Quality of Medical Records Documentation Practices at Menoufia Clinical Oncology Department | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 83, Volume 92, Issue 1, July 2023, Pages 6001-6008 PDF (585.31 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.311039 | ||
| 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. | ||
| Keywords | ||
| Completeness; Hospital documentation; Oncology; Medical records; Survival | ||
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