USING ROUTINELY COLLECTED DATA FOR CLINICAL RESEARCH

被引：50

作者：

SAFRAN, C

机构：

[1] The Harvard Thorndike Laboratory of Beth Israel Hospital, The Department of Medicine, Beth Israel Hospital

[2] The Center for Clinical Computing, Harvard Medical School, Boston, Massachusetts, 02115

来源：

STATISTICS IN MEDICINE | 1991年 / 10卷 / 04期

关键词：

D O I：

10.1002/sim.4780100407

中图分类号：

Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Clinical research involving prospective data collection in randomized controlled trials is not always feasible. Increasingly, hospitals are developing large clinical databases that are waiting to be mined. We have developed a computer program, ClinQuery, that facilitates such exploration and analysis. We have also shown in a series of studies that the use of clinical data is a powerful tool in health services research. In some cases, we have shown that coded data are inaccurate and that alternative clinical data are preferable. In other cases, a combination of clinical data and coded discharge diagnoses is preferable.

引用

页码：559 / 564

页数：6

共 21 条

[11]

Averill R.F., (1983)

[12]

Safran C., Porter D., Slack W.V., Bleich H.L., Diagnosis‐related groups. A critical assessment of the provision for comorbidity, Medical Care, 25, pp. 1011-1014, (1987)

[13]

Phillips R.S., Safran C., Cleary P.D., Delbanco T.L., Predicting emergency readmissions for patients discharged from the medical service of a teaching hospital, Journal of General Internal Medicine, 2, pp. 400-405, (1987)

[14]

Cook E.F., Goldman L., Empiric analysis of multivariate analytic techniques: advantages and disadvantages of recursive partitioning analysis, Journal of Chronic Disease, 37, pp. 721-731, (1984)

[15]

Safran C., Phillips R.S., Interventions to prevent readmission: The constraints of cost and efficacy, Medical Care, 27, pp. 204-211, (1989)

[16]

Demlo L.K., Campbell P.M., Brown S.S., Reliability of information abstracted from patients' records, Medical Care, 16, pp. 995-1005, (1978)

[17]

Still S., The reliability of medical records, Journal of the American Medical Record Association, 51, pp. 20-27, (1980)

[18]

Corn R.F., Quality control of hospital discharge data, Medical Care, 18, pp. 416-426, (1980)

[19]

Barnard C., Esmond T., DRG‐based reimbursement: The use of concurrent and retrospective clinical data, Medical Care, 19, pp. 1071-1082, (1981)

[20]

Mantel N., Cautions on the use of medical databases, Statistics in Medicine, 2, pp. 355-362, (1983)

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