Christian Veillette*, University Health Network, Toronto, Canada Kelly Lane, University Health Network, Toronto, Canada Munim Saeed, University Health Network, Toronto, Canada Henrique Martins, -, -, Brazil Nizar Mahomed, University Health Network, Toronto, Canada Track: Practice Presentation Topic: Participatory health care Presentation Type: Poster presentation Submission Type: Single Presentation Last modified: 2012-09-10

If you are the presenter of this abstract (or if you cite this abstract in a talk or on a poster), please show the QR code in your slide or poster (QR code contains this URL).

Purpose
Several barriers limit the widespread collection, management and sharing of prospective clinical outcome data across the orthopaedic community. The purpose of UHN-DADOS is to address three key problems that currently plague attempts to improve the quality of care, compare effectiveness of treatments and bridge the gap between research and clinical care: 1) Lack of standardization of outcome collection and reporting tools, 2) Spread of data across disparate institutional repositories, 3) Reliance on costly, proprietary third-party vendors for patient outcome reporting.

Method
The UHN-DADOS platform was created by integrating two open source Web-based applications developed by Duke University, DADOS-Prospective and DADOS-Survey. The new application provides a single environment for collecting and managing outcome data with maximum flexibility of data capture methods to meet the unique requirements of specific study types, research workflows and clinical environments. The application’s data collection tools are fully compliant with HIPAA/PIPEDA regulations. Additional novel enhancements to the core functions include: surgeon-based survey tracking, automatic outcome algorithm scoring, customizable real-time reporting, TeleForm database import, and framework for institutional Clinical Data Repository (CDR) integration.

Results
The advantages of this system include: 1) Secure Web-based interface compatible with all modes of data entry (computer, tablet, touchscreen); 2) Simultaneous data entry, data validation and extraction regardless of geographic location; 3) Dynamic Case Report Form (CRF) creation without disrupting database; 4) Generation of real-time outcome reports to aid clinical decision making; 5) Standardized data collection across institutions allowing streamlining of data output to analysis; 6) Ability to integrate datasets from institutional repositories.
Clinicians, researchers and/or patients are provided with easy to use, customizable methods to enter patient outcome data. Researchers can manage the entire process from a central location for single-site or multi-center studies. Registries can be designed around a specific subspecialty, patient population, disease state, research study, or government program.
The application has been implemented across the Division of Orthopaedics at UHN to handle each subspecialty registry as well as individual prospective clinical trials. All previous Access and Excel datasets have been converted to the UHN DADOS platform to allow a single environment to query all data across research studies. Common generalized health quality and joint specific or disease outcomes have been created within the platform to allow plug n play type functionality and improve standardization of datasets across studies.

Conclusion
Commercial tools are expensive, difficult to use, and require considerable customization in order to implement. UHN DADOS is an open-source platform that not only addresses the limitations of existing commercial products, but also possesses the versatility to create and manage any type of prospective clinical trial or registry across orthopaedics.