Knowledge

Real world evidence

Source šŸ“

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to the patient; not including safety for fetus). Since data quality can be evaluated outside a particular purpose (on a general level), fitness for purpose is evaluated separate from data quality and is not included in the concept of data quality.* Real-World Evidence ā€” What Is It and What Can It Tell Us?
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in question as expected. RWE provides answers to these problems and also to analyze effects of drugs over a longer period of time. Pharmaceutical companies and health insurance payers study RWE to understand patient pathways to deliver appropriate care for appropriate individuals and to minimize their own
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Real-world evidence comes into play when clinical trials cannot really account for the entire patient population of a particular disease. Patients with comorbidities or belonging to a distant geographic region or age limit who did not participate in any clinical trial may not respond to the treatment
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must be fit for purpose. An RWD resource can be fit for addressing some questions, but not others. For example, a dataset that lacks mother-to-baby links may not be appropriate to address drug risk for fetus but can be used for questions for drug safety in patients taking epilepsy treatment (limited
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to generate evidence, data must be of sufficient quality. Kahn et al. define data quality as consisting of three components: (1) conformance (do data values adhere to do specified standard and formats?; subtypes: value, relational and computational conformance); (2) completeness (are data values
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Data quality (DQ) is the degree to which a given dataset meets a user's requirements. In the primary healthcare setting, poor quality data can lead to poor patient care, negatively affect the validity and reproducibility of research results and limit the value that such data may have for public
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Berger, Marc L. et al. ā€œGood Practices for Realā€world Data Studies of Treatment And/or Comparative Effectiveness: Recommendations from the Joint ISPORā€ISPE Special Task Force on Realā€world Evidence in Health Care Decision Making.ā€
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Kahn MG, Callahan TJ, Barnard J, Bauck AE, Brown J, Davidson BN, Estiri H, Goerg C, Holve E, Johnson SG, Liaw ST, Hamilton-Lopez M, Meeker D, Ong TC, Ryan P, Shang N, Weiskopf NG, Weng C, Zozus MN, Schilling L (2016).
34:(RWD). RWE can be generated by different study designs or analyses, including but not limited to, randomized trials, including large simple trials, pragmatic trials, and retrospective or prospective 361: 201:
Ehsani-Moghaddam B, Martin K, Queenan JA (2021). "Data quality in healthcare: A report of practical experience with the Canadian Primary Care Sentinel Surveillance Network data".
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present?); and (3) plausibility (are data values believable?; subtypes uniqueness, atemporal; temporal). Sometimes, data reliability and data quality are used interchangeably.
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is the clinical evidence regarding the usage and potential benefits or risks of a medical product derived from analysis of
1457: 86: 1427: 1046: 388: 247:"A Harmonized Data Quality Assessment Terminology and Framework for the Secondary Use of Electronic Health Record Data" 1203: 1714: 169:"Text - H.R.34 - 114th Congress (2015-2016): 21st Century Cures Act | Congress.gov | Library of Congress" 328: 1521: 1559: 1281: 1164: 1036: 470: 1707: 1392: 1686: 1016: 332: 43: 356: 1741: 1650: 1622: 1551: 1305: 660: 1746: 1700: 1376: 640: 1495: 1069: 346: 1433: 1381: 1261: 861: 783: 778: 698: 458: 109: 1479: 1349: 1327: 1296: 1271: 1254: 841: 815: 99: 16:
