Sorbonne University, Inserm, University Sorbonne Paris-Nord, INSERM UMR_S 1142, LIMICS, F-75006 Paris, France.
The University of Gent, Gent, Belgium.
Yearb Med Inform. 2023 Aug;32(1):146-151. doi: 10.1055/s-0043-1768748. Epub 2023 Dec 26.
To summarize key contributions to current research in the field of Clinical Research Informatics (CRI) and to select best papers published in 2022.
A bibliographic search using a combination of Medical Subject Headings (MeSH) descriptors and free-text terms on CRI was performed using PubMed, followed by a double-blind review in order to select a list of candidate best papers to be then peer-reviewed by external reviewers. After peer-review ranking, a consensus meeting between the two section editors and the editorial team was organized to finally conclude on the selected three best papers.
Among the 1,324 papers returned by the search, published in 2022, that were in the scope of the various areas of CRI, the full review process selected four best papers. The first best paper describes the process undertaken in Germany, under the national Medical Informatics Initiative, to define a process and to gain multi-decision-maker acceptance of broad consent for the reuse of health data for research whilst remaining compliant with the European General Data Protection Regulation. The authors of the second-best paper present a federated architecture for the conduct of clinical trial feasibility queries that utilizes HL7 Fast Healthcare Interoperability Resources and an HL7 standard query representation. The third best paper aligns with the overall theme of this Yearbook, the inclusivity of potential participants in clinical trials, with recommendations to ensure greater equity. The fourth proposes a multi-modal modelling approach for large scale phenotyping from electronic health record information. This year's survey paper has also examined equity, along with data bias, and found that the relevant publications in 2022 have focused almost exclusively on the issue of bias in Artificial Intelligence (AI).
The literature relevant to CRI in 2022 has largely been dominated by publications that seek to maximise the reusability of wide scale and representative electronic health record information for research, either as big data for distributed analysis or as a source of information from which to identify suitable patients accurately and equitably for invitation to participate in clinical trials.
总结临床研究信息学(CRI)领域当前研究的主要贡献,并选择 2022 年发表的最佳论文。
使用 PubMed 对 CRI 进行了结合医学主题词(MeSH)描述符和自由文本的文献检索,然后进行了双盲评审,以选择一组候选最佳论文,然后由外部评审员进行同行评审。在同行评审排名后,两位节编辑和编辑团队组织了一次共识会议,最终确定了三篇最佳论文。
在搜索返回的 2022 年发表的 1324 篇 CRI 各个领域的论文中,经过全面审查,最终选择了四篇最佳论文。第一篇最佳论文描述了德国在国家医学信息学倡议下所进行的过程,以定义一个流程,并在符合欧洲通用数据保护条例的情况下,获得多方决策者对健康数据再用于研究的广泛同意。第二篇最佳论文的作者提出了一种用于进行临床试验可行性查询的联邦架构,该架构利用 HL7 Fast Healthcare Interoperability Resources 和 HL7 标准查询表示法。第三篇最佳论文与本年度年鉴的总体主题一致,即临床试验中潜在参与者的包容性,并提出了确保更大公平性的建议。第四篇提出了一种从电子健康记录信息中进行大规模表型分析的多模态建模方法。今年的调查论文还研究了公平性以及数据偏差问题,并发现 2022 年的相关出版物几乎完全集中在人工智能(AI)中的偏差问题上。
2022 年与 CRI 相关的文献主要由旨在最大限度地提高大规模代表性电子健康记录信息可用于研究的可重用性的出版物主导,这些信息可作为分布式分析的大数据,也可作为准确、公平地识别适合邀请参加临床试验的合适患者的信息来源。