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利用数字健康技术和真实世界证据来加强临床研究并改善患者治疗效果。

Harnessing digital health technologies and real-world evidence to enhance clinical research and patient outcomes.

作者信息

Mahadik Shreyash, Sen Prerona, Shah Ekta J

机构信息

College of Professional Studies, Northeastern University, Toronto, ON, Canada.

出版信息

Digit Health. 2025 Jul 23;11:20552076251362097. doi: 10.1177/20552076251362097. eCollection 2025 Jan-Dec.

Abstract

The intersection of digital health technologies (DHT) and real-world evidence (RWE) is redefining the landscape of clinical research and regulatory science, offering unique opportunities to improve drug development, patient monitoring, and evidence-based decision-making. The extensive use of digital technologies has facilitated continuous, real-time health data collection, while RWE helps bridge the gap between controlled clinical trials and real-world patient experiences. As healthcare systems progressively integrate these various data sources, they are reshaping regulatory approval processes and enhancing post-market surveillance of therapies. Furthermore, advancements in the integration of artificial intelligence and the application of pharmacogenomics results in more effective, efficient, and personalized healthcare delivery. Nonetheless, these developments are met with critical challenges, and the lack of standardized global regulatory frameworks creates disparities in how this data is utilized across jurisdictions. Addressing these limitations through robust validation frameworks, harmonized regulatory policies, and interdisciplinary collaboration is essential to realizing the complete potential of DHT and RWE in precision medicine applications. This review examines the opportunities, challenges, and future directions of merging DHT and RWE to enhance precision medicine, emphasizing the importance of collaboration among researchers, regulators, and healthcare providers.

摘要

数字健康技术(DHT)与真实世界证据(RWE)的交叉融合正在重新定义临床研究和监管科学的格局,为改善药物研发、患者监测以及基于证据的决策提供了独特机遇。数字技术的广泛应用推动了持续、实时的健康数据收集,而真实世界证据有助于弥合对照临床试验与真实世界患者体验之间的差距。随着医疗保健系统逐步整合这些不同的数据来源,它们正在重塑监管审批流程并加强对疗法的上市后监测。此外,人工智能整合及药物基因组学应用方面的进展带来了更有效、高效和个性化的医疗服务。尽管如此,这些发展也面临严峻挑战,缺乏标准化的全球监管框架导致不同司法管辖区在如何利用这些数据方面存在差异。通过强大的验证框架、协调一致的监管政策和跨学科合作来解决这些限制,对于在精准医学应用中充分发挥数字健康技术和真实世界证据的潜力至关重要。本综述探讨了融合数字健康技术和真实世界证据以加强精准医学的机遇、挑战和未来方向,强调了研究人员、监管机构和医疗服务提供者之间合作的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6c5/12290384/7d6b2a74cf44/10.1177_20552076251362097-fig1.jpg

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