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Completeness and accuracy of data in spine registries: an independent audit-based study

机译：脊柱注册表中数据的完整性和准确性：基于独立的审计研究

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Clinical registries are used for quality management and clinical research. Due to the importance and implications of both aims, completeness and high quality of data are of paramount importance. However, this remains uncertain, as none of these registries have implemented independent monitoring. The aim of this study was to determine the accuracy and completeness of registry data o the example of the German Spine Society (DWG) registry. In a prospective study, audits by a board-certified neurosurgeon were conducted at certified spine centers with mandatory registry input, a setting comparable to most existing registries worldwide. A 2-week period was analyzed, and any discrepancy between patients’ charts and the registry entry was evaluated. A median of 31 items per patient was evaluated including completeness and accuracy of data. Out of 17 centers willing to participate, 4 were still lacking any data entries. Even in the remaining 13 centers eligible for audits, 28.50% (95%-CI?=?[22.46–34.55]) of entries were finalized only after the audits were announced. Only 82.55% (95%-CI?=?[79.12–85.98]) of surgeries were documented, and on average 14.95% (95%-CI?=?[10.93–19.00]) of entries were not accurate with a wide variation (range; 6.21–27.44%) between centers. Aspects for improvement of the situation were identified. Due to the high inaccuracy, the high number of centers lacking mandatory entries at all and the number of false entries, these data alert us to advocate unannounced audits and further measures to improve the situation. Data should not be used for the time being, since wrong conclusion will be drawn. These slides can be retrieved under Electronic Supplementary Material.
机译：临床记录用于质量管理和临床研究。由于重要性和两个目的，完整性和数据的高品质的影响是至关重要的。然而，这仍然不明朗，因为没有这些登记的已实现独立监测。本研究的目的是要确定的准确性和注册表数据的完整性ö德国脊柱学会（DWG）的注册表的示例。在一项前瞻性研究，由委员会认证的神经外科医生的审计是在认证脊柱中心强制性登记输入进行的，在全球范围内设置堪比大多数现有注册。 A 2周的时间内进行了分析，病人的图表和注册表项之间的任何差异进行了评价。每名患者31项中值进行评价，包括完整性和数据的准确度。走出17个中心愿意参与的，4人仍然缺乏任何数据条目。即使在资格审核，其余13个中心，28.50％（95％-CI？=？[22.46-34.55]）项的审核公布后，才最终定稿。只有82.55％（95％-CI =？[79.12-85.98]）手术记录在案，平均14.95％（95％-CI =？[10.93-19.00]）条目的不准确与广泛变化中心之间;（6.21-27.44％范围内）。改进方面的情况进行了鉴定。由于高不准确，高数都缺乏强制性条目中心和虚假条目数，这些数据提醒我们提倡突击审计，并采取进一步措施来改善这种情况。数据不应该被用于暂时的，因为错误的结论会被吸引。这些幻灯片可以在电子补充材料下检索。

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