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Technology Report

Implementation of a New UPMC Gamma Knife Radiosurgery Quality Assurance Registry

Niranjan A.a · Layne D.b · Briercheck M.b · Trofimova S.a · Monaco III E.A.a · Kano H.a · Lunsford L.D.a

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aDepartment of Neurological Surgery, University of Pittsburgh Medical Center, and bUPMC Technology Development Center, Pittsburgh, PA, USA

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Stereotact Funct Neurosurg 2017;95:49-59

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Article / Publication Details

First-Page Preview
Abstract of Technology Report

Received: August 11, 2016
Accepted: December 02, 2016
Published online: January 28, 2017
Issue release date: March 2017

Number of Print Pages: 11
Number of Figures: 6
Number of Tables: 2

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: https://www.karger.com/SFN

Abstract

Object: In this report, we discuss the development of a new, comprehensive, Health Insurance Portability and Accountability Act-compliant electronic quality assurance (QA) registry for Gamma Knife (GK) radiosurgery patients. This registry can be used to query outcomes, link with current hospital electronic medical records, and share data with future corporate or national professional society registries under development. Methods: A clinical task force comprising physicians and regulatory, legal, and information technology (IT) experts was created to define the nomenclature, regulatory requirements, hosting site, and required capabilities of the proposed system. A team of physicians and IT experts defined the clinical parameters and designed the query functions for the registry. Results: The UPMC GK Registry was established as a QA registry exempt from Institutional Review Board oversight. In order to facilitate subsequent query functions (analytics), data entry was created for 3 main categories: brain tumors, vascular malformations, and functional disorders. A Microsoft SQL-based database infrastructure was employed. Conclusions: We developed a new UPMC GK QA registry and successfully migrated our previous data on 13,000 patients into the registry. This simplified and user-friendly registry offers clinicians the opportunity to participate in national registries and to contribute to multicenter evidence-based outcome analyses.

© 2017 S. Karger AG, Basel


References

  1. Berkowitz O, Kondziolka D, Bissonette D, Niranjan A, Kano H, Lunsford LD: The evolution of a clinical registry during 25 years of experience with Gamma Knife radiosurgery in Pittsburgh. Neurosurg Focus 2013;34:E4.
  2. Asher AL, McCormick PC, Selden NR, Ghogawala Z, McGirt MJ: The National Neurosurgery Quality and Outcomes Database and NeuroPoint Alliance: rationale, development, and implementation. Neurosurg Focus 2013;34:E2.
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Article / Publication Details

First-Page Preview
Abstract of Technology Report

Received: August 11, 2016
Accepted: December 02, 2016
Published online: January 28, 2017
Issue release date: March 2017

Number of Print Pages: 11
Number of Figures: 6
Number of Tables: 2

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: https://www.karger.com/SFN


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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