgical Quality Collaborative (MSQC), the state's dominant private insurer, Blue Cross Blue Shield of Michigan, has sponsored 20 statewide clinical quality improvement collaboratives. MSQC represents a partnership among 73 Michigan hospitals with a robust data infrastructure and flexible platform for the promulgation of best practices in surgical quality improvement...
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30647541/use-of-the-rochester-epidemiology-project-for-clinical-research-in-colon-and-rectal-surgery
#10
REVIEW
Amy L Lightner, Robert Cima
The Rochester Epidemiology Project (REP), a longitudinal population-based database, is the largest epidemiologic database in the world. Originally established at Mayo Clinic in Rochester, Minnesota, the REP has been instrumental in defining the natural history of disease states and the impact of treatment in a well-defined population. In the United States, the REP has made important contributions to the colon and rectal literature, largely because healthcare is fragmented with no unique identifier to longitudinally follow-up with a patient throughout the system over his or her lifespan...
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30647539/introduction-to-big-data-in-colorectal-surgery
#11
David A Etzioni
No abstract text is available yet for this article.
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30647538/stefan-d-holubar-md-ms-facs-fascrs
#12
Scott R Steele
No abstract text is available yet for this article.
January 2019: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30450017/history-of-high-resolution-anoscopy
#13
REVIEW
S David Cho, Emily Groves, Victoria V Lao
High-resolution anoscopy (HRA) is a form of low-resolution anal microscopy currently utilized in the screening and management of anal squamous dysplasia. No randomized controlled trials, national or international guidelines exist on the use of HRA for this purpose. Much of our understanding of this entity has been adapted from the literature on cervical squamous dysplasia, including the technique of HRA itself. Epidemiologic evidence has shown that the prevalence and incidence of anal dysplasia is highest in HIV-positive populations...
November 2018: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30397396/basic-science-epidemiology-and-screening-for-anal-intraepithelial-neoplasia-and-its-relationship-to-anal-squamous-cell-cancer
#14
REVIEW
Kurt G Davis, Guy R Orangio
Despite the progress made in the reduction of squamous cell carcinoma of the cervix, the incidence of anal squamous cell carcinoma (ASCC) has been increasing since 1992. While it remains an uncommon disease, the prevalence is climbing steadily. Among human immunodeficiency virus (HIV)-infected adults, especially men who have sex with men, ASCC is one of the more common non-AIDS-defining malignancies. The precursor lesion, anal intraepithelial neoplasia (AIN), is prevalent in the HIV-infected population. More than 90% of ASCCs are related to human papilloma virus (HPV), oncogenic types (HPV 16, 18)...
November 2018: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30397395/multidisciplinary-approach-to-the-management-and-treatment-of-anal-dysplasia
#15
REVIEW
Jeffrey Douaiher, Sean J Langenfeld
The incidence of anal intraepithelial neoplasia (AIN) has been increasing over the years. AIN acts as a precursor lesion for anal squamous cell cancer. Factors leading to progression of AIN into malignancy are complex and involve grade of the lesion, human papillomavirus and HIV coinfection, as well as patient-related risk factors such as immunocompromised state and men who have sex with men. The multifaced aspects of this disease make its management challenging, as it involves several disciplines including pathology, primary care, infectious disease, and colorectal specialties...
November 2018: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30397394/so-now-my-patient-has-squamous-cell-cancer-diagnosis-staging-and-treatment-of-squamous-cell-carcinoma-of-the-anal-canal-and-anal-margin
#16
REVIEW
Cindy Kin
Squamous cell carcinomas of the anal canal and the anal margin are rare malignancies that are increasing in incidence. Patients with these tumors often experience delayed treatment due to delay in diagnosis or misdiagnosis of the condition. Distinguishing between anal canal and anal margin tumors has implications for staging and treatment. Chemoradiation therapy is the mainstay of treatment for anal canal squamous cell, with abdominoperineal resection reserved for salvage treatment in cases of persistent or recurrent disease...
November 2018: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30397393/anal-intraepithelial-neoplasia-and-squamous-cell-cancer-of-the-anus
#17
REVIEW
Rebecca E Hoedema
Anal intraepithelial neoplasia (AIN) is the premalignant condition of the anal squamous tissue. It is associated with the human papilloma virus and is considered the transition prior to the invasive anal squamous cell carcinoma. It is typically asymptomatic and can be either an incidental finding after anorectal surgery or identified when high-risk patient populations are screened. Once AIN is diagnosed, the optimal management remains controversial, partly because the natural history of the disease is unclear...
November 2018: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30397392/anal-intraepithelial-neoplasia-from-a-pathologists-point-of-view
#18
REVIEW
Keegan M Lyons, Samantha L Butler
Anal squamous cell carcinoma is a relatively rare diagnosis, but its incidence has continued to rise. Anal squamous cell carcinoma and its precursor lesion, anal intraepithelial neoplasia (AIN), are human papillomavirus (HPV)-associated squamous neoplasias. High-risk HPV subtypes cause cellular proliferation in the anal transformation zone mucosa leading to similar dysplastic changes as seen in the cervix. Unified cytologic and histologic classification systems have emerged for all HPV-associated squamous lesions of the lower anogenital tract due to recent advancements in the understanding of these lesions...
November 2018: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30397391/vaccinations-for-anal-squamous-cancer-current-and-emerging-therapies
#19
REVIEW
John Berry, Sean C Glasgow
Human papillomavirus (HPV) infection is responsible for 4.3% of the global cancer burden. Since 2006, current HPV vaccines have reduced the prevalence of the virus in adolescent girls, reduced the prevalence of genital warts, and been proven to reduce the progression of anal intraepithelial neoplasia in men. Herein, we review the epidemiology, virology, and immunology behind the prophylactic HPV vaccines and current recommendations for its use. We also review future immune therapies being trialed for use against HPV-related cancers including anal cancer...
November 2018: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/30397390/anal-intraepithelial-neoplasia-and-squamous-cell-cancer-of-the-anus-past-present-and-future
#20
Fia Yi
No abstract text is available yet for this article.
November 2018: Clinics in Colon and Rectal Surgery
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