Abstract
Background:The creation of a computerized clinical database with the ability to collect prospective information from patients and with the possibility of rescue and crossing data enables scientific studies of higher quality and credibility in less time. Aim:To validate, in a single master protocol, the clinical data referring to Surgery of Digestive System in a multidisciplinary way, incorporating in the SINPE© platform, and to verify the incidence of digestive diseases based on the prospectively performed collections. Method:Organize in one software, in a standardized structure, all the pre-existing items in the SINPE© database; the theoretical basis was computerized through the MIGRASINPE© module creating a single multiprofessional master protocol for use as a whole. Results:The existing specific protocols were created and/or adapted - they correspond to the most prevalent digestive diseases - unifying them. The possibility of multiprofessional use was created by integrating all data collected from medicine, nursing, physiotherapy, nutrition and health management in a prospective way. The total was 4,281 collections, distributed as follows: extrahepatic biliary tract, n=1,786; esophagus, n=1015; anorectal, n=736; colon, n=550; small intestine, n=86; pancreas, n=71; stomach, n=23; liver, n=14. Conclusions:The validation of the unification and structuring in a single master protocol of the clinical data referring to the Surgery of the Digestive System in a multiprofessional and prospective way was possible and the epidemiological study carried out allowed to identify the most prevalent digestive diseases.
Highlights
ABCD Arq Bras Cir Dig 2021;34(2):e1583. This is a descriptive study with methodology divided into four phases: 1) unification and structuring of the master protocol of clinical data referring to Surgery of the Digestive System in a multidisciplinary way; 2) computerize the theoretical database through SINPE©; 3) implant the base in the “master protocol” and making/adapting specific protocols; 4) to analyze the incidence of diseases of the digestive system in a tertiary referral university hospital
Unification and structuring of the master protocol of clinical data related to Digestive System Surgery in a multidisciplinary way
The objectives of this work were to validate the clinical data referring to Digestive System Surgery in a multiprofessional way in a single master protocol, incorporating it in the SINPE© platform, and to verify the incidence of digestive diseases based on the prospectively performed collections
Summary
This is a descriptive study with methodology divided into four phases: 1) unification and structuring of the master protocol of clinical data referring to Surgery of the Digestive System in a multidisciplinary way; 2) computerize the theoretical database through SINPE©; 3) implant the base in the “master protocol” and making/adapting specific protocols; 4) to analyze the incidence of diseases of the digestive system in a tertiary referral university hospital. For the realization of the new concept of standard structure in the program, it was necessary to reorganize in a didactic way all the items existing in the SINPE© database. This bank had a total of 49,996 items, all related to the protocols created for digestive surgery. Each master protocol already had its respective specific protocols representing the diseases of the anatomical segment in question, making a total of 136 protocols
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