用例行收集的临床数据用于昼夜医学:机会和挑战的审查
Laura Kervezee1, Hassan S Dashti2, Luísa K Pilz3,4
1Group of Circadian Medicine, Department of Cell and Chemical Biology, Leiden University Medical Center, Leiden, the Netherlands.
PLOS digital health
|May 23, 2024
概括
电子健康记录 (EHR) 为昼夜医学研究提供了有价值的数据. 解决EHR数据的方法挑战对于我们更好地了解昼夜节律和患者健康至关重要.
科学领域:
- 循环时间医学是循环时间医学.
- 医疗信息学 医疗信息学
- 时间生物学 时间生物学
背景情况:
- 电子健康记录 (EHR) 从常规临床护理中产生广泛的纵向数据.
- 这些数据对昼夜医学研究具有重大潜力,旨在通过利用对生物节律的知识来改善患者的健康.
- 现实世界的临床数据可以阐明昼夜医学中的关键问题.
研究的目的:
- 审查EHR为昼夜医学研究提供的机会.
- 确定和讨论与在这个领域使用EHR数据相关的方法挑战.
- 为优化使用EHR数据提供建议,以推进昼夜医学.
主要方法:
- 这篇叙述性综述综合了关于昼夜医学中EHR数据的现有文献.
- 它检查了现实世界临床数据的潜在应用和固有的局限性.
- 专注于识别EHR数据中的偏见和操作模式.
主要成果:
- 电子健康记录数据可以解决关于临床特征中的24小时节律及其与健康结果的关联的关键问题.
- 一天中时间对药物疗效和临床活动的影响可以使用EHR进行调查.
- 电子健康记录数据可以提供关于昼夜生理学如何影响临床参考范围和采样协议的见解.
结论:
- 电子健康记录数据为推进昼夜医学研究提供了重大机会.
- 仔细考虑数据的局限性和偏差,特别是24小时运行模式,对于有效的发现至关重要.
- 应对这些挑战将加强在昼夜医学中使用EHR的证据基础.
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