Project-based transplant management as a research statistical support.
This paper proposes a transplant management method based on project management concepts applied to organ transplantation processes in all phases to provide statistical support for evidence based medicine (EBM) research. The transplant is viewed as a project composed by phases: (1) Initiation starts with the acknowledgement of transplant necessity. Also, the restrictions and hypothesis are determined thereby defining the medical protocols, the psychosocial attendance strategies, and performance criteria. (2) Planning formulates and revises transplant protocols that contain schedules, activities, risk identification, staff assignment, medication, examinations, evaluations, and operative interventions. Transplant requirements and stakeholders are identified to establish a resource management plan and transplant control. (3) Executing includes committing resources and coordinating implementation of transplant protocols and plans. The patient's progress is constantly evaluated in relation to quality assurance procedures. (4) Controlling performance measures and parameters with limits are used to take corrective actions subject to effectiveness evaluations that monitor transplant activities. (5) The closing reviews the collected documentation to avert potential problems with future transplants. Software was developed for transplant management based on the proposed methodology with a database and functional that statistically support primary and secondary studies, which provide parameters and definite variables for research focused on treatment, diagnoses, tracking, prognoses, and causality. The proposed methodology for transplant management gives statistical support for EBM research in the form of randomized clinical trials, cohort, case-controlled, transverse studies, and case reports. The software may be improved to provide a national/international database and research tool.
Letouze
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Computer Science Department, Federal University of Tocantins, UFT, Palmas, Brazil. patrick.letouze@gmail.com
Teixeira
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D016022:Case-Control Studies; D002985:Clinical Protocols; D002986:Clinical Trials as Topic; D015331:Cohort Studies; D004282:Documentation / Q000379:methods* / Q000592:standards; D019317:Evidence-Based Medicine; D006801:Humans; D016032:Randomized Controlled Trials as Topic; D012109:Research Support as Topic; D013223:Statistics as Topic; D014180:Transplantation; D016896:Treatment Outcome