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Published on: November 22, 2019
Strategies to meet the need for long-term data
John Chalmers1, Mark Woodward, Claudio Borghi
1aThe George Institute for Global Health, University of Sydney, Sydney, Australia bThe George Institute for Global Health, University of Oxford, Oxford, UK cDepartment of Epidemiology, Johns Hopkins University, Baltimore, Maryland, USA dDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy eDepartment of Cardiology, Asklepeion Hospital, Athens, Greece fUniversity of Milano-Bicocca gCentre of Epidemiology and Clinical Trials, IRCSS Istituto Auxologico Italiano, Milan, Italy.
Estimating lifelong chronic disease risk requires long-term data beyond short clinical trials. Linking diverse data sources, like administrative databases, offers promising strategies for comprehensive lifelong risk assessment and treatment evaluation.
Area of Science:
- Medical research methodology
- Epidemiology
- Health economics
Background:
- Chronic diseases necessitate lifelong management and risk assessment.
- Current treatment guidelines often rely on short-term clinical trial data.
- There is a critical need for extended long-term health outcome data.
Purpose of the Study:
- To review strategies for obtaining long-term health data.
- To evaluate the advantages and disadvantages of various data collection methods.
- To highlight the importance of long-term cost-effectiveness studies.
Main Methods:
- Review of long-term posttrial follow-up.
- Analysis of long-term prospective cohort studies.
- Assessment of registry and administrative databases.
- Exploration of data linkage strategies.
Main Results:
- Long-term data are essential for accurate lifelong risk estimation.
- Various methods, including posttrial follow-up and cohort studies, have limitations.
- Administrative databases offer a scalable resource for long-term health data.
- Data linkage enhances the richness and utility of observational and trial data.
Conclusions:
- Long-term data are crucial for effective chronic disease management.
- Linking administrative data with other sources presents a powerful approach.
- Future research should prioritize long-term cost-effectiveness analyses.
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