CPP Pilot Data Collection Project - Saul Berkovitz

8/14/2019 CPP Pilot Data Collection Project - Saul Berkovitz

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Data collection in routine herbal

practice - A CPP pilot project

Dr Saul Berkovitz

on behalf of CPP members


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CPP data collection

Introduction / Rationale

Methods

Results

Discussion

Conclusions


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Introduction

Most herbalists work in isolation

Little or no systematic data

collection or audit


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Introduction

Small group of interested herbalists

convened summer 2008

Pilot project - Systematic data

collection in routine practice


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Methods

Minimal data collection

Data collection and entry bypractitioners

Every consecutive patient

One month (Nov 2008)

Excel spreadsheet


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Methods

Patient data anonymous

Age

Sex New or follow-up

Conditions (up to three)relevant to consultation

Comment


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Methods

Confirmation obtained from UCLH

Ethics Committee that patientinformed consent / ethics approval

not required due to absence of

patient-identifiable data


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Results

Results collated by SB by merging

spreadsheets Descriptive data only

No outcomes in this phase I project


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Results

17 herbalists agreed to participate

One e-mail address incorrect 14 /16 herbalists returned data

(88%)

2 herbalists shared one spreadsheet

and were counted as one


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Results: Number of patients

Number of patients = 383

3 herbalists (21%) contributed 234patients (61%)

Mean number of patients per

herbalist = 29

Median = 14

Range = 2 to 86, SD 45.5


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0

20

40

60

80

100

120

140

160

180

1 2 3 4 5 6 7 8 9 10 11 12 13

Number of patients per herbalist


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Results: Age and Sex

Sex: 126 M, 257 F (M:F ratio 0.49)

Age: Mean 51.5 / Median 54 (range 9m-

92y, SD 19.3) M - Mean 52.2 / Med 57.5 (9m 82y)

F - Mean 51.2 / Med 53 (3-92)


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Age and sex of patients

0

5

10

15

20

25

%

0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-100Age (y)

M

F


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Age distribution Whipps Cross

Dermatology Clinic


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Results: N / FU ratio

90 new appts, 293 FU

Mean N / FU ratio = 0.31

Median = 0.25 Range 0-0.75


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Results: Conditions seen

Number of different conditions seen

= 360 (383 patients) 1 condition = 79 pts

2 conditions = 137 pts

3 conditions = 166 pts

Mean number per patient = 2.2


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0

2

4

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10

12

14

16

18

20

%

CONDITION TYPE

Results: Condition type


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0

2

4

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12

14

%

CONDITION TYPE

Results: Primary condition type


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Condition type: UWM MYMOP


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Feedback

90 new appts, 293 FU

Mean N / FU ratio = 0.31

Median = 0.25

Range 0-0.75


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Conclusions

Data collection in routine herbal

practice appears feasible over aone-month period

Direct electronic data entry by

herbalists is feasible

The results are interesting


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Usefulness of data

Individual herbalists

Activity

Reflective practice (self-critical approach)

Clinical audit, activity review (CPD)

Outcomes

What are my results in practice?


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Usefulness of data

Herbal profession

Professional identity / shared purpose

A map of herbal practice what do we treat?

Patients, conditions (specialisation)

To inform possible research

Routine monitoring of outcomes (PROMs)

What are our results?


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Next steps

Phase II similar methodology

more CPP members involved

Should we also approach NIMH?

Phase III

longitudinal data collection

including outcomes?

CPP Pilot Data Collection Project - Saul Berkovitz

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