Implementation and validation of the integrated system of electronic protocols (sinpe ©) on diseases of the digestive apparatus in the hospital of clinics: a Brazilian study from the Federal University of Paraná

Introduction: Electronic protocols for prospective data collection tend to stand out with regard to the quality of the results obtained. Standardized and computerized data are considered reliable, highly accurate, and of great scientific value. With the creation of computerized protocols in the various diseases of the digestive system and its incorporation into the Integrated Electronic Protocols System (SINPE©), it became necessary to verify the functioning, applicability, and validation of the system. Objective: 1 - The implantation of SINPE © related to diseases of the digestive system at Hospital de Clínicas da UFPR; 2 - Application of these computerized protocols through prospective data collection; 3 - Validation of SINPE through research on the database. Material and Method: Eight electronic protocols developed on digestive diseases were used: Esophagus, Stomach, Small intestine, Colon, Rectum and anus, Liver, Extrahepatic bile ducts, and Pancreas. The system was installed and implemented in June 2005. In the following 18 months, training and systematization of collections were completed. The preparation of the database, with prospective collections, was carried out between January 2007 and July 2008 in patients admitted to the Digestive System Surgery Service of Hospital de Clínicas - UFPR. For data research, SINPE©'s own research tools and the Analyzer software were used. The research was carried out on each of the eight protocols to test the versatility and functioning of SINPE© and, subsequently, the preparation of scientific works. Results: There were 490 collections, 59.8% of which were female patients. The specific protocol for chronic lithiasis cholecystitis presented the largest number of collections (116 cases), followed by gastro-oesophageal reflux disease (94 cases). The median age ranged from 34.7 to 58.2 years, depending on the studied protocol. The research carried out showed in detail the data on each disease. These data were structured in prospective scientific studies that were sent, accepted, and presented at the VIII Week of the Digestive System (2008), which are: Postoperative complications and recurrence of gastroesophageal reflux in the first year of surgical treatment: the study of 400 cases; Diabetes and acute cholecystitis in the age of video laparoscopy: pre-and postoperative complications among diabetic and non-diabetic patients undergoing cholecystectomy; Early symptom recurrence in patients with gastroesophageal reflux disease (GERD) with typical and atypical symptoms submitted to video laparoscopic fundoplication (VFL); and Electronic database of clinical data on stomach diseases. Conclusions: 1- The implantation of SINPE © related to diseases of the digestive system was successfully carried out; 2- Prospective application of computerized protocols for diseases of the digestive system was possible; 3- The validation of SINPE © was obtained through research on the database, showing its adequate functionality and versatility in the elaboration of quality scientific publications.