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ResearchPaper zugänglich unter
URN: urn:nbn:de:bvb:29-opus-39057
URL: http://www.opus.ub.uni-erlangen.de/opus/volltexte/2012/3905/


The Erlangen Glaucoma Registry: a Scientific Database for Longitudinal Analysis of Glaucoma

Lauterwald, Frank ; Neumann, Christoph P. ; Lenz, Richard ; Jünemann, Anselm G. ; Mardin, Christian Y. ; Meyer-Wegener, Klaus ; Horn, Folkert K.

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SWD-Schlagwörter: Glaukom , Elektronische Patientenakte , Register , Längsschnittuntersuchung , Wissenschaftliche Datenbank , Relationale Datenbank
Freie Schlagwörter (Englisch): Glaucoma, Biomedical Engineering, Medical Record Systems (computerized), Registries, Longitudinal Studies
Fakultät: 1 Medizinische Fakultät
Fakultät: 2 Technische Fakultät
DDC-Sachgruppe: Informatik
Dokumentart: ResearchPaper
Schriftenreihe: Technical reports / Department Informatik, ISSN 2191-5008
Bandnummer: CS-2011,2
Sprache: Englisch
Erstellungsjahr: 2011
Publikationsdatum: 23.11.2012
Kurzfassung in Englisch: Background: Due to the slow progression of the Glaucoma disease, a large study population and long-time observations are needed to gain insights into its long-term effects and progression rates. Since modalities can export data in machine-readable formats, statistical analyses of the large number of examinations is feasible. These data have been integrated in a central patient registry, the Erlangen Glaucoma Registry (EGR).

Objectives: The primary focus of the EGR system design has been its fitness for analyses. It holds almost all the available research data for registered glaucoma patients. This allows for cross-sectional and longitudinal observations and for evaluation of prognostic validity of diagnostic procedures.

Methods: An adequate technology for integration of data and flexibility in data analysis is a database management system (DBMS). Here, a careful schema design is mandatory. Adding new modalities leads to schema modifications which are supported by defining a core database schema and attaching all data to this core. On that basis, a large number of modalities have been connected to the EGR.

Results: The registry contains data of 1,400 patients in the main longitudinal study. It has successfully helped in scientific research, as can be seen in a large number of published papers. For example, validation of new sensory physiological methods requires patients with reliable diagnoses. The existence of a well-documented patient collective facilitated finding such patients.
Conclusions: The EGR holds a unique amount of available data gathered in large longitudinal studies. It was successful in terms of medical results obtained. Developed as an evolutionary system, it can easily be extended.


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Letzte Änderung: 01.11.10