Biomaterial Database

[Informations on oncologic epicrises contained in medical records]. 1989

J Mainz, and F Olesen

The informative content of summaries concerning 96 patients in whom the diagnosis of cancer of the breast was established in 1986 in local and regional hospitals in Denmark was investigated. The informative content of the summaries were illustrated by investigation of the extent to which the summaries contained information about the diagnosis, treatment, laboratory investigations, information to the patient and her relatives and information about contact with the general practitioner. In addition, summaries from the regional hospitals were investigated as regards information about the prognosis and the medical and sociomedical therapeutic plan. Information about the diagnosis, treatment, laboratory investigations and the medical therapeutic plans was, as a rule, provided in the summaries. Information about information to the relatives, prognosis and the sociomedical therapeutic plan for follow-up control by the general practitioner was scarcely ever provided in the summaries. Information to the patient was mentioned in less than half of the summaries from local hospitals and in less than 20% of the summaries from regional hospitals. This investigation reveals that the summaries lack valuable information.

UI	MeSH Term	Description	Entries
D010043	Outcome and Process Assessment, Health Care	Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.	Outcome and Process Assessment (Health Care),Donabedian Model,Donabedian Triad,Outcome and Process Assessment,Structure Process Outcome Triad,Model, Donabedian,Triad, Donabedian
D011379	Prognosis	A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.	Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D001943	Breast Neoplasms	Tumors or cancer of the human BREAST.	Breast Cancer,Breast Tumors,Cancer of Breast,Breast Carcinoma,Cancer of the Breast,Human Mammary Carcinoma,Malignant Neoplasm of Breast,Malignant Tumor of Breast,Mammary Cancer,Mammary Carcinoma, Human,Mammary Neoplasm, Human,Mammary Neoplasms, Human,Neoplasms, Breast,Tumors, Breast,Breast Carcinomas,Breast Malignant Neoplasm,Breast Malignant Neoplasms,Breast Malignant Tumor,Breast Malignant Tumors,Breast Neoplasm,Breast Tumor,Cancer, Breast,Cancer, Mammary,Cancers, Mammary,Carcinoma, Breast,Carcinoma, Human Mammary,Carcinomas, Breast,Carcinomas, Human Mammary,Human Mammary Carcinomas,Human Mammary Neoplasm,Human Mammary Neoplasms,Mammary Cancers,Mammary Carcinomas, Human,Neoplasm, Breast,Neoplasm, Human Mammary,Neoplasms, Human Mammary,Tumor, Breast
D003718	Denmark	A country in northern Europe, bordering the Baltic Sea and the North Sea. The capital is Copenhagen.	Faeroe Islands,Faroe Islands
D005260	Female		Females
D006753	Hospital Records	Compilations of data on hospital activities and programs; excludes patient medical records.	Records, Hospital,Hospital Record,Record, Hospital
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man