2017年5月24日 星期三

台北榮總資料庫與健保資料庫-Validation Study 統整整合

進行資料庫分析時,最常被問到的問題就是資料庫中的診斷正確性?  而這個問題並不是沒有辦法解決!
黃金可以純化,資料也可以,用心的研究態度才是關鍵!
「Validation Study就是一個很好的解決方法」
對於健保資料庫與台北榮總資料庫中,在自己多年的努力之下,內科系中已經完成的Validation Study包含:
Sleep Apnea
Pneumonia
TB contact
TB
COPD & Asthma
Heart Failure

使用台北榮總資料庫時,你可以這樣寫:
This study was conducted at Taipei Veterans General Hospital, a 3,000-bed tertiary referral hospital in Taiwan, treating approximately 800 newly-diagnosed cases of XXX(疾病) per year. The accuracy of diagnoses recorded in the claims database of Taipei Veterans General Hospital, such as sleep apnea [1], pneumonia [1], asthma [2], COPD [2], tuberculosis contact [3], tuberculosis [4] and heart failure [5] has been validated in previous studies. Previous studies indicated that the accuracy of diagnoses in the claims database of Taipei Veterans General Hospital was excellent.

使用健保資料庫時,你可以這樣寫:
The accuracy of diagnoses recorded in the NHIRD, such as sleep apnea [1], pneumonia [1], asthma [2], COPD [2], tuberculosis contact [3], tuberculosis [4] and heart failure [5] has been validated. Previous studies indicated that the accuracy of diagnoses in the NHIRD was excellent.

以上的論文幾乎每一篇都刊登在五分以上的SCI雜誌上,一定能為你的研究加分不少並且說服Reviewer你投稿研究的準確性是很高的!

References:
1. Su VY, Liu CJ, Wang HK, Wu LA, Chang SC, Perng DW, et al. Sleep apnea and risk of pneumonia: A nationwide population-based study. CMAJ : Canadian Medical Association journal 2014;186:415-421.
2.  Yi-Fong Su V, Yang KY, Yang YH, Tsai YH, Perng DW, Su WJ, Chou KT, Su KC, Yen YF, Chen PC. Use of ICS/LABA Combinations or LAMA is Associated with a Lower Risk of Acute Exacerbation in Patients with Coexistent COPD and Asthma. J Allergy Clin Immunol Pract. 2018 Feb 9.
3. Su VY, Yen YF, Pan SW, Chuang PH, Feng JY, Chou KT, et al. Latent tuberculosis infection and the risk of subsequent cancer. Medicine (Baltimore) 2016;95:e2352.
4. Su VY, Su WJ, Yen YF, Pan SW, Chuang PH, Feng JY, et al. Statin use is associated with a lower risk of tuberculosis. Chest 2017.
5.  Su VY, Yang YH, Perng DW, Tsai YH, Chou KT, Su KC, et al. Real-world effectiveness of medications on survival in patients with COPD-heart failure overlap. Aging (Albany NY). 2019 Jun 7.

有這些Validation Study的資料,相信大家投稿的時候,如果能妥善運用一定會有大大加分的效果!

譬如舉2017年五月刊登在CHEST的這篇文章來說:
使用黃金標準(陽性培養或病理報告診斷TB)做最後判讀標準,我們確認了收案的TB病人的診斷準確率高達96.3%,是一個非常可信賴的診斷標準!
因此使用此診斷標準所抓出來的TB,是一個高度值得信賴的研究。
在這裡跟大家分享這些研究成果,希望能成為大家研究上的好幫手,增加投稿成功的機會。 

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