Electronic Records, Registries, and the Development of "Big Data": Crowd-Sourcing Quality toward Knowledge
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Updated: Mar 7, 2026

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
Published on: June 13, 2025
Summer B Dewdney1, Jason Lachance2
1Division of Gynecologic Oncology, Rush University Medical Center , Chicago, IL , USA.
Abstract:
Despite many perceived advances in treatment over the past few decades, cancer continues to present a significant health burden, particularly to the aging US population. Forces including shrinking funding mechanisms, cost and quality concerns, as well as disappointing clinical outcomes have driven a surge of recent efforts into utilizing the technological innovation that has permeated other industries by leveraging large and complex data sets, so called "big data." In this review, we will review some of the history of oncology data collection, including the earliest data registries, as well as explore the future directions of this new brand of research while highlighting some of the more recent and promising efforts to harness the power of the electronic health record and the multitude of data co-located there, in an effort to improve individualized cancer-related outcomes in rapid real time.
Insights
Cancer research is leveraging big data and electronic health records to improve patient outcomes. This review explores historical data collection and future directions for real-time, individualized cancer care.
Area of Science:
- Oncology
- Health Informatics
- Data Science
Background:
- Cancer remains a significant health burden, especially for the aging US population.
- Traditional cancer treatment advances face challenges like funding, cost, and quality concerns.
- Disappointing clinical outcomes necessitate innovative approaches in cancer care.
Purpose of the Study:
- To review the history of oncology data collection, including early data registries.
- To explore future directions in big data research for oncology.
- To highlight recent efforts using electronic health records for real-time cancer outcome improvement.
Main Methods:
- Review of historical oncology data collection methods.
- Exploration of big data" and "electronic health record" (EHR) applications in cancer research.
- Analysis of current technological innovations in healthcare data.
Main Results:
- Historical data registries laid the groundwork for modern data collection.
- Big data analytics and EHRs offer promising avenues for cancer research.
- Harnessing integrated data can lead to rapid, real-time improvements in cancer care.
Conclusions:
- Technological innovation, particularly big data and EHRs, is crucial for advancing cancer research.
- Future research should focus on leveraging comprehensive datasets for personalized cancer treatment.
- Integrating diverse data sources holds the key to improving individualized cancer-related outcomes.
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