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一种将临床研究数据从研究电子数据采集系统(REDCap)转换为临床数据交换标准协会(CDISC)研究数据列表模型(SDTM)的实用方法:REDCap2SDTM的开发与评估

A pragmatic method for transforming clinical research data from the research electronic data capture "REDCap" to Clinical Data Interchange Standards Consortium (CDISC) Study Data Tabulation Model (SDTM): Development and evaluation of REDCap2SDTM.

作者信息

Yamamoto Keiichi, Ota Keiko, Akiya Ippei, Shintani Ayumi

机构信息

REDCap Group, Department of Medical Innovation, Osaka University Hospital, Osaka 565-0871, Japan.

REDCap Group, Department of Medical Innovation, Osaka University Hospital, Osaka 565-0871, Japan.

出版信息

J Biomed Inform. 2017 Jun;70:65-76. doi: 10.1016/j.jbi.2017.05.003. Epub 2017 May 6.

Abstract

The Clinical Data Interchange Standards Consortium (CDISC) Study Data Tabulation Model (SDTM) can be used for new drug application studies as well as secondarily for creating a clinical research data warehouse to leverage clinical research study data across studies conducted within the same disease area. However, currently not all clinical research uses Clinical Data Acquisition Standards Harmonization (CDASH) beginning in the set-up phase of the study. Once already initiated, clinical studies that have not utilized CDASH are difficult to map in the SDTM format. In addition, most electronic data capture (EDC) systems are not equipped to export data in SDTM format; therefore, in many cases, statistical software is used to generate SDTM datasets from accumulated clinical data. In order to facilitate efficient secondary use of accumulated clinical research data using SDTM, it is necessary to develop a new tool to enable mapping of information for SDTM, even during or after the clinical research. REDCap is an EDC system developed by Vanderbilt University and is used globally by over 2100 institutions across 108 countries. In this study, we developed a simulated clinical trial to evaluate a tool called REDCap2SDTM that maps information in the Field Annotation of REDCap to SDTM and executes data conversion, including when data must be pivoted to accommodate the SDTM format, dynamically, by parsing the mapping information using R. We confirmed that generating SDTM data and the define.xml file from REDCap using REDCap2SDTM was possible. Conventionally, generation of SDTM data and the define.xml file from EDC systems requires the creation of individual programs for each clinical study. However, our proposed method can be used to generate this data and file dynamically without programming because it only involves entering the mapping information into the Field Annotation, and additional data into specific files. Our proposed method is adaptable not only to new drug application studies but also to all types of research, including observational and public health studies. Our method is also adaptable to clinical data collected with CDASH at the beginning of a study in non-standard format. We believe that this tool will reduce the workload of new drug application studies and will support data sharing and reuse of clinical research data in academia.

摘要

临床数据交换标准协会(CDISC)的研究数据制表模型(SDTM)可用于新药申请研究,也可用于创建临床研究数据仓库,以利用同一疾病领域内开展的各项研究中的临床研究数据。然而,目前并非所有临床研究在研究设置阶段就采用临床数据采集标准协调(CDASH)。一旦研究已经启动,未使用CDASH的临床研究就很难以SDTM格式进行映射。此外,大多数电子数据采集(EDC)系统不具备以SDTM格式导出数据的功能;因此,在许多情况下,需要使用统计软件从积累的临床数据中生成SDTM数据集。为了便于使用SDTM对积累的临床研究数据进行高效二次利用,有必要开发一种新工具,以便即使在临床研究期间或之后也能实现SDTM信息的映射。REDCap是范德比尔特大学开发的一种EDC系统,全球108个国家的2100多家机构都在使用。在本研究中,我们开展了一项模拟临床试验,以评估一种名为REDCap2SDTM的工具,该工具可将REDCap字段注释中的信息映射到SDTM,并通过使用R解析映射信息来动态执行数据转换,包括在数据必须进行透视以适应SDTM格式时。我们证实,使用REDCap2SDTM从REDCap生成SDTM数据和define.xml文件是可行的。按照惯例,从EDC系统生成SDTM数据和define.xml文件需要为每项临床研究创建单独的程序。然而,我们提出的方法无需编程即可动态生成此数据和文件,因为它只涉及将映射信息输入字段注释,并将其他数据输入特定文件。我们提出的方法不仅适用于新药申请研究,也适用于所有类型的研究,包括观察性研究和公共卫生研究。我们的方法还适用于在研究开始时以非标准格式通过CDASH收集的临床数据。我们相信,该工具将减轻新药申请研究的工作量,并将支持学术界临床研究数据的共享和再利用。

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