311039

Quality of Medical Records Documentation Practices at Menoufia Clinical Oncology Department

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Last updated: 03 Jan 2025

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Abstract

Background: Cancer registries rely on extracting data from a patient's medical records, so without proper documentation we will have incomplete abstracted data items and missed data values within cancer registries. Objectives:To assess the quality of the oncology patients' records, compare patients with complete versus incomplete records according to survival time, and analysis of cancer statistics during 2019 at the Clinical Oncology Department at Menoufia University Hospitals. Methods:A retrospective study was conducted at the Clinical Oncology Department at Menoufia University Hospitals.All the available oncology patient records formed during 2019 (1844) are revised according to the checklist to detect absence and presence of the items of the checklist. Results: The percentage ofoncology patient records exceed 80 % level of completeness was 78.3%- 75.5% of the records had no clear outcomes, the mean survival time was significantly higher among complete (33.35 ± 0.21 months) than incomplete records (31.34 ± 0.79 months) (P <0.05). The most common tumor among the whole population was Breast Cancer followed by GIT Tumors, the most common tumor among male participant patients was GIT Tumors followed by Blood Cancer. While the most common tumor among female participant patients was Breast Cancer followed by Female Genital Tumors. Conclusion: The survival time was higher among the patient withrecords exceed the 80 % level of completeness than the patient with lower completeness level, so hospital documentation needs more care.  

DOI

10.21608/ejhm.2023.311039

Keywords

Completeness, Hospital documentation, Oncology, medical records, Survival

Volume

92

Article Issue

1

Related Issue

42192

Issue Date

2023-07-01

Receive Date

2023-08-03

Publish Date

2023-07-01

Page Start

6,001

Page End

6,008

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_311039.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=311039

Order

83

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Quality of Medical Records Documentation Practices at Menoufia Clinical Oncology Department

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Type

Article

Created At

24 Dec 2024