Ninewells Hospital and Medical School, University of Dundee, Dundee, UK.
Br J Clin Pharmacol. 2017 Sep;83(9):1880-1895. doi: 10.1111/bcp.13285. Epub 2017 Apr 22.
Researchers in clinical and pharmacoepidemiology fields have adopted information technology (IT) and electronic data capture, but these remain underused despite the benefits. This review discusses electronic case report forms and electronic data capture, specifically within pharmacoepidemiology and clinical research.
The review used PubMed and the Institute of Electrical and Electronic Engineers library. Search terms used were agreed by the authors and documented. PubMed is medical and health based, whereas Institute of Electrical and Electronic Engineers is technology based. The review focuses on electronic case report forms and electronic data capture, but briefly considers other relevant topics; consent, ethics and security.
There were 1126 papers found using the search terms. Manual filtering and reviewing of abstracts further condensed this number to 136 relevant manuscripts. The papers were further categorized: 17 contained study data; 40 observational data; 27 anecdotal data; 47 covering methodology or design of systems; one case study; one literature review; two feasibility studies; and one cost analysis.
Electronic case report forms, electronic data capture and IT in general are viewed with enthusiasm and are seen as a cost-effective means of improving research efficiency, educating participants and improving trial recruitment, provided concerns about how data will be protected from misuse can be addressed. Clear operational guidelines and best practises are key for healthcare providers, and researchers adopting IT, and further work is needed on improving integration of new technologies with current systems. A robust method of evaluation for technical innovation is required.
临床和药物流行病学领域的研究人员已经采用了信息技术(IT)和电子数据采集,但尽管有这些好处,这些技术仍未得到充分利用。本综述讨论了电子病例报告表和电子数据采集,特别是在药物流行病学和临床研究中的应用。
本综述使用了 PubMed 和电气和电子工程师协会(Institute of Electrical and Electronic Engineers)的图书馆。使用的搜索词由作者商定并记录在案。PubMed 是医学和健康相关的,而 Institute of Electrical and Electronic Engineers 是技术相关的。本综述重点关注电子病例报告表和电子数据采集,但也简要考虑了其他相关主题,如同意、伦理和安全。
使用搜索词共找到了 1126 篇论文。手动筛选和摘要审查进一步将这一数字压缩到 136 篇相关手稿。这些论文进一步分类为:17 篇包含研究数据;40 篇观察性数据;27 篇轶事数据;47 篇涵盖系统方法或设计;1 篇案例研究;1 篇文献综述;2 篇可行性研究;1 篇成本分析。
电子病例报告表、电子数据采集和一般的 IT 受到了热烈的欢迎,被视为提高研究效率、教育参与者和改善试验招募的一种具有成本效益的手段,前提是如何保护数据免受滥用的担忧得到解决。明确的操作指南和最佳实践是医疗保健提供者和采用 IT 的研究人员的关键,还需要进一步努力改进新技术与现有系统的集成。需要一种稳健的技术创新评估方法。