Department of Respiratory Epidemiology, Occupational Medicine & Public Health, Imperial College London, National Heart and Lung Institute, London, UK.
Clinical Practice Research Datalink, Medicines and Healthcare products Regulatory Agency, London, UK.
NPJ Prim Care Respir Med. 2018 Jun 19;28(1):21. doi: 10.1038/s41533-018-0089-3.
Databases of electronic health records (EHR) are not only a valuable source of data for health research but have also recently been used as a medium through which potential study participants can be screened, located and approached to take part in research. The aim was to assess whether it is feasible and practical to screen, locate and approach patients to take part in research through the Clinical Practice Research Datalink (CPRD). This is a cohort study in primary care. The CPRD anonymised EHR database was searched to screen patients with Chronic Obstructive Pulmonary Disease (COPD) to take part in a research study. The potential participants were contacted via their General Practitioner (GP) who confirmed their eligibility. Eighty two practices across Greater London were invited to the study. Twenty-six (31.7%) practices consented to participate resulting in a pre-screened list of 988 patients. Of these, 632 (63.7%) were confirmed as eligible following the GP review. Two hundred twenty seven (36%) response forms were received by the study team; 79 (34.8%) responded 'yes' (i.e., they wanted to be contacted by the research assistant for more information and to talk about enrolling in the study), and 148 (65.2%) declined participation. This study has shown that it is possible to use EHR databases such as CPRD to screen, locate and recruit participants for research. This method provides access to a cohort of patients while minimising input needed by GPs and allows researchers to examine healthcare usage and disease burden in more detail and in real-life settings.
电子健康记录 (EHR) 数据库不仅是健康研究的宝贵数据源,最近也被用作筛选、定位和联系潜在研究参与者以参与研究的媒介。目的是评估通过临床实践研究数据链 (CPRD) 筛选、定位和联系患者参与研究是否可行和实际。这是一项初级保健中的队列研究。在 CPRD 匿名 EHR 数据库中搜索患有慢性阻塞性肺疾病 (COPD) 的患者,以参加研究。通过他们的全科医生 (GP) 联系潜在参与者,以确认他们是否符合条件。邀请了大伦敦地区的 82 家诊所参加该研究。26 家 (31.7%) 诊所同意参与,从而产生了一份 988 名患者的预筛选名单。在这些患者中,632 名 (63.7%) 经 GP 审查后被确认为符合条件。研究小组收到了 227 份 (36%) 的回复表;79 份 (34.8%) 回复“是”(即他们希望被研究助理联系以获取更多信息并讨论参与研究),148 份 (65.2%) 拒绝参与。这项研究表明,使用 CPRD 等 EHR 数据库筛选、定位和招募研究参与者是可行的。这种方法可以让研究人员接触到患者队列,同时最大限度地减少全科医生的投入,并允许研究人员更详细地在实际环境中检查医疗保健的使用情况和疾病负担。