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学术领域中,以研究者发起的临床试验为例,对临床数据交换标准联盟/研究数据制表模型的应用实例分析。

A use-case analysis of Clinical Data Interchange Standards Consortium/Study Data Tabulation Model in academia in an investigator-initiated clinical trial.

机构信息

Innovative Clinical Research Center, Kanazawa University, Kanazawa, Japan.

Clinical Development, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.

出版信息

Nagoya J Med Sci. 2022 Feb;84(1):120-132. doi: 10.18999/nagjms.84.1.120.

Abstract

Submitting data compliant with the Clinical Data Interchange Standards Consortium (CDISC) standards is mandatory for new drug applications (NDAs). The standards set by CDISC are widely adopted in the pharmaceutical business world. Introduction of CDISC standards in academia can be necessary to reduce labor, resolve the shortage of data managers in academia, and gain new knowledge through standardized data accumulation. However, the introduction of CDISC standards has not progressed in communities within the academia that do not apply for NDAs. Therefore, herein, we created study data tabulation model (SDTM)-compliant datasets within the academia, without outsourcing, to reduce costs associated with investigator-initiated clinical trials. First, we input data from paper case report forms (CRFs) into an electronic data capture system with minimal function for paper CRFs, "Ptosh," which is compatible with SDTM. Then, we developed a generic program to convert data exported from Ptosh into fully SDTM-compliant datasets. The consistency was then verified with an SDTM validator, Pinnacle21 Community V3.0.1 (P21C). This resulted in generation of SDTM datasets, resolving all "Rejects" in P21C, thereby achieving the required quality level. Although Ptosh directly exports data in SDTM format, manual mapping of items on CRFs to SDTM variables prepared in Ptosh is necessary. SDTM mapping requires extensive knowledge and skills, and it was assumed that mapping is challenging for the staff without in-depth knowledge of CDISC standards and datasets. Therefore, for CDISC dissemination in academia, it is crucial to secure the staff, time, and funding to acquire the knowledge.

摘要

提交符合临床数据交换标准联盟 (CDISC) 标准的数据是新药申请 (NDA) 的强制性要求。CDISC 制定的标准在制药行业中被广泛采用。在学术界引入 CDISC 标准对于减少劳动力、解决学术界数据管理人员短缺问题以及通过标准化数据积累获得新知识是必要的。然而,在不申请 NDA 的学术界的各个社区中,CDISC 标准的引入并没有取得进展。因此,在这里,我们在学术界内部创建了符合研究数据制表模型 (SDTM) 的数据集,而无需外包,以降低与研究者发起的临床试验相关的成本。首先,我们将纸质病例报告表 (CRF) 中的数据输入到具有最小纸质 CRF 功能的电子数据捕获系统“Ptosh”中,该系统与 SDTM 兼容。然后,我们开发了一个通用程序,将从 Ptosh 导出的数据转换为完全符合 SDTM 的数据集。然后使用 SDTM 验证器 Pinnacle21 Community V3.0.1 (P21C) 验证一致性。这导致生成了 SDTM 数据集,解决了 P21C 中的所有“Rejects”,从而达到了所需的质量水平。尽管 Ptosh 可以直接以 SDTM 格式导出数据,但仍需要将 CRF 上的项目手动映射到 Ptosh 中准备的 SDTM 变量。SDTM 映射需要广泛的知识和技能,并且假设对于没有深入了解 CDISC 标准和数据集的人员来说,映射具有挑战性。因此,在学术界传播 CDISC 标准时,至关重要的是要确保拥有人员、时间和资金来获取相关知识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b659/8971042/700e5fa6b1bd/2186-3326-84-0120-g001.jpg

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