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Erschienen in: International Urogynecology Journal 6/2013

01.06.2013 | Original Article

The Danish Urogynaecological Database: establishment, completeness and validity

verfasst von: Rikke Guldberg, Søren Brostrøm, Jesper Kjær Hansen, Linda Kærlev, Kim Oren Gradel, Bente Mertz Nørgård, Ulrik Schiøler Kesmodel

Erschienen in: International Urogynecology Journal | Ausgabe 6/2013

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Abstract

Introduction and hypothesis

The Danish Urogynaecological Database (DugaBase) is a nationwide clinical database established in 2006 to monitor, ensure and improve the quality of urogynaecological surgery. We aimed to describe its establishment and completeness and to validate selected variables. This is the first study based on data from the DugaBase.

Methods

The database completeness was calculated as a comparison between urogynaecological procedures reported to the Danish National Patient Registry and to the DugaBase. Validity was assessed for selected variables from a random sample of 200 women in the DugaBase from 1 January 2009 to 31 October 2010, using medical records as a reference.

Results

A total of 16,509 urogynaecological procedures were registered in the DugaBase by 31 December 2010. The database completeness has increased by calendar time, from 38.2 % in 2007 to 93.2 % in 2010 for public hospitals. All medical records were retrievable for the validation study. The overall percent agreement was at least 90 % for the following variables: surgical procedure code, hospital department, date of surgery, use of antibiotic prophylaxis, prior gynaecological surgery, height, weight, parity and smoking.

