What have we learned in minimally invasive colorectal surgery from NSQIP and NIS large databases? A systematic review
Por:
Rodriguez, GB, Balla, A, Corradetti, S, Martinez, C, Hernandez, P, Bollo, J, Targarona, EM
Publicada:
1 jun 2018
Resumen:
Background "Big data" refers to large amount of dataset. Those large databases are useful in many areas, including healthcare. The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) and the National Inpatient Sample (NIS) are big databases that were developed in the USA in order to record surgical outcomes. The aim of the present systematic review is to evaluate the type and clinical impact of the information retrieved through NISQP and NIS big database articles focused on laparoscopic colorectal surgery.
Methods A systematic review was conducted using The Meta-Analysis Of Observational Studies in Epidemiology (MOOSE) guidelines. The research was carried out on PubMed database and revealed 350 published papers. Outcomes of articles in which laparoscopic colorectal surgery was the primary aim were analyzed.
Results Fifty-five studies, published between 2007 and February 2017, were included. Articles included were categorized in groups according to the main topic as: outcomes related to surgical technique comparisons, morbidity and perioperatory results, specific disease-related outcomes, sociodemographic disparities, and academic training impact.
Conclusions NSQIP and NIS databases are just the tip of the iceberg for the potential application of Big Data technology and analysis in MIS. Information obtained through big data is useful and could be considered as external validation in those situations where a significant evidence-based medicine exists; also, those databases establish benchmarks to measure the quality of patient care. Data retrieved helps to inform decision-making and improve healthcare delivery.
Filiaciones:
Rodriguez, GB:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Gen & Digest Surg Unit, St Antoni Maria Claret 167, Barcelona 08025, Spain
Hosp Dr Rafael A Calderon Guardia, Dept Hematooncol, Surg Oncol Unit, Caja Costarricense Seguro Social, San Jose, Costa Rica
Balla, A:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Gen & Digest Surg Unit, St Antoni Maria Claret 167, Barcelona 08025, Spain
Univ Rome, Dept Gen Surg & Surg Specialties Paride Stefanini, Viale Policlin 155, I-00161 Rome, Italy
Corradetti, S:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Gen & Digest Surg Unit, St Antoni Maria Claret 167, Barcelona 08025, Spain
Martinez, C:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Gen & Digest Surg Unit, St Antoni Maria Claret 167, Barcelona 08025, Spain
Hernandez, P:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Gen & Digest Surg Unit, St Antoni Maria Claret 167, Barcelona 08025, Spain
Bollo, J:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Gen & Digest Surg Unit, St Antoni Maria Claret 167, Barcelona 08025, Spain
Targarona, EM:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Gen & Digest Surg Unit, St Antoni Maria Claret 167, Barcelona 08025, Spain
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