Experience with an online prospective database on adolescent idiopathic scoliosis: development and implementation.
Considerable variability exists in the surgical treatment and outcomes of adolescent idiopathic scoliosis (AIS). This is due to the lack of evidence-based treatment guidelines and outcome measures. Although clinical trials have been extolled as the highest form of evidence for evaluating treatment e...
| Publicado en: | European Spine Journal Vol. 17; no. 11; pp. 1497 - 1507 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Nov2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105574662&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105574662 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09406719 NPI jtl: European Spine Journal issn: 09406719 maglogo: N pubinfo: dt: Nov2008 vid: 17 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105574662 105574662 NLM18830720 2010100935 10.1007/s00586-008-0779-6 NLM18830720 105574662 ppf: 1497 ppct: 10 formats: tig: atl: Experience with an online prospective database on adolescent idiopathic scoliosis: development and implementation. aug: au: Arlet V Shilt J Bersusky E Abel M Ouellet JA Evans D Menon KV Kandziora F Shen F Lamartina C Adams M Reddi V Arlet, Vincent Shilt, Jeffrey Bersusky, Ernesto Abel, Mark Ouellet, Jean Albert Evans, Davis Menon, K V Kandziora, Frank affil: Department of Orthopedic Surgery, University of Virginia, Charlottesville, VA 22908, USA sug: subj: Resource Databases Scoliosis, Idiopathic, Adolescent Surgery Software Access to Information Adolescence Decision Support Techniques Neurosurgery Statistics and Numerical Data Scoliosis, Idiopathic, Adolescent Diagnosis Treatment Outcomes Adolescent: 13-18 years ab: Considerable variability exists in the surgical treatment and outcomes of adolescent idiopathic scoliosis (AIS). This is due to the lack of evidence-based treatment guidelines and outcome measures. Although clinical trials have been extolled as the highest form of evidence for evaluating treatment efficacy, the disadvantage of cost, time, lack of feasibility, and ethical considerations indicate a need for a new paradigm for evidence based research in this spinal deformity. High quality clinical databases offer an alternative approach for evidence-based research in medicine. So, we developed and established Scolisoft, an international, multidimensional and relational database designed to be a repository of surgical cases for AIS, and an active vehicle for standardized surgical information in a format that would permit qualitative and quantitative research and analysis. Here, we describe and discuss the utility of Scolisoft as a new paradigm for evidence-based research on AIS. Scolisoft was developed using dot.net platform and SQL server from Microsoft. All data is deidentified to protect patient privacy. Scolisoft can be accessed at (www.scolisoft.org). Collection of high quality data on surgical cases of AIS is a priority and processes continue to improve the database quality. The database currently has 67 registered users from 21 countries. To date, Scolisoft has 200 detailed surgical cases with pre, post, and follow up data. Scolisoft provides a structured process and practical information for surgeons to benchmark their treatment methods against other like treatments. Scolisoft is multifaceted and its use extends to education of health care providers in training, patients, ability to mine important data to stimulate research and quality improvement initiatives of healthcare organizations. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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