Conclusions

The database completeness of the DugaBase has improved over time, now with a nearly complete registration from all public hospitals in Denmark. The overall percent agreement between selected variables and medical records is high. We conclude that due to the high degree of database completeness and data of high validity the DugaBase offers a unique possibility for continuing quality assessment of urogynaecological surgery in Denmark and future research.
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Literatur
1.
Zurück zum Zitat Riss P, Kargl J (2011) Quality of life and urinary incontinence in women. Maturitas 68(2):137–142PubMedCrossRef Riss P, Kargl J (2011) Quality of life and urinary incontinence in women. Maturitas 68(2):137–142PubMedCrossRef
2.
Zurück zum Zitat Goode PS, Burgio KL, Richter HE, Markland AD (2010) Incontinence in older women. JAMA 303(21):2172–2181PubMedCrossRef Goode PS, Burgio KL, Richter HE, Markland AD (2010) Incontinence in older women. JAMA 303(21):2172–2181PubMedCrossRef
3.
Zurück zum Zitat Hannestad YS, Rortveit G, Sandvik H, Hunskaar S et al (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trøndelag. J Clin Epidemiol 53:1150–1157PubMedCrossRef Hannestad YS, Rortveit G, Sandvik H, Hunskaar S et al (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trøndelag. J Clin Epidemiol 53:1150–1157PubMedCrossRef
4.
Zurück zum Zitat Abrams P, Andersson KE, Birder L et al (2009) Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse and faecal incontinence. In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence, 4rd international consultation on incontinence. Health, Paris, pp 80–81 Abrams P, Andersson KE, Birder L et al (2009) Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse and faecal incontinence. In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence, 4rd international consultation on incontinence. Health, Paris, pp 80–81
5.
Zurück zum Zitat Cohen BL, Barboglio P, Gousse A (2008) The impact of lower urinary tract symptoms and urinary incontinence on female sexual dysfunction using a validated instrument. J Sex Med 5(6):1418–1423PubMedCrossRef Cohen BL, Barboglio P, Gousse A (2008) The impact of lower urinary tract symptoms and urinary incontinence on female sexual dysfunction using a validated instrument. J Sex Med 5(6):1418–1423PubMedCrossRef
6.
Zurück zum Zitat Coyne KS, Wein AJ, Tubaro A et al (2009) The burden of lower urinary tract symptoms: evaluating the effect of LUTS on health-related quality of life, anxiety and depression: EpiLUTS. BJU Int 103:4–11PubMedCrossRef Coyne KS, Wein AJ, Tubaro A et al (2009) The burden of lower urinary tract symptoms: evaluating the effect of LUTS on health-related quality of life, anxiety and depression: EpiLUTS. BJU Int 103:4–11PubMedCrossRef
7.
Zurück zum Zitat Olson AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89(4):501–506CrossRef Olson AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89(4):501–506CrossRef
8.
Zurück zum Zitat Shah AD, Kohli N, Rajan SS, Hoyte L (2008) The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA. Int Urogynecol J Pelvic Floor Dysfunct 19(3):421–428PubMedCrossRef Shah AD, Kohli N, Rajan SS, Hoyte L (2008) The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA. Int Urogynecol J Pelvic Floor Dysfunct 19(3):421–428PubMedCrossRef
9.
Zurück zum Zitat Ammendrup AC, Bendixen A, Sander P, Ottesen BS, Lose G (2009) Urinary incontinence surgery in Denmark 2001–2003 (in Danish). Ugeskr Laeger 171(6):399–404PubMed Ammendrup AC, Bendixen A, Sander P, Ottesen BS, Lose G (2009) Urinary incontinence surgery in Denmark 2001–2003 (in Danish). Ugeskr Laeger 171(6):399–404PubMed
10.
Zurück zum Zitat Cammu H, Saeys F, Haentjens P (2010) Dramatic increase (1997–2007) in the number of procedures for stress urinary incontinence in Belgium. Int Urogynecol J 21:1511–1515PubMedCrossRef Cammu H, Saeys F, Haentjens P (2010) Dramatic increase (1997–2007) in the number of procedures for stress urinary incontinence in Belgium. Int Urogynecol J 21:1511–1515PubMedCrossRef
12.
Zurück zum Zitat Pedersen CB (2011) The Danish Civil Registration System. Scand J Public Health 39(7 Suppl):22–25PubMedCrossRef Pedersen CB (2011) The Danish Civil Registration System. Scand J Public Health 39(7 Suppl):22–25PubMedCrossRef
13.
14.
Zurück zum Zitat Price N, Jackson SR, Avery K, Brookes ST, Abrams P (2006) Development and psychometric evaluation of the ICIQ Vaginal Symptoms Questionnaire: the ICIQ-VS. BJOG 113(6):700–712PubMedCrossRef Price N, Jackson SR, Avery K, Brookes ST, Abrams P (2006) Development and psychometric evaluation of the ICIQ Vaginal Symptoms Questionnaire: the ICIQ-VS. BJOG 113(6):700–712PubMedCrossRef
15.
Zurück zum Zitat Saklad M (1941) Grading of patients for surgical procedures. Anesthesiology 2:281–284CrossRef Saklad M (1941) Grading of patients for surgical procedures. Anesthesiology 2:281–284CrossRef
16.
Zurück zum Zitat NOMESCO Classification of Surgical Procedures (2010) version 1.15 2011 no. 93:2010 Copenhagen NOMESCO Classification of Surgical Procedures (2010) version 1.15 2011 no. 93:2010 Copenhagen
17.
Zurück zum Zitat Andersen TF, Madsen M, Loft A (1987) Validity of surgical information from the Danish National Patient Registry with special attention to the analysis of regional variations in hysterectomy rates (in Danish). Ugeskr Laeger 149(36):2420–2422PubMed Andersen TF, Madsen M, Loft A (1987) Validity of surgical information from the Danish National Patient Registry with special attention to the analysis of regional variations in hysterectomy rates (in Danish). Ugeskr Laeger 149(36):2420–2422PubMed
18.
Zurück zum Zitat Lynge E, Sandegaard JL, Rebolj M (2011) The Danish National Patient Register. Scand J Public Health 39(7 Suppl):30–33PubMedCrossRef Lynge E, Sandegaard JL, Rebolj M (2011) The Danish National Patient Register. Scand J Public Health 39(7 Suppl):30–33PubMedCrossRef
20.
Zurück zum Zitat Sørensen HT, Sabroe S, Olsen J (1996) A framework for evaluation of secondary data sources for epidemiological research. Int J Epidemiol 25(2):435–442PubMedCrossRef Sørensen HT, Sabroe S, Olsen J (1996) A framework for evaluation of secondary data sources for epidemiological research. Int J Epidemiol 25(2):435–442PubMedCrossRef
21.
Zurück zum Zitat Pedersen AB, Johnsen SP, Overgaard S, Søballe K, Sørensen HT, Lucht U (2004) Registration in the Danish Hip Arthroplasty Registry: completeness of total hip arthroplasties and positive predictive value of registered diagnosis and postoperative complications. Acta Orthop Scand 75(4):434–441PubMedCrossRef Pedersen AB, Johnsen SP, Overgaard S, Søballe K, Sørensen HT, Lucht U (2004) Registration in the Danish Hip Arthroplasty Registry: completeness of total hip arthroplasties and positive predictive value of registered diagnosis and postoperative complications. Acta Orthop Scand 75(4):434–441PubMedCrossRef
22.
Zurück zum Zitat Fleiss JL, Levin B, Paik MC (2003) Statistical methods for rates and proportions, 3rd edn. Wiley, New YorkCrossRef Fleiss JL, Levin B, Paik MC (2003) Statistical methods for rates and proportions, 3rd edn. Wiley, New YorkCrossRef
23.
Zurück zum Zitat Hansen CT, Møller C, Daugbjerg S, Utzon J, Kehlet H, Ottesen B et al (2008) Establishment of a national Danish hysterectomy database: preliminary report on the first 13,425 hysterectomies. Acta Obstet Gynecol Scand 87(5):546–557PubMedCrossRef Hansen CT, Møller C, Daugbjerg S, Utzon J, Kehlet H, Ottesen B et al (2008) Establishment of a national Danish hysterectomy database: preliminary report on the first 13,425 hysterectomies. Acta Obstet Gynecol Scand 87(5):546–557PubMedCrossRef
24.
Zurück zum Zitat Mosbech J, Jørgensen J, Madsen M, Rostgaard K, Thornberg K, Poulsen TD (1995) The national patient registry. Evaluation of data quality (in Danish). Ugeskr Laeger 157(26):3741–4745PubMed Mosbech J, Jørgensen J, Madsen M, Rostgaard K, Thornberg K, Poulsen TD (1995) The national patient registry. Evaluation of data quality (in Danish). Ugeskr Laeger 157(26):3741–4745PubMed
25.
Zurück zum Zitat Ottesen M (2009) Validity of the registration and reporting of vaginal prolapse surgery (in Danish). Ugeskr Laeger 171(6):404–408PubMed Ottesen M (2009) Validity of the registration and reporting of vaginal prolapse surgery (in Danish). Ugeskr Laeger 171(6):404–408PubMed
26.
Zurück zum Zitat Madsen M, Davidsen M, Rasmussen S, Abildstrom SZ, Osler M (2003) The validity of the diagnosis of acute myocardial infarction in routine statistics: a comparison of mortality and hospital discharge data with the Danish MONICA registry. J Clin Epidemiol 56(2):124–130PubMedCrossRef Madsen M, Davidsen M, Rasmussen S, Abildstrom SZ, Osler M (2003) The validity of the diagnosis of acute myocardial infarction in routine statistics: a comparison of mortality and hospital discharge data with the Danish MONICA registry. J Clin Epidemiol 56(2):124–130PubMedCrossRef
27.
Zurück zum Zitat Goldberg J, Gelfand HM, Levy PS (1980) Registry evaluation methods: a review and case study. Epidemiol Rev 2:210–220PubMed Goldberg J, Gelfand HM, Levy PS (1980) Registry evaluation methods: a review and case study. Epidemiol Rev 2:210–220PubMed
Metadaten
Titel
The Danish Urogynaecological Database: establishment, completeness and validity
verfasst von
Rikke Guldberg
Søren Brostrøm
Jesper Kjær Hansen
Linda Kærlev
Kim Oren Gradel
Bente Mertz Nørgård
Ulrik Schiøler Kesmodel
Publikationsdatum
01.06.2013
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 6/2013
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-012-1968-8

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