Estimating Clinical Trial Bleeding Events Using Electronic Health Record Data.

Published

Journal Article

Clinical trials conducted for regulatory approval may include outcomes that are informative but not routinely collected in clinical practice. This situation can be problematic when pragmatic clinical trials (PCT) seek to use electronic health record (EHR) data to test the effectiveness of medical products and services in actual practice settings. We use TIMI bleeding events to illustrate how a complex clinical trial endpoint can be implemented using EHR data. While we were able to demonstrate that our EHR-defined bleeding events were associated with differences in patient clinical outcomes, we are not confident that these measurements could be replicated in other locations with consistent reliability and validity. We believe the development of PCT endpoint definitions is an important issue that should be addressed by medical and informatics professional societies, regulators and the medical products industry.

Full Text

Duke Authors

Cited Authors

  • Eisenstein, EL; Wojdyla, D; Kong, DF

Published Date

  • 2019

Published In

Volume / Issue

  • 257 /

Start / End Page

  • 92 - 97

PubMed ID

  • 30741179

Pubmed Central ID

  • 30741179

Electronic International Standard Serial Number (EISSN)

  • 1879-8365

Language

  • eng

Conference Location

  • Netherlands