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. 2021 Oct 15;34(2):e1583.
doi: 10.1590/0102-672020210002e1583. eCollection 2021.

MULTIPROFESSIONAL ELECTRONIC PROTOCOL FOR DIGESTIVE SURGERY VALIDATION

[Article in English, Portuguese]
Faruk Abrão Kalil-Filho  1 , José Simão de Paula Pinto  2 , Emerson P Borsato  3 , Carlos Henrique Kuretzki  1   4 , Bruno Luiz Ariede  5 , Jorge Eduardo Fouto Mathias  1 , Antonio Carlos Ligocki Campos  1 , Osvaldo Malafaia  1   5
Affiliations

MULTIPROFESSIONAL ELECTRONIC PROTOCOL FOR DIGESTIVE SURGERY VALIDATION

[Article in English, Portuguese]
Faruk Abrão Kalil-Filho et al. Arq Bras Cir Dig. .

Abstract
in English, Portuguese

Background: The creation of a computerized clinical database with the ability to collect prospective information from patients and with the possibility of rescue and crossing data enables scientific studies of higher quality and credibility in less time.

Aim: To validate, in a single master protocol, the clinical data referring to Surgery of Digestive System in a multidisciplinary way, incorporating in the SINPE© platform, and to verify the incidence of digestive diseases based on the prospectively performed collections.

Method: Organize in one software, in a standardized structure, all the pre-existing items in the SINPE© database; the theoretical basis was computerized through the MIGRASINPE© module creating a single multiprofessional master protocol for use as a whole.

Results: The existing specific protocols were created and/or adapted - they correspond to the most prevalent digestive diseases - unifying them. The possibility of multiprofessional use was created by integrating all data collected from medicine, nursing, physiotherapy, nutrition and health management in a prospective way. The total was 4,281 collections, distributed as follows: extrahepatic biliary tract, n=1,786; esophagus, n=1015; anorectal, n=736; colon, n=550; small intestine, n=86; pancreas, n=71; stomach, n=23; liver, n=14.

Conclusions: The validation of the unification and structuring in a single master protocol of the clinical data referring to the Surgery of the Digestive System in a multiprofessional and prospective way was possible and the epidemiological study carried out allowed to identify the most prevalent digestive diseases.

Racional:: A criação de um banco de dados clínicos informatizado com a capacidade de coletar informações dos pacientes de forma prospectiva e com possibilidade de resgate e cruzamento viabiliza estudos científicos de maior qualidade e credibilidade em menor tempo.

Objetivos:: Validar em único protocolo mestre os dados clínicos referentes à Cirurgia do Aparelho Digestivo de forma multiprofissional incorporando-o na plataforma SINPE©, e verificar a incidência das doenças digestivas com base nas coletas prospectivamente realizadas.

Organizar no software em estrutura padronizada todos os itens pré-existentes no banco de dados do SINPE©, informatizar a base teórica através do módulo MIGRASINPE© criando-se um único protocolo mestre multiprofissional para uso como um todo.

Resultados:: Foram criados e/ou adaptados os protocolos específicos existentes que correspondem às doenças digestivas mais prevalentes unificando-os. Criou-se a possibilidade de uso multiprofissional integrando todos os dados coletados da medicina, enfermagem, fisioterapia, nutrição e gestão em saúde de maneira prospectiva. O total foi de 4.281 coletas assim distribuídas: vias biliares extra-hepáticas, n=1.786; esôfago, n=1015; anorretais, n=736; cólon, n=550; intestino delgado, n=86; pâncreas, n=71; estômago, n=23; fígado, n=14.

Conclusões:: A validação da unificação e estruturação em único protocolo mestre dos dados clínicos referentes à Cirurgia do Aparelho Digestivo de forma multiprofissional e prospectiva foi possível e o estudo epidemiológico realizado permitiu identificar as doenças mais prevalentes nesse aparelho.

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Conflict of interest statement

Conflict of interest: none

Figures

FIGURE 1
FIGURE 1. Modules that make up the SINPE© system of electronic protocols
FIGURE 2
FIGURE 2. Examples of data collection: A) anamnesis; B) physical examination; C) complementary exams; D) diagnosis; E) treatment; F) evolution.
FIGURE 3
FIGURE 3. Examples of detailed data insertion in the protocols
FIGURE 4
FIGURE 4. Examples of multidisciplinary sub-items of the item Treatment: A) choose in the root the desired item, that was treatment in Medicine; B) choose between the possible treatments in the esophagus; C) choose treatments applicable to physiotherapy in the same patient; D) same conditions in nursing.
FIGURE 5
FIGURE 5. Example of postoperative follow-up
FIGURE 6
FIGURE 6. Examples of specific protocols created by coloproctologists in their clinics
FIGURE 7
FIGURE 7. Incidences of the various diseases found in the included eight digestive segments/organs
None
Modules that make up the SINPE© system of electronic protocols (access by QRcode)
See this image and copyright information in PMC

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