内蒙古4盟市后天梅毒报告病例数据质量调查

Data quality survey on acquired syphilis case reports in 4 alliances and cities in Inner Mongolia

目的了解内蒙古自治区梅毒报告病例数据的质量,发现存在的问题,提出改进措施。方法选取2018年7月1日—2019年6月30日内蒙古自治区4个盟市的30家医疗机构的895例后天梅毒报告病例进行调查,包括核对传染病报告卡、临床和实验室原始资料等,评价其信息质量指标和诊断质量指标。结果4个盟市的报卡填写完整率、正确率、信息录入正确率、病例报告及时率、过度报告率、重复报告率分别为97.65%、92.63%、89.16%、91.06%、13.85%、3.46%。不同盟市的报告卡的填写正确率、病例报告及时率、过度报告率和重复报告率的差异均有统计学意义(P均<0.05)。后天梅毒病例诊断正确率为66.93%,不同地区间差异有统计学意义(χ^(2)=45.963,P=0.000)。不同地区间一期梅毒分期正确率、隐性梅毒分类正确率的差异均有统计学意义(P均<0.05)。皮肤性病科、非皮肤性病科报告病例正确率分别为74.90%、57.63%,差异有统计学意义(χ^(2)=29.967,P=0.000)。结论内蒙古自治区梅毒疫情报告质量参差不齐,梅毒诊断正确率、分期正确率低,影响梅毒发病率与发病趋势的分析,须加强梅毒报告、诊断标准的培训,切实提高病例数据的质量。

Objective To understand the quality of syphilis case report data in the Inner Mongolia Autonomous Region,discover the existing problem,propose improvement measure.Methods A total of 895 acquired syphilis cases were reported in 30 medical institutions of 4 alliances and cities in the Inner Mongolia Autonomous Region from July 1,2018 to June 30,2019 for survey,including the check of infectious disease reporting card,clinical and laboratory original data.Information quality indicator and diagnosis quality indicator of data were evaluated.Results Completeness rate and accuracy rate of reporting card filling,accuracy rate of data input,timeliness rate of case reporting,over-reporting rate and repeat reporting rate in 4 alliances and cities were 97.65%,92.63%,89.16%,91.06%,13.85%,3.46%respectively.The accuracy rate of reporting card filling,timeliness rate of case reporting,over-reporting rate,and repeat reporting rate in different alliances and cities showed statistically significant difference(P<0.05).The accuracy rate of diagnosing acquired syphilis was 66.93%,with statistically significant differences in different alliances and cities(χ^(2)=45.963,P=0.000).Among different alliances and cities,the accuracy rate of primary syphilis staging and the accuracy rate of latent syphilis classification showed statistically significant difference(P<0.05).The accuracy rate of reporting case from dermatology and sexually transmitted disease department and non-dermatology and sexually transmitted disease department were 74.90%and 57.63%respectively,with statistically significant difference(χ^(2)=29.967,P=0.000).Conclusions Syphilis case reporting quality varies in the Inner Mongolia Autonomous Region.The diagnosis accuracy rate and staging accuracy rate are low,which influences the analysis of prevalence and trend of syphilis.It is suggested to strengthen the training of syphilis reporting and diagnosis criteria and improve the quality of case report data.