Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Jan 1;59(1):39-45.
doi: 10.1093/rheumatology/kez068.

What does digitalization hold for the creation of real-world evidence?

Affiliations
Review

What does digitalization hold for the creation of real-world evidence?

Huai Leng Pisaniello et al. Rheumatology (Oxford). .

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.

PubMed Disclaimer

Figures

<sc>Fig</sc>. 1
Fig. 1
Digital health data capture: a hypothetical case study of the onset and progression of OA EHR: Electronic health record.

References

    1. 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).
    1. 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).
    1. 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
    1. 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
    1. 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

Publication types

MeSH terms