Methodological exploration of constructing colon cancer specific disease cohort based on hospital informatization
Zhu Jingjing1, Yin Ruihua2, Ge Chenyang3, Hu Bin4, Wang Xiaohong5, Shan Qian6, He Guobin7, Zheng Hongjuan2, Ling Lixian2, Fu Jianfei2
1 Medical Records Room, the Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, China;
2 Department of Medical Oncology, the Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, China;
3 Department of Colorectal Surgery, the Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, China;
4 Department of Pathology, the Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, China;
5 Center for Disease Control and Prevention of Jinhua, Jinhua 321000, China;
6 Information Section, the Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, China;
7 Department of Medical Statistics, the Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, China
Objective International Classification of Diseases(ICD-10) homepage coding system and other information systems were used to establish a colon cancer database, and the credibility of the cohort was verified through survival analysis. Methods Patients with colon cancer admitted to the hospital between January 2013 and December 2019 were extracted by ID numbers from the ICD-10 homepage coding system, the cancer reporting system database and the pathology database, respectively. The three databases were then cleaned and merged to create the colon cancer cohort. The pathological staging of the colon cancer cohort was performed to analyze the prognosis of colon cancer.Results Totally 1 148 patients with colon cancer were screened and obtained from ICD-10 home page coding system; 1 060 colon cancer patients were screened and enrolled from the pathological database, which was combined with ICD-10 home page coding system database to form a pathological record database; finally, a cohort of 581 colon cancer patients was generated by intersections with 831 colon cancer patients screened from the cancer report card database. A survival analysis of the cohort found that the center's colon cancer database matched the results of other studies.Conclusion It is credible to establish a tumor cohort by using the existing ICD-10 homepage coding system, the pathology system of the hospital and the cancer reporting and follow-up system established by the center for disease control and prevention. And expanding this model would help build colon cancer databases nationwide.
朱京京，尹瑞华，葛琛阳，胡斌，王小红，单前，何国斌，郑红娟，凌丽仙，傅健飞. 基于医院信息化构建结肠癌专病队列方法学探索[J]. 中国医院统计, 2021, 28(5): 467-471.
Zhu Jingjing, Yin Ruihua, Ge Chenyang, Hu Bin, Wang Xiaohong,Shan Qian,He Guobin, Zheng Hongjuan, Ling Lixian, Fu Jianfei. Methodological exploration of constructing colon cancer specific disease cohort based on hospital informatization. journal1, 2021, 28(5): 467-471.
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