Registry-based clinical research in nephrolithiasis is critical to advancing quality in urinary stone disease management and ultimately reducing stone recurrence. A need exists to develop HIPAA-compliant registries comprised of integrated electronic health record (EHR) data using prospectively defined variables.
An EHR-based standardized patient database - The Registry for Stones of the Kidney & Ureter (ReSKU™) was developed and herein we describe our implementation outcomes. <b>Materials and Methods</b>: Interviews with academic and community endourologists in the United States, Canada, China, and Japan identified demographic, intraoperative, and peri-operative variables to populate our registry. Variables were incorporated into a HIPAA-compliant REDCap database linked to text prompts and registration data within the Epic EHR platform. Specific data collection instruments supporting New patient, Surgery, Post-op, and Follow-up clinical encounters were created within Epic to facilitate automated data extraction into ReSKU™. <b>Results</b>: The number of variables within each instrument includes: New patient - 60, Surgery - 80, Post-op - 64, Follow-up - 64. With manual data entry, the mean times to complete each of the clinic based instrument were (minutes): New patient - 12.06±2.30, Post-op - 7.18±1.02, Follow-up - 8.10±0.58. These times were significantly reduced with the use of ReSKU™ structured clinic note templates to: New patient - 4.09±1.73, Post-op - 1.41±0.41, Follow-up - 0.79±0.38. With automated data extraction from Epic, manual entry is obviated. <b>Conclusions</b>: ReSKU™ is a longitudinal, prospective nephrolithiasis registry that integrates EHR data, lowering the barriers to performing high quality clinical research and quality outcomes assessments in urinary stone disease.
Journal of endourology. 2016 Oct 19 [Epub ahead of print]
Helena Chang, David T Tzou, Manint Usawachintachit, Brian D Duty, Ryan S Hsi, Jonathan D Harper, Mathew D Sorensen, Marshall Stoller, Roger L Sur, Thomas Chi
University of California San Francisco, Urology , 550 16th St , 6th Floor, Urology Department , San Francisco, California, United States , 94158 ; ., University of California San Francisco, 8785 , 400 Parnassus Avenue , San Francisco, California, United States , 94143 ; ., University of California San Francisco, Urology , 400 Parnassus Avenue , San Francisco, California, United States , 94143 ; ., Oregon Health and Science University, 6684, Portland, Oregon, United States ; ., University of California San Francisco, Urology, San Francisco, California, United States ; ., University of Washington, Department of Urology , 1959 NE Pacific Street , Box 356510 , Seattle, Washington, United States , 98195 ; ., University of Washington, Department of Urology , 1959 NE Pacific Street , Box 356510 , Seattle, Washington, United States , 98195 ; ., University of California San Francisco, Urology, San Francisco, California, United States ; ., UC San Diego, Surgery/Urology , 200 W. Arbor Drive , #8897 , San Diego, California, United States , 92103-8897 ; ., University of California San Francisco, Urology , 400 Parnassus Ave , 6th floor Urology Clinics A638 , San Francisco, California, United States , 94143 ; .
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