厚植临床优势 推动创新发展:中国结直肠癌手术病例登记数据库与国外数据库的比较  

Fortify clinical advantages and promote innovative development:comparison of the Chinese Colorectal Cancer Surgery Database with foreign databases

作　　者：张军豪 刘睿清 高源[1] 姚宏伟[2] 杨盈赤[2] 张忠涛[2] 卢云[1] Zhang Junhao;Liu Ruiqing;Gao Yuan;Yao Hongwei;Yang Yingchi;Zhang Zhongtao;Lu Yun(Department of Gastrointestinal Surgery,Affiliated Hospital of Qingdao University,Qingdao 266555,China;Department of General Surgery,Beijing Friendship Hospital,Capital Medical University,National Clinical Medical Research Center for Digestive Diseases,General Surgery Branch,Clinical Treatment and Research Center of Colorectal Tumor,Capital Medical University,Beijing 100050,China)

机构地区：[1]青岛大学附属医院胃肠外科,青岛266555 [2]首都医科大学附属北京友谊医院普外科、国家消化系统疾病临床医学研究中心普外分中心、首都医科大学结直肠肿瘤临床诊疗与研究中心,北京100050

出　　处：《中华外科杂志》2023年第5期362-367,356,共7页Chinese Journal of Surgery

基　　金：国家自然科学基金(82000482)。

摘　　要：随着循证医学的不断发展,医疗大数据库成为高质量真实世界研究的重要基础设施。中华医学会外科学分会结直肠外科学组设立的中国结直肠癌手术病例登记数据库(CCCD),旨在以循证医学的理论促进结直肠外科的发展,改善患者预后。与国外主要数据库相比,CCCD包含较为全面的结直肠癌手术病例登记信息,记录了患者主要流行病学特征及详细的手术资料,但围手术期治疗数据仍需加强;应继续扩大覆盖范围,丰富围手术期数据,加强数据质量控制。未来,CCCD有望在促进各中心医疗水平同质化、推动分级诊疗顺畅有效、发挥各中心特色实现融合发展、联通真实世界数据与人工智能等方面发挥作用。With the continuous development of evidence-based medicine,increasing attention has been paid to the construction of a large medical database to ensure a source of high quality real-world data.The Chinese Medical Association Colorectal Surgery Group created the Chinese Colorectal Cancer Surgery Database(CCCD),whose objective is to promote the development of colorectal surgery and improve patient prognosis with evidence-based medicine theory.Compared to major databases around the world,CCCD contains more comprehensive information on colorectal cancer surgical cases,recording the main epidemiological characteristics and detailed surgical information,but perioperative treatment data still need to be strengthened.It is necessary to continuously expand the coverage,enrich perioperative data,and strengthen data-quality control.In the future,CCCD is expected to play a role in promoting homogenization of medical services,promoting smooth and effective graded diagnosis and treatment,giving full role to the characteristics of each center to achieve integrated development,and connecting real-world data and artificial intelligence.

关 键 词：结直肠肿瘤 数据库 中国结直肠癌手术病例登记数据库 医疗大数据 

分 类 号：R735.34[医药卫生—肿瘤]