A standardized database management of middle ear surgery in Korea.
Conclusion. The classification and hearing result reporting system of middle ear surgery provide a set of standard that otologic surgeons should comply with when they investigate the efficacy of procedures or report the post-operative results of middle ear surgery. Keeping up with this system will,...
| Published in: | Acta Oto-Laryngologica (Supplement) Vol. 127; pp. 54 - 61 |
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| Format: | pictorial research tables/charts Journal Article |
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Taylor & Francis Ltd
Jul2007 Supplement 558
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105749489&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105749489 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03655237 Z25 jtl: Acta Oto-Laryngologica (Supplement) issn: 03655237 maglogo: Y pubinfo: dt: Jul2007 Supplement 558 vid: 127 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 105749489 105749489 2009690972 NLM17882571 105749489 ppf: 54 ppct: 7 formats: fmt: @attributes: type: P tig: atl: A standardized database management of middle ear surgery in Korea. aug: au: Kim H affil: Department of Otolaryngology, Hallyn University College of Medicine, Chuncheon, Korea sug: subj: Data Management Standards Database Management Software Ear Surgery Classification Ear, Middle Surgery Outcome Assessment Methods Audiometry, Pure-Tone Audit Fieldwork Funding Source South Korea Mastoid Surgery Nomenclature Otitis Media Surgery Practice Guidelines Questionnaires Survey Research Tympanoplasty Human ab: Conclusion. The classification and hearing result reporting system of middle ear surgery provide a set of standard that otologic surgeons should comply with when they investigate the efficacy of procedures or report the post-operative results of middle ear surgery. Keeping up with this system will, in turn, facilitate and activate the evidence-based clinical research they would ask for. Objectives. The aims of the project were to establish the standardized classification nomenclature, to propose a guideline for the post-operative result reporting system, and to develop a database management program for middle ear surgery. Methods. Nine otologic surgeons from seven university hospitals in Korea carried out a field survey on the nation-wide status of middle ear surgery and its records, and also collected the information regarding international classification and result reporting system from 2001 through 2004. To make a consensus, it also underwent a process of public audit and, a questionnaire investigation, as well. Results. The classification of surgery consisted of four kinds of procedures of mastoidectomy, tympanoplasty, extraneous procedures, and concurrent procedures. Post-operative hearing result reporting consisted of basic requirement and reporting guidelines of hearing success. The basic requirements stated minimum follow up duration, and computing formulae of pure tone average (PTA) and post-operative air bone gap (ABG). The reporting guidelines included criteria of hearing success (Post-operative ABG <= 20 dB, hearing gain >=15 dB, or hearing level <=30 dB), post-operative ABG grading of excellent, good, no or poor improvement, and comparisons of hearing improvement among the groups. Next, a database management program was developed using the standardized classification and result reporting system. Structure of database is composed of 144 fields including patient information/preoperative findings (45 fields), operative findings (36 fields), operative procedures (29 fields), and post-operative follow up (23 fields). pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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