Clinical evidence of medical product's benefits or risks derived from analysis of real-world data
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Mahajan, Rajiv. ā€œReal World Data: Additional Source for Making Clinical Decisions.ā€
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International Journal of Applied and Basic Medical Research
351: 243: 352:"Observational Health Data Sciences and Informatics" 343:"Use of Real World Data in Development Programmes" 79:Similarly to having sufficient data quality, the 1728: 182:Commissioner, Office of the (April 25, 2023). 54:by investing on drugs that work for patients. 1211: 382: 315:26.9 (2017): 1033ā€“1039. PMC. Web. 5 May 2018. 181: 46:to expand the role of real world evidence. 1218: 1204: 671:Reproductive endocrinology and infertility 389: 375: 1012:Bachelor of Medicine, Bachelor of Surgery 270: 1510:Preventable fraction among the unexposed 1506:Attributable fraction for the population 1514:Preventable fraction for the population 1502:Attributable fraction among the exposed 1729: 137: 74: 1199: 370: 203:Health Information Management Journal 1677:Correlation does not imply causation 1593:Animal testing on non-human primates 1150: 911:Physical medicine and rehabilitation 312:Pharmacoepidemiology and Drug Safety 299:5.2 (2015): 82. PMC. Web. 5 May 2018 125:Correlation does not imply causation 1160: 87:The New England Journal of Medicine 13: 1047:Medical Scientist Training Program 237: 14: 1758: 322: 161: 1179: 1169: 1159: 1149: 1140: 1139: 1180: 57: 1560:Pre- and post-test probability 1282:Patient and public involvement 1037:Doctor of Osteopathic Medicine 471:Oral and maxillofacial surgery 357:"Need for Real World Evidence" 302: 287: 194: 175: 1: 130: 1687:Sex as a biological variable 1017:Bachelor of Medical Sciences 784:Neurosurgical anesthesiology 396: 7: 1651:Intention-to-treat analysis 1623:Analysis of clinical trials 1552:Specificity and sensitivity 1306:Randomized controlled trial 93: 10: 1763: 1695: 1660:Interpretation of results 1659: 1621: 1570: 1520: 1494: 1456: 1426: 1417: 1393:Nested caseā€“control study 1343: 1290: 1237: 1135: 1057: 995: 756: 684: 639: 548: 419: 404: 1262:Academic clinical trials 971:Transplantation medicine 862:Clinical neurophysiology 779:Obstetric anesthesiology 699:Interventional radiology 459:Digestive system surgery 338:"21st Century Cures Act" 215:10.1177/1833358319887743 110:Pragmatic clinical trial 1480:Relative risk reduction 1328:Adaptive clinical trial 1272:Evidence-based medicine 1255:Adaptive clinical trial 842:Intensive care medicine 816:Mass gathering medicine 661:Maternalā€“fetal medicine 263:10.13063/2327-9214.1244 100:Evidence-based medicine 1468:Number needed to treat 434:Cardiothoracic surgery 40:21st Century Cures Act 1472:Number needed to harm 1359:Cross-sectional study 1311:Scientific experiment 1267:Clinical study design 1085:Personalized medicine 944:Reproductive medicine 869:Occupational medicine 823:Evolutionary medicine 329:"Real World Evidence" 184:"Real-World Evidence" 145:"Real-World Evidence" 120:Quantitative research 63:health surveillance. 36:observational studies 1438:Cumulative incidence 1105:Traditional medicine 1065:Alternative medicine 932:Addiction psychiatry 746:Transfusion medicine 741:Medical microbiology 656:Gynecologic oncology 508:Reproductive surgery 115:Qualitative research 90:, December 6, 2016. 1345:Observational study 1277:Real world evidence 1231:experimental design 1127:History of medicine 1110:Veterinary medicine 917:Preventive medicine 769:Adolescent medicine 611:Infectious diseases 75:Fitness for purpose 20:Real-world evidence 1742:Health informatics 1631:Riskā€“benefit ratio 1598:First-in-man study 1548:Case fatality rate 1389:Caseā€“control study 1363:Longitudinal study 1075:Molecular oncology 1032:Doctor of Medicine 1022:Master of Medicine 939:Radiation oncology 811:Emergency medicine 764:Addiction medicine 731:Clinical chemistry 726:Clinical pathology 518:Transplant surgery 476:Orthopedic surgery 454:Colorectal surgery 105:Levels of evidence 1747:Clinical research 1724: 1723: 1672:Survivorship bias 1636:Systematic review 1603:Multicenter trial 1566: 1565: 1556:Likelihood-ratios 1528:Clinical endpoint 1496:Population impact 1450:Period prevalence 1227:Clinical research 1193: 1192: 1027:Master of Surgery 991: 990: 976:Tropical medicine 922:Prison healthcare 837:Hospital medicine 801:Disaster medicine 791:Aviation medicine 606:Hospital medicine 513:Surgical oncology 498:Pediatric surgery 492: 439:Endocrine surgery 38:. In the USA the 1754: 1571:Trial/test types 1446:Point prevalence 1424: 1423: 1367:Ecological study 1350:EBM II-2 to II-3 1321:Open-label trial 1316:Blind experiment 1292:Controlled study 1220: 1213: 1206: 1197: 1196: 1183: 1182: 1173: 1163: 1162: 1153: 1152: 1143: 1142: 847:Medical genetics 832:General practice 709:Nuclear medicine 584:Gastroenterology 540:Vascular surgery 490: 417: 416: 391: 384: 377: 368: 367: 316: 306: 300: 291: 285: 284: 274: 241: 235: 234: 198: 192: 191: 179: 173: 172: 165: 159: 158: 156: 155: 141: 66:In order to use 1762: 1761: 1757: 1756: 1755: 1753: 1752: 1751: 1727: 1726: 1725: 1720: 1691: 1655: 1617: 1562: 1516: 1490: 1464:Risk difference 1452: 1413: 1347: 1339: 1294: 1286: 1250:Trial protocols 1233: 1224: 1194: 1189: 1131: 1120:Chief physician 1053: 998: 987: 981:Travel medicine 966:Sports medicine 949:Sexual medicine 889:Palliative care 884:Pain management 828:Family medicine 806:Diving medicine 752: 680: 642: 635: 551: 544: 503:Plastic surgery 449:General surgery 429:Cardiac surgery 410: 408: 400: 395: 325: 320: 319: 307: 303: 292: 288: 242: 238: 199: 195: 180: 176: 167: 166: 162: 153: 151: 143: 142: 138: 133: 96: 81:real-world data 77: 68:real-world data 60: 32:real-world data 17: 12: 11: 5: 1760: 1750: 1749: 1744: 1739: 1722: 1721: 1719: 1718: 1715:List of topics 1711: 1704: 1696: 1693: 1692: 1690: 1689: 1684: 1679: 1674: 1669: 1667:Selection bias 1663: 1661: 1657: 1656: 1654: 1653: 1648: 1643: 1638: 1633: 1627: 1625: 1619: 1618: 1616: 1615: 1610: 1605: 1600: 1595: 1590: 1588:Animal testing 1585: 1580: 1574: 1572: 1568: 1567: 1564: 1563: 1540:Mortality rate 1526: 1524: 1518: 1517: 1500: 1498: 1492: 1491: 1462: 1460: 1454: 1453: 1432: 1430: 1421: 1415: 1414: 1412: 1411: 1406: 1401: 1396: 1386: 1385: 1384: 1379: 1369: 1355: 1353: 1341: 1340: 1338: 1337: 1336: 1335: 1333:Platform trial 1325: 1324: 1323: 1318: 1313: 1302: 1300: 1288: 1287: 1285: 1284: 1279: 1274: 1269: 1264: 1259: 1258: 1257: 1252: 1245:Clinical trial 1241: 1239: 1235: 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510: 505: 500: 495: 494: 493: 486:Otolaryngology 483: 478: 473: 468: 463: 462: 461: 456: 446: 441: 436: 431: 425: 423: 414: 412:subspecialties 402: 401: 394: 393: 386: 379: 371: 365: 364: 359: 354: 349: 340: 335: 324: 323:External links 321: 318: 317: 301: 286: 236: 209:(1ā€“2): 88ā€“92. 193: 174: 160: 135: 134: 132: 129: 128: 127: 122: 117: 112: 107: 102: 95: 92: 76: 73: 59: 56: 52:financial risk 15: 9: 6: 4: 3: 2: 1759: 1748: 1745: 1743: 1740: 1738: 1735: 1734: 1732: 1717: 1716: 1712: 1710: 1709: 1705: 1703: 1702: 1698: 1697: 1694: 1688: 1685: 1683: 1680: 1678: 1675: 1673: 1670: 1668: 1665: 1664: 1662: 1658: 1652: 1649: 1647: 1646:Meta-analysis 1644: 1642: 1639: 1637: 1634: 1632: 1629: 1628: 1626: 1624: 1620: 1614: 1613:Vaccine trial 1611: 1609: 1608:Seeding trial 1606: 1604: 1601: 1599: 1596: 1594: 1591: 1589: 1586: 1584: 1581: 1579: 1576: 1575: 1573: 1569: 1561: 1557: 1553: 1549: 1545: 1541: 1537: 1533: 1529: 1525: 1523: 1519: 1515: 1511: 1507: 1503: 1499: 1497: 1493: 1489: 1485: 1481: 1477: 1473: 1469: 1465: 1461: 1459: 1455: 1451: 1447: 1443: 1439: 1435: 1431: 1429: 1425: 1422: 1420: 1416: 1410: 1407: 1405: 1402: 1400: 1397: 1394: 1390: 1387: 1383: 1380: 1378: 1377:Retrospective 1375: 1374: 1373: 1370: 1368: 1364: 1360: 1357: 1356: 1354: 1351: 1346: 1342: 1334: 1331: 1330: 1329: 1326: 1322: 1319: 1317: 1314: 1312: 1309: 1308: 1307: 1304: 1303: 1301: 1298: 1297:EBM I to II-1 1293: 1289: 1283: 1280: 1278: 1275: 1273: 1270: 1268: 1265: 1263: 1260: 1256: 1253: 1251: 1248: 1247: 1246: 1243: 1242: 1240: 1236: 1232: 1228: 1221: 1216: 1214: 1209: 1207: 1202: 1201: 1198: 1186: 1178: 1176: 1172: 1168: 1166: 1158: 1156: 1148: 1146: 1138: 1137: 1134: 1128: 1125: 1121: 1118: 1117: 1116: 1113: 1111: 1108: 1106: 1103: 1101: 1098: 1096: 1093: 1091: 1090:Public health 1088: 1086: 1083: 1081: 1078: 1076: 1073: 1071: 1070:Allied health 1068: 1066: 1063: 1062: 1060: 1056: 1048: 1045: 1044: 1043: 1040: 1038: 1035: 1033: 1030: 1028: 1025: 1023: 1020: 1018: 1015: 1013: 1010: 1008: 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Retrieved 148: 139: 85: 78: 65: 61: 58:Data quality 48: 23: 19: 18: 1682:Null result 1641:Replication 1536:Infectivity 1458:Association 1409:Case report 1399:Case series 1382:Prospective 1165:Wikiproject 954:Venereology 899:Neonatology 796:Dermatology 651:Gynaecology 643:gynaecology 626:Pulmonology 444:Eye surgery 406:Specialties 257:(1): 1244. 149:www.fda.gov 1731:Categories 1484:Odds ratio 1476:Risk ratio 1442:Prevalence 1428:Occurrence 1404:Case study 927:Psychiatry 913:(PM&R) 906:Phlebology 894:Pediatrics 721:Anatomical 686:Diagnostic 666:Obstetrics 616:Nephrology 601:Hematology 596:Geriatrics 589:Hepatology 574:Cardiology 564:Immunology 154:2022-09-19 131:References 1544:Morbidity 1532:Virulence 1434:Incidence 1115:Physician 999:education 857:Neurology 852:Narcology 716:Pathology 694:Radiology 569:Angiology 533:Andrology 231:208743562 1737:Evidence 1708:Glossary 1701:Category 1578:In vitro 1419:Measures 1238:Overview 1145:Category 621:Oncology 552:medicine 550:Internal 398:Medicine 281:27713905 223:31805788 94:See also 28:medicine 1583:In vivo 1185:Outline 1155:Commons 1100:Therapy 997:Medical 560:Allergy 528:Urology 421:Surgery 272:5051581 1175:Portal 1042:MDā€“PhD 279:  269:  229:  221:  1522:Other 757:Other 251:eGEMs 227:S2CID 26:) in 1361:vs. 1229:and 277:PMID 219:PMID 491:ENT 409:and 347:EMA 345:at 333:FDA 331:at 267:PMC 259:doi 211:doi 188:FDA 44:FDA 24:RWE 1733:: 1558:, 1554:, 1550:, 1546:, 1542:, 1538:, 1534:, 1530:, 1512:, 1508:, 1504:, 1486:, 1482:, 1478:, 1474:, 1470:, 1466:, 1448:, 1444:, 1440:, 1436:, 1365:, 830:/ 275:. 265:. 253:. 249:. 225:. 217:. 207:50 205:. 186:. 147:. 1395:) 1391:( 1352:) 1348:( 1299:) 1295:( 1219:e 1212:t 1205:v 390:e 383:t 376:v 283:. 261:: 255:4 233:. 213:: 190:. 171:. 157:. 22:(

Index

medicine
real-world data
observational studies
21st Century Cures Act
FDA
financial risk
real-world data
real-world data
The New England Journal of Medicine
Evidence-based medicine
Levels of evidence
Pragmatic clinical trial
Qualitative research
Quantitative research
Correlation does not imply causation
"Real-World Evidence"
"Text - H.R.34 - 114th Congress (2015-2016): 21st Century Cures Act | Congress.gov | Library of Congress"
"Real-World Evidence"
doi
10.1177/1833358319887743
PMID
31805788
S2CID
208743562
"A Harmonized Data Quality Assessment Terminology and Framework for the Secondary Use of Electronic Health Record Data"
doi
10.13063/2327-9214.1244
PMC
5051581
PMID

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