A multiregional registry experience using an electronic medical record to optimize data capture for longitudinal outcomes in endovascular abdominal aortic aneurysm repair

Journal of Vascular Surgery
Robert J HyeBradley Hill

Abstract

Registries have been proven useful to assess clinical outcomes, but data entry and personnel expenses are challenging. We developed a registry to track patients undergoing endovascular aortic aneurysm repair (EVAR) in an integrated health care system, leveraging an electronic medical record (EMR) to evaluate clinical practices, device performance, surgical complications, and medium-term outcomes. This study describes the registry design, data collection, outcomes validation, and ongoing surveillance, highlighting the unique integration with the EMR. EVARs in six geographic regions of Kaiser Permanente were entered in the registry. Cases were imported using a screening algorithm of inpatient codes applied to the EMR. Standard note templates containing data fields were used for surgeons to enter preoperative, postoperative, and operative data as part of normal workflows in the operating room and clinics. Clinical content experts reviewed cases and entered any missing data of operative details. Patient comorbidities, aneurysm characteristics, implant details, and surgical outcomes were captured. Patients entered in the registry are followed up for life, and all relevant events are captured. Between January 2010 and June 2013, 2112...Continue Reading

References

Nov 1, 1991·Annals of Vascular Surgery·J C ParodiH D Barone
Jan 27, 2004·Journal of Vascular Surgery·Jean-Pierre BecqueminHischam Kobeiter
Aug 5, 2009·Annals of Surgery·Mark F ConradRichard P Cambria
May 1, 2012·Journal of Vascular Surgery·Jack L CronenwettRichard P Cambria
Nov 23, 2012·The New England Journal of Medicine·Frank A LederleUNKNOWN OVER Veterans Affairs Cooperative Study Group
Feb 11, 2014·Journal of Vascular Surgery·Robert J HyeMichael H Kanter

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