USING ROUTINELY COLLECTED DATA FOR CLINICAL RESEARCH

USING ROUTINELY COLLECTED DATA FOR CLINICAL RESEARCH
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DOI:
10.1002/sim.4780100407
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发表时间:
1991-04-01
影响因子:
2
通讯作者:
SAFRAN, C
SAFRAN, C
中科院分区:
医学3区
文献类型:
--
作者:
SAFRAN, C

文献摘要

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涉及随机对照试验前瞻性数据收集的临床研究并不总是可行。 越来越多的医院正在开发等待挖掘的大型临床数据库。 我们开发了一种计算机程序 ClinQuery,可以促进此类探索和分析。 我们还在一系列研究中表明,临床数据的使用是卫生服务研究的强大工具。 在某些情况下,我们已经证明编码数据不准确,替代临床数据更可取。 在其他情况下,最好结合临床数据和编码出院诊断。
Clinical research involving prospective data collection in randomized controlled trials is not always feasible. Increasingly, hospitals are developing large clinical databases that are waiting to be mined. We have developed a computer program, ClinQuery, that facilitates such exploration and analysis. We have also shown in a series of studies that the use of clinical data is a powerful tool in health services research. In some cases, we have shown that coded data are inaccurate and that alternative clinical data are preferable. In other cases, a combination of clinical data and coded discharge diagnoses is preferable.