使用CareLink个人数据管理系统,生成有关糖尿病技术的真实证据
Tim van den Heuvel1, Javier Castañeda1, Arcelia Arrieta1
1Medtronic International Trading Sàrl, Tolochenaz, Switzerland.
Diabetes, obesity & metabolism
|September 5, 2024
概括
来自Medtronic的现实世界的证据.
科学领域:
- 糖尿病技术 糖尿病技术
- 现实世界的证据生成.
- 医疗信息学 医疗信息学
背景情况:
- 梅特龙公司的CareLink Personal (CP) 系统收集来自MiniMed胰岛素用户的数据.
- 建立对现实世界的证据 (RWE) 的信任对于设备性能和安全性评估至关重要.
- 现有的RWE方法要求对特定数据平台进行验证.
研究的目的:
- 验证CareLink个人 (CP) 数据库及其分析流程,以生成可靠的真实世界证据 (RWE).
- 通过使用MiniMed 780G数据来证明CP系统的适应性.
- 为MiniMed用户建立来自CP系统的RWE的信任.
主要方法:
- 描述了从原始数据到为MiniMed系统用户预定义的结果的端到端过程.
- 使用以下指标评估CP的研究适应性:人口代表性,终点相关性,数据细节性,完整性和一致性.
- 利用一年的MiniMed 780G系统数据作为验证的案例研究.
主要成果:
- 数据到结果的过程得到了验证,遵守了既定的定义.
- 超过91%的用户群体可用于分析,超过95%的用户拥有CP帐户,96%的人提供了同意.
- CP数据提供>50个终点,包括 Time in Range指标,具有高颗粒度 (263个数据点/人/天) 和自动上传 (>99%).
- 数据差距很小 (5/6用户<1天,49/50用户<1周).
- 体内研究显示与来自不同人群的真实世界数据一致.
结论:
- 来自CareLink个人系统的现实世界证据符合RWE原则.
- 该CP系统提供了强大的,可靠的数据,适用于评估MiniMed系统的性能和安全性.
- 这种验证支持使用CP数据进行监管和临床决策.
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