Outcomes Research Solutions, Inc., Bolton, MA 01740, USA.
Value Health. 2013 Jun;16(4):655-69. doi: 10.1016/j.jval.2013.02.006. Epub 2013 May 15.
The ISPOR Oncology Special Interest Group formed a working group at the end of 2010 to develop standards for conducting oncology health services research using secondary data. The first mission of the group was to develop a checklist focused on issues specific to selection of a sample of oncology patients using a secondary data source.
A systematic review of the published literature from 2006 to 2010 was conducted to characterize the use of secondary data sources in oncology and inform the leadership of the working group prior to the construction of the checklist. A draft checklist was subsequently presented to the ISPOR membership in 2011 with subsequent feedback from the larger Oncology Special Interest Group also incorporated into the final checklist.
The checklist includes six elements: identification of the cancer to be studied, selection of an appropriate data source, evaluation of the applicability of published algorithms, development of custom algorithms (if needed), validation of the custom algorithm, and reporting and discussions of the ascertainment criteria. The checklist was intended to be applicable to various types of secondary data sources, including cancer registries, claims databases, electronic medical records, and others.
This checklist makes two important contributions to oncology health services research. First, it can assist decision makers and reviewers in evaluating the quality of studies using secondary data. Second, it highlights methodological issues to be considered when researchers are constructing a study cohort from a secondary data source.
ISPOR 肿瘤学特别兴趣小组于 2010 年底成立了一个工作组,旨在制定使用二级数据进行肿瘤卫生服务研究的标准。该小组的首要任务是制定一个侧重于使用二级数据源选择肿瘤患者样本的特定问题的清单。
对 2006 年至 2010 年发表的文献进行了系统回顾,以描述在肿瘤学中使用二级数据源的情况,并在制定清单之前为工作组的领导提供信息。随后,在 2011 年向 ISPOR 会员提交了一份清单草案,并在最终清单中纳入了来自更大的肿瘤学特别兴趣小组的更多反馈意见。
清单包括六个要素:研究癌症的确定、适当数据源的选择、已发表算法适用性的评估、定制算法的开发(如有需要)、定制算法的验证以及确定标准的报告和讨论。该清单旨在适用于各种类型的二级数据源,包括癌症登记处、索赔数据库、电子病历等。
本清单为肿瘤卫生服务研究做出了两项重要贡献。首先,它可以帮助决策者和审查者评估使用二级数据进行的研究的质量。其次,它突出了研究人员从二级数据源构建研究队列时需要考虑的方法学问题。