What does digitalization hold for the creation of real-world evidence?
- PMID: 31834405
- PMCID: PMC6909915
- DOI: 10.1093/rheumatology/kez068
What does digitalization hold for the creation of real-world evidence?
Abstract
Health-related information is increasingly being collected and stored digitally. These data, either structured or unstructured, are becoming the ubiquitous assets that might enable us to comprehensively map out a patient's health journey from an asymptomatic state of wellness to disease onset and its trajectory. These new data could provide rich real-world evidence for better clinical care and research, if they can be accessed, linked and analyzed-all of which are possible. In this review, these opportunities will be explored through a case vignette of a patient with OA, followed by discussion on how this digitalized real-world evidence could best be utilized, as well as the challenges of data access, quality and maintaining public trust.
Keywords: unstructured data; accelerometers; data protection; digital data; electronic health record; mobile app; osteoarthritis; real-world evidence.
© The Author(s) 2020. Published by Oxford University Press on behalf of the British Society for Rheumatology.
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References
-
- Gartner. Gartner says solving “Big Data” challenge involves more than just managing volumes of data. 2011. https://www.gartner.com/newsroom/id/1731916 (25 September 2018, date last accessed).
-
- Schroeck M, Shockley R, Smart J, Romero-Morales D, Tufano P. Analytics: the real-world use of big data. IBM Institute for Business Value. 2012. https://www-01.ibm.com/common/ssi/cgi-bin/ssialias?htmlfid=GBE03519USEN (25 September 2018, date last accessed).
-
- Arden N, Altman D, Beard D. et al. Lower limb arthroplasty: can we produce a tool to predict outcome and failure, and is it cost-effective? An epidemiological study. Programme Grants for Applied Research. Southampton (UK): NIHR Journals Library, 2017. - PubMed
-
- Culliford D, Maskell J, Judge A. et al. Future projections of total hip and knee arthroplasty in the UK: results from the UK Clinical Practice Research Datalink. Osteoarthritis Cartilage 2015;23:594–600. - PubMed
-
- Khan T, Alvand A, Prieto-Alhambra D. et al. ACL and meniscal injuries increase the risk of primary total knee replacement for osteoarthritis: a matched case-control study using the Clinical Practice Research Datalink (CPRD). Br J Sports Med 2018. doi: 10.1136/bjsports-2017-097762. - PubMed