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Reviews on Recent Clinical Trials

Editor-in-Chief

ISSN (Print): 1574-8871
ISSN (Online): 1876-1038

Review Article

Development of Patient Databases for Endocrinological Clinical and Pharmaceutical Trials: A Survey

Author(s): Konstantinos Vezertzis, George I. Lambrou* and Dimitrios Koutsouris

Volume 15, Issue 1, 2020

Page: [5 - 21] Pages: 17

DOI: 10.2174/1574887114666191118122714

Price: $65

Abstract

Background: According to European legislation, a clinical trial is a research involving patients, which also includes a research end-product. The main objective of the clinical trial is to prove that the research product, i.e. a proposed medication or treatment, is effective and safe for patients. The implementation, development, and operation of a patient database, which will function as a matrix of samples with the appropriate parameterization, may provide appropriate tools to generate samples for clinical trials.

Aims: The aim of the present work is to review the literature with respect to the up-to-date progress on the development of databases for clinical trials and patient recruitment using free and open-source software in the field of endocrinology.

Methods: An electronic literature search was conducted by the authors from 1984 to June 2019. Original articles and systematic reviews selected, and the titles and abstracts of papers screened to determine whether they met the eligibility criteria, and full texts of the selected articles were retrieved.

Results: The present review has indicated that the electronic health records are related with both the patient recruitment and the decision support systems in the domain of endocrinology. The free and open-source software provides integrated solutions concerning electronic health records, patient recruitment, and the decision support systems.

Conclusion: The patient recruitment relates closely to the electronic health record. There is maturity at the academic and research level, which may lead to good practices for the deployment of the electronic health record in selecting the right patients for clinical trials.

Keywords: Clinical trials, decision support systems, Electronic Health