scholarly journals EP.WE.1026Pathways to the Upper GI MDT; an evaluation of the factors influencing patient routes to diagnosis of oesphago-gastric cancer

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Roberta Bullingham ◽  
Thomas McKane ◽  
Frances Hughes
Keyword(s):  
First Language ◽  
Electronic Record ◽  
Demographic Trends ◽  
Record System ◽  
Upper Gi ◽  
Acute Presentation ◽  
Data Points ◽  
One Year ◽  
The Uk ◽  
Electronic Record System

Abstract Aims To review the characteristics of the patient group referred to Barts Health with Oesphago-gastric (OG) Cancer in one year (2018-19). To evaluate demographic trends in patients presenting as emergency referrals and the effect of language on patients’ pathway to diagnosis. Methods We collated a list of patients referred to the Upper GI MDT with OG cancer in one year (2018-2019). We collected relevant pre-determined data points from the trust electronic record system. Patients with missing or insufficient data were excluded. Results Our population of 125 patients (median age 69) included 51% White British, 11% Bangladeshi, 10% Afro-Caribbean and 4% Pakistani; proportions which are significantly different to that of the UK average (p < 0.002). 46% of patients presented by GP 2WW referrals and 32% emergency referrals. The 29% of the population that did not have English as a first language were not shown to be more likely to present acutely (p = 0.49). 18.7% of patients had more than 62 days between referral and MDT discussion; themes of delay were inappropriate referral type, histology delay and atypical presentation. Conclusions Our OG cancer population has a significantly different ethnic makeup compared to UK average. Our data shows higher acute presentations and lower GP 2WW referrals. We did not demonstrate that language as a single parameter was linked to acute presentation. A number of modifiable delays to diagnosis were identified particularly the need for repeat biopsies. Further analysis is required using more sophisticated socio-economic parameters to assess how ethnicity can influence presentation of OG cancer.

scholarly journals Electronic Clinical Records for Physiotherapists

2006 ◽  
Author(s):  
Christine Barry ◽  
Mark Jones ◽  
Karen Grimmer
Keyword(s):  
Legal Protection ◽  
Data Retrieval ◽  
Electronic Record ◽  
Electronic System ◽  
Electronic Records ◽  
Clinical Report ◽  
Record System ◽  
Clinical Records ◽  
The Impact ◽  
Electronic Record System

Purpose: This pilot study compared traditional (paper-based) and electronic (computerized) clinical physiotherapy records. The content of the records and the software’s user acceptability were considered. Methods: A neuro-musculoskeletal patient scenario involving two encounters (initial and follow-up) was scripted and role-played to each of three experienced physiotherapists (A, B and C). Participants assessed the patient and made traditional clinical records. After basic training in an electronic record system, they repeated the assessments and made electronic records via a laptop computer. Three experienced physiotherapists (A, D and E) each used their usual method to write a clinical report and an electronic record to write a report with the aid of the software’s report tool. The two participants who wrote reports but did not assess the patient (D and E) received a brief software demonstration just prior to writing the electronic record report. The electronic and traditional clinical records and reports were compared regarding their content and completion time. Participants recorded their expectations and experience of learning and using the electronic record system via questionnaires. Results: Participants expressed initial apprehension regarding an unfamiliar documentation system, but generally found the electronic system easy to learn and use. Some would have preferred additional customization options. All traditional records contained pages that lacked patient identification details. The electronic records contained more details related to symptoms, social circumstances and physical examination findings. The participants used more time for assessment and recording the initial examination when using the electronic system. Participants reported easier data retrieval from the computerized records than from the traditional records. Conclusions:The electronic clinical record system may prompt more complete recording and facilitate better patient record identification. These effects have implications for patient care, communication between providers and clinicians’ medico-legal protection. Further research is needed to determine the system’s efficiency and to clarify the impact of other characteristics of electronic record systems for physiotherapists.

Sunitinib-associated hypothyroidism in patients with metastatic renal cell carcinoma.

2013 ◽  
Vol 31 (6_suppl) ◽  
pp. 443-443
Author(s):  
Satinder Jagdev ◽  
Kate Hayward ◽  
Sheryl Sim
Keyword(s):  
Progression Free Survival ◽  
Electronic Record ◽  
Phase Iii ◽  
Metastatic Renal Cancer ◽  
Record System ◽  
Cold Intolerance ◽  
Free Survival ◽  
Disease Response ◽  
Pivotal Study ◽  
Electronic Record System

443 Background: Sunitinib (sun) treatment for patients (pts) with metastatic renal cancer (mRCC) can often lead to fatigue. The incidence of sun-induced hypothyroidism (HT) in the phase III pivotal study of pts with mRCC was 14% for all grades and 2% for grades 3-4. Subsequent retrospective and prospective studies described incidences of between 30–85%. Elevated TSH alone may be seen in up to 85% of mRCC pts treated with sun. Symptoms of HT, eg: fatigue, constipation, cold intolerance, hair thinning, and dry skin have been reported in the majority of sun-treated pts. Methods: We reviewed of all cases of mRCC pts initiating sun treatment between January 2008 and December 2009 using the electronic record system Patient Pathway Manager. Pts with underlying HT, abnormal TFTs at baseline or those on sun for less than two cycles were excluded. TFTs were performed at baseline and then day 1 of every two cycles. Response was assessed every 2-3 cycles. The aims of the study were to Identify rate of sun-induced HT in St James’s Institute of Oncology and determine whether there is a correlation between HT and disease response. Results: 84 pts were included (median age 62 years). 90% had good or intermediate prognosis disease by Memorial Sloane-Kettering Cancer Centre (MSKCC) criteria. 52 pts had TSH <6mU/L and 32 had TSH of >6mU/L. Progression-free survival was significantly longer in those pts with TSH of >6mU/L (29.6 months) compared to those with TSH <6mU/L (11.3 months). Conclusions: Sun-induced HT occurred in approximately 30% of pts and predicted for improved progression-free survival. Further studies are needed to characterise this and updated data will be presented.

First medical contact and physicians' opinion after the implementation of an electronic record system

2012 ◽  
Vol 30 (7) ◽  
pp. 1235-1240 ◽  
Author(s):  
Pierre-Géraud Claret ◽  
Mustapha Sebbanne ◽  
Xavier Bobbia ◽  
Jean-Marie Bonnec ◽  
Stéphane Pommet ◽  
...  
Keyword(s):  
Electronic Record ◽  
Record System ◽  
Electronic Record System

scholarly journals Epidemiology and Clinical Characteristics of Staphylococcal Bacteremia in Bahrain

2021 ◽  
Vol 33 (3) ◽  
pp. 6-15
Author(s):  
Safaa Al Khawaja ◽  
Nermin Kamal Saeed ◽  
Mahmood Al Awainati
Keyword(s):  
Staphylococcus Aureus ◽  
Health Problem ◽  
Clinical Characteristics ◽  
Electronic Record ◽  
High Morbidity ◽  
Record System ◽  
Staphylococcus Aureus Bacteremia ◽  
One Year ◽  
Community Onset ◽  
Significant Health

Background and Objectives: Staphylococcus aureus bacteremia (SAB) is a significant health problem with high morbidity & mortality. The aim of this study was to evaluate the epidemiology of SAB in Bahrain along with withs clinical characteristics and outcomes. Methods: This study was conducted at Salmaniya medical complex (SMC) microbiology laboratory including all patients with SAB for one year period (2019). Demographic, lab data & outcomes were obtained from the electronic record system of patients. Results: A total of 164 episodes of SAB were identified during the study period. About 137 were encountered among inpatients, while 27 cases among outpatients attending hemodialysis unit. Bahraini nationality & male gender were predominant (141, 85.98% & 108, 65.85% respectively). Nosocomial SAB accounts for only 29.37%, while the majority of SAB cases were of community-onset (116, 70.37%), but among such community-onset cases; 83 (50.61% of total) were of health care-associated category (56 had prior hospitalization and 27 were on regular dialysis). Among all patients with SAB, diabetes was the commonest risk factor encountered, followed by dialysis dependence and sickle cell diseases (SCD). Mortality rate was 25.6% (42 patients). Among the 122 survivors of the initial SAB episode, recurrence of bacteremia was documented among 26 cases (21.3%). Conclusion: SAB was a significant health problem among the Bahraini. Diabetes Mellitus, SCD and dialysis dependence were found to be important risk factors. Recurrence of bacteremia was a common complication among the patient’s dependant on hemodialysis Keywords: Staphylococcus aureus, Bacteremia, Nosocomial, Community onset, Hemodialysis

scholarly journals Impact of Telemedicine Tools on Record Keeping and Compliance in Haemophilia Care

2019 ◽  
Vol 39 (04) ◽  
pp. 347-354 ◽  
Author(s):  
A. Banchev ◽  
G. Goldmann ◽  
N. Marquardt ◽  
C. Klein ◽  
S. Horneff ◽  
...  
Keyword(s):  
Age Groups ◽  
Electronic Record ◽  
Home Treatment ◽  
Factor Vii ◽  
Record System ◽  
Record Keeping ◽  
Explorative Study ◽  
Bleeding Episodes ◽  
Data Validity ◽  
Electronic Record System

Background Record keeping is integral to home treatment for haemophilia. Issues with paper diaries include questionable compliance, data validity and quality. Implementation of electronic diaries (e-diaries) in haemophilia patients could improve documentation of home treatment. Aim This article evaluates the effects of an e-diary, Haemoassist, on recording and patient compliance with therapy. Patients and Methods An explorative study was used to assess the sequential use of paper diaries and e-diaries by 99 patients with severe haemophilia A or B and 1 with severe factor VII deficiency. Median age was 41 years. Information was obtained from paper records for 3 years preceding the introduction of an electronic record system and the first 6 to 12 months of Haemoassist use. Data from the 3-year period were averaged. Missing data for rounded 12 months of e-diary use were extrapolated to correspond to a full year. Results Enhancement of 23% in record delivery was observed for the period of Haemoassist use (p = 0.013). Twenty-one percent increase in patients’ compliance for data reporting (from 65% 35 to 86% 22, p = 0.003) and 16% increase for documentation of bleedings (from 68 to 84% of patients, p = 0.01) were detected. Compliance to prescribed therapy of patients for the whole studied period improved by 6% (from 82% ± 29 to 88% ± 25, p = 0.05). Major advances were demonstrated predominantly in the age groups of between 13 and 20 and 21 and 40 years. Conclusion e-Diaries' use enables improved recording of information about patients' home treatment and bleeding episodes. Enhanced compliance with therapy may be a further benefit.

scholarly journals Technological production of a prototype of the electronic record system CICATRIZAR: an applied study

2013 ◽  
Vol 12 ◽  
Author(s):  
Juliana Ferreira Machado ◽  
Beatriz Guitton Renaud Baptista de Oliveira ◽  
José Raphael Bokehi
Keyword(s):  
Electronic Record ◽  
Record System ◽  
Applied Study ◽  
Technological Production ◽  
Electronic Record System
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