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Using electronic health record data for clinical research: a quick guide.
Sophie H Bots1, Rolf H H Groenwold2,3, Olaf M Dekkers2,4
1Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht, the Netherlands.
Electronic health record (EHR) data presents research opportunities and challenges. This guide helps researchers navigate EHR data limitations for valuable real-world evidence generation.
Area of Science:
- Health Informatics
- Clinical Research
- Data Science
Background:
- Electronic health records (EHR) offer vast research potential.
- However, EHR data possess inherent limitations not always recognized by researchers.
- Real-world data from EHRs may not automatically equate to real-world evidence.
Purpose of the Study:
- To highlight key differences between EHR data and research-specific data.
- To identify common challenges in utilizing EHR data for research.
- To provide practical solutions and examples for overcoming these challenges.
Main Methods:
- Comparative analysis of EHR data versus research-designed data.
- Identification and categorization of challenges in EHR data research.
- Case studies and worked-out examples illustrating solutions.
Main Results:
- EHR data differ significantly from data collected for research purposes.
- Common challenges include data quality, completeness, and potential biases.
- Strategies for data cleaning, validation, and appropriate analytical methods are crucial.
Conclusions:
- Researchers must understand EHR data's limitations to conduct valid studies.
- Careful methodology is required to transform EHR data into meaningful real-world evidence.
- This guide serves as a practical resource for researchers engaged in EHR-based studies.
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