You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Female Urology II1 Apr 2014MP75-08 THE VIRGINIA MASON TRANSITION TO A SECURE WEB-BASED DATABASE FOR MULTI-CENTER OUTCOMES EVALUATION Chong Choe, Jason Kim, Alvaro Lucioni, and Kathleen Kobashi Chong ChoeChong Choe More articles by this author , Jason KimJason Kim More articles by this author , Alvaro LucioniAlvaro Lucioni More articles by this author , and Kathleen KobashiKathleen Kobashi More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2381AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES In the 1990s, a critical need for improvement in the FPRMS literature was identified by the American Urological Association. A 2009 update revealed that little progress had been made in the years since the original report. Key steps to advance FPMRS research were highlighted in the publication: (1) establish minimum standard outcome measures to allow cross-study comparisons and meta-analyses and (2) perform efficient and complete data collection for long-term outcomes analysis. In an effort to accomplish this, we set out to transition to a secure web-based database with the capability to accomplish multi-institutional comparative outcomes assessment. METHODS In 1999, VM started keeping FPMRS outcomes data on a simple Excel spreadsheet, transitioning to MS Access ® in 2001. By 2009, we had a database of 2000 patients with over 450 unique data fields per patient, and it was apparent that Access would not be a sustainable platform for a database of this size. We consulted with outcomes research experts across the country and evaluated numerous databases for their capacity, ease of use, and security. Research electronic data capture (REDCap) provided all three. RESULTS In 2010, we embarked on a transition to the REDCap database program. The transition required approximately 100 person-hours for data dictionary creation and 200 person-hours for transfer of existing data from MS Access ® into REDCap. In alignment with the 2009 AUA Clinical Guidelines on the Surgical Management of SUI, our database captures the recommended standards of pre- and post- treatment evaluation with structured history and physical exam and validated questionnaires. At our institution, patients receive 4 validated questionnaires at 3 months, 6 months, 12 months, and yearly thereafter. We have also established collaboration with other institutions who utilize REDCap. CONCLUSIONS With the implementation of the Affordable Care Act, the quality of healthcare in the United States will be measured on standardized outcomes measures. In order to identify appropriate standards, particularly in a field with outcomes as subjective as those in FPMRS, it is imperative that quality data be recorded and cross-collaboration be an assumption. Ideally, a common platform for secure storage, cross-institutional sharing, and analysis of data, such as that allowed by REDCap would be implemented. Though the transition requires a substantial commitment, REDCap provides a potential means for secure, streamlined collaboration and the development of quality work to advance FPMRS research. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e876 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Chong Choe More articles by this author Jason Kim More articles by this author Alvaro Lucioni More articles by this author Kathleen Kobashi More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...