中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
Chinese Journal of Urology
2015年
9期
694-698
,共5页
高旭%王海峰%王燕%许传亮%孙颖浩
高旭%王海峰%王燕%許傳亮%孫穎浩
고욱%왕해봉%왕연%허전량%손영호
前列腺癌%数据库%随访%信息系统
前列腺癌%數據庫%隨訪%信息繫統
전렬선암%수거고%수방%신식계통
Prostate cancer%Database%Follow-up%Information system
目的 回顾总结前列腺癌数据库PC-Follow的构建、更新过程及临床应用体会.方法 2008年9月至2014年12月为配合前列腺癌患者的临床随访及开展相关的科研工作,首先基于Microsoft Access平台开发了2个版本的单机版PC-Follow临床数据库,此后为实现临床数据采集和多中心科研的统一管理,将PC-Follow升级为基于网络的浏览器/服务器架构.升级后与医院信息系统对接,在院内对3 124例患者的资料进行数据迁移,对数据库进行实境测试及压力测试.2015年1-4月,PC-Follow V3.0采用数据库托管形式试运行,并在全国招募12家泌尿外科中心参与数据库的使用培训及测试.结果 PC-Follow经2次升级并更改架构后,在保留原用户界面风格的基础上,录入、随访、科研支持等功能均得到不同程度增强,尤其是多中心、多层级账户权限的管理功能,满足了未来开展多中心临床科研的需求.网络版PC-Follow的数据导入模块成功地自动迁移了原单机版数据库内的所有数据,并通过单向数据传输平台方案与医院信息系统的对接,实现了在院电子数据的自动安全提取.网络版PC-Follow内所有数据由科室指定的管理员集中处理、分析,并以主诊组为单位实现数据自愿共享,在对院内3 124例患者资料的测试过程中表现稳定,对导入的数据表和字段的抽查结果显示全部数据均被准确、完整地迁移.全国多中心使用培训及测试结果显示,PC-Follow V3.0操作易上手,接受度好,各模块功能稳定,页面展示准确,响应速度符合预期.结论 多层级权限管理的网络版PC-Follow适用于前列腺癌多中心临床科研的辅助开展,单机版PC-Follow也可在条件有限的临床中心完成部分临床数据管理功能,其优势在于未来条件许可后,向网络版PC-Follow迁移数据的便捷性.
目的 迴顧總結前列腺癌數據庫PC-Follow的構建、更新過程及臨床應用體會.方法 2008年9月至2014年12月為配閤前列腺癌患者的臨床隨訪及開展相關的科研工作,首先基于Microsoft Access平檯開髮瞭2箇版本的單機版PC-Follow臨床數據庫,此後為實現臨床數據採集和多中心科研的統一管理,將PC-Follow升級為基于網絡的瀏覽器/服務器架構.升級後與醫院信息繫統對接,在院內對3 124例患者的資料進行數據遷移,對數據庫進行實境測試及壓力測試.2015年1-4月,PC-Follow V3.0採用數據庫託管形式試運行,併在全國招募12傢泌尿外科中心參與數據庫的使用培訓及測試.結果 PC-Follow經2次升級併更改架構後,在保留原用戶界麵風格的基礎上,錄入、隨訪、科研支持等功能均得到不同程度增彊,尤其是多中心、多層級賬戶權限的管理功能,滿足瞭未來開展多中心臨床科研的需求.網絡版PC-Follow的數據導入模塊成功地自動遷移瞭原單機版數據庫內的所有數據,併通過單嚮數據傳輸平檯方案與醫院信息繫統的對接,實現瞭在院電子數據的自動安全提取.網絡版PC-Follow內所有數據由科室指定的管理員集中處理、分析,併以主診組為單位實現數據自願共享,在對院內3 124例患者資料的測試過程中錶現穩定,對導入的數據錶和字段的抽查結果顯示全部數據均被準確、完整地遷移.全國多中心使用培訓及測試結果顯示,PC-Follow V3.0操作易上手,接受度好,各模塊功能穩定,頁麵展示準確,響應速度符閤預期.結論 多層級權限管理的網絡版PC-Follow適用于前列腺癌多中心臨床科研的輔助開展,單機版PC-Follow也可在條件有限的臨床中心完成部分臨床數據管理功能,其優勢在于未來條件許可後,嚮網絡版PC-Follow遷移數據的便捷性.
목적 회고총결전렬선암수거고PC-Follow적구건、경신과정급림상응용체회.방법 2008년9월지2014년12월위배합전렬선암환자적림상수방급개전상관적과연공작,수선기우Microsoft Access평태개발료2개판본적단궤판PC-Follow림상수거고,차후위실현림상수거채집화다중심과연적통일관리,장PC-Follow승급위기우망락적류람기/복무기가구.승급후여의원신식계통대접,재원내대3 124례환자적자료진행수거천이,대수거고진행실경측시급압력측시.2015년1-4월,PC-Follow V3.0채용수거고탁관형식시운행,병재전국초모12가비뇨외과중심삼여수거고적사용배훈급측시.결과 PC-Follow경2차승급병경개가구후,재보류원용호계면풍격적기출상,록입、수방、과연지지등공능균득도불동정도증강,우기시다중심、다층급장호권한적관리공능,만족료미래개전다중심림상과연적수구.망락판PC-Follow적수거도입모괴성공지자동천이료원단궤판수거고내적소유수거,병통과단향수거전수평태방안여의원신식계통적대접,실현료재원전자수거적자동안전제취.망락판PC-Follow내소유수거유과실지정적관리원집중처리、분석,병이주진조위단위실현수거자원공향,재대원내3 124례환자자료적측시과정중표현은정,대도입적수거표화자단적추사결과현시전부수거균피준학、완정지천이.전국다중심사용배훈급측시결과현시,PC-Follow V3.0조작역상수,접수도호,각모괴공능은정,혈면전시준학,향응속도부합예기.결론 다층급권한관리적망락판PC-Follow괄용우전렬선암다중심림상과연적보조개전,단궤판PC-Follow야가재조건유한적림상중심완성부분림상수거관리공능,기우세재우미래조건허가후,향망락판PC-Follow천이수거적편첩성.
Objective To summarize the construction,upgrading process and clinical application of prostate cancer database (PC-Follow).Methods From September 2008 to December 2014,we designed two versions of off-line PC-Follow clinical databases based on Microsoft Access to support clinical follow-up and research in prostate cancer patients.Then,in order to achieve unified management of clinical data import and multi-center clinical research,we further upgraded PC-Follow to a browser/server (B/S) schema based web database.After upgrade,a simulated multi-center operation pattern was adopted to transfer all existed data-We then attempted to linkage our database with the hospital information system (HIS) and had eventually undertaken reality and stress testing on 3,124 cases'data migration in the hospital.The nationwide software testing and personnel training was conducted in 12 major medical centers.Results Twice of upgrade and alteration of schema of PC-Follow preserved the original user interface.Multiple functions,including data import,follow-up,research support,were obviously enhanced.Notably,the perfection in multi-user and hierarchical access control meet the future needs for multi-center clinical research.Via the import tool for PC-follow V3.0,we successfully migrated all data from the original one.After linking our database with the HIS software by one-way transmission protocol,the safety data extracting could be achieved.Specified administrators were appointed to process and analyze PC-Follow data in bulk,and data were voluntarily shared between attending centers,and showed stable performance on the 3,124 patients in our database.Feedback from nationwide multicenter training and testing indicated that our database was easy,readily accessible,with functionally stable modules,accurate website displays,and ideal response time.Conclusions The online PC-Follow database with hierarchical access provides support for multi-center clinical research in prostate cancer.The off-line PC-Follow database also grants certain degrees of data management for underdeveloped clinical centers,and it has its advantage to serve as prototypes for data migration to future online PC-Follow database once conditions are ripe.
