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PCORnet® 2020:现状、成就和未来方向。

PCORnet® 2020: current state, accomplishments, and future directions.

机构信息

Applied Clinical Research Center, Children's Hospital of Philadelphia, 2716 South St., Suite 11-473, Philadelphia, PA 19146, USA.

Department of Medicine, University of Pittsburgh, 230 McKee Place, Suite 600, Pittsburgh, PA 15213 USA.

出版信息

J Clin Epidemiol. 2021 Jan;129:60-67. doi: 10.1016/j.jclinepi.2020.09.036. Epub 2020 Sep 28.

Abstract

OBJECTIVE

To describe PCORnet, a clinical research network developed for patient-centered outcomes research on a national scale.

STUDY DESIGN AND SETTING

Descriptive study of the current state and future directions for PCORnet. We conducted cross-sectional analyses of the health systems and patient populations of the 9 Clinical Research Networks and 2 Health Plan Research Networks that are part of PCORnet.

RESULTS

Within the Clinical Research Networks, electronic health data are currently collected from 337 hospitals, 169,695 physicians, 3,564 primary care practices, 338 emergency departments, and 1,024 community clinics. Patients can be recruited for prospective studies from any of these clinical sites. The Clinical Research Networks have accumulated data from 80 million patients with at least one visit from 2009 to 2018. The PCORnet Health Plan Research Network population of individuals with a valid enrollment segment from 2009 to 2019 exceeds 60 million individuals, who on average have 2.63 years of follow-up.

CONCLUSION

PCORnet's infrastructure comprises clinical data from a diverse cohort of patients and has the capacity to rapidly access these patient populations for pragmatic clinical trials, epidemiological research, and patient-centered research on rare diseases.

摘要

目的

描述 PCORnet,这是一个为在全国范围内进行以患者为中心的结局研究而开发的临床研究网络。

研究设计和设置

对 PCORnet 的现状和未来方向进行描述性研究。我们对 PCORnet 中的 9 个临床研究网络和 2 个健康计划研究网络的卫生系统和患者人群进行了横断面分析。

结果

在临床研究网络中,目前从 337 家医院、169695 名医生、3564 个初级保健诊所、338 个急诊部门和 1024 个社区诊所收集电子健康数据。可以从这些临床站点中的任何一个招募患者进行前瞻性研究。临床研究网络从 2009 年至 2018 年至少有一次就诊的 8000 万名患者中积累了数据。PCORnet 健康计划研究网络的个人有效参保段人群从 2009 年至 2019 年超过 6000 万人,平均随访时间为 2.63 年。

结论

PCORnet 的基础设施包括来自不同患者群体的临床数据,并且有能力快速获得这些患者群体,以进行实用临床试验、流行病学研究以及罕见病的以患者为中心的研究。

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