DATABASE REVIEW Medicine Assessment Research Unit Grampian University Hospitals NHS Trust LUNG CANCER DATABASE Page 1
Contents Contents 2 Introduction 3 History 3 Overview of Database 3 Database Structure 4 Main Table Summary 5 PATIENT Patient History 5 SUBSTANCE Substance History 5 OCCUPATION Occupation History 5 DRUG Drug / Medication History (at time of presentation) 5 CHEMOTHERAPY Chemotherapy History 5 RADIOTHERAPY Radiotherapy History 6 MALIGNANCY Malignancy History 6 FAMILY Family History of Malignancy 6 SYMPTOM Symptom History 6 INVESTIGATION Investigation History 6 TISSUE DIAGNOSIS Tissue Diagnosis 6 Associated Publications 7 Page 2
Introduction History The Lung Cancer database was created in 2002 to record clinical information on approximately 1400 Grampian patients investigated for lung cancer during the period April 2000 to March 2002. Pathological data for these patients was downloaded from the APEX laboratory computer together with basic patient identification. Additional clinical and epidemiological information was extracted from the hospital notes for the patients and entered into the Lung Cancer database via customised data entry screens. Overview of Database Lung cancer data is held in an Access database located on a confidential server on the University network. Information on approximately 1400 patients is held on the research database across 11 record types which are detailed in the Main Table Definitions Section. Page 3
Database Structure Institute of Applied Health Sciences OCCUPATION PATIENT FAMILY MALIGNANCY SYMPTOM SUBSTANCE INVESTIGATION TISSUE DIAGNOSIS CHEMOTHERAPY RADIOTHERAPY DRUG Page 4
Main Table Summary Institute of Applied Health Sciences PATIENT Patient History / CHI Number Name / Date of Birth / Sex Date & Cause of Death Smoking Status / Number of cigarettes/cigars/pipes smoked / Duration Alcohol Status / Number of units Treatment Chemotherapy / Radiotherapy Respiratory History Asthma / Brocheiectasis / COPD / Interstitial lung disease / Pulmonary embolism infarction / Pleural plaques / Oropharyngolaryngeal disease / Pneumonia / Chest infection / Other History of Malignancy Previous malignancy / Site / Family history of malignancy Diagnosis of Lung Cancer Tumour Class / Histological subtype Resection Date / Pathology report number / Site / Size of tumour / Presence of bronchoalveolar carcinoma or AHH / Clearance of tumour margins Tumour Staging T / N / M / Stage SUBSTANCE Substance History Type of Substance Abuse OCCUPATION Occupation History Occupation DRUG Drug / Medication History (at time of presentation) Name of Drug Route of Administration / Dose / Frequency / Duration CHEMOTHERAPY Chemotherapy History Name of Chemotherpeutic Drug Page 5
Start & End Date Dose / Route / Number of Cycles Institute of Applied Health Sciences RADIOTHERAPY Radiotherapy History Radiotherapy site / Total Dose Start & End Date MALIGNANCY Malignancy History Location of Previous Malignancy Bladder / Bone / Brain / Breast / GI tract / Leukaemia / Lung / Lymphoma / Ovary / Prostate / Renal / Skin / Uterus FAMILY Family History of Malignancy Relative / Site of Malignancy Age at Onset / Age at Death SYMPTOM Symptom History Symptom INVESTIGATION Investigation History Investigation Biopsy / Bronchoscopy / Brushings / Chest X-Ray / CT scan / Fine needle aspirate / Sputum cytology / Washings TISSUE DIAGNOSIS Tissue Diagnosis / Hospital Unit Number Biopsy Number / Cytology Number / Full Specimen Number Request Date Results of Analysis Sputum / Brushings / Washings / Biopsy / FNA Page 6
Associated Publications None Page 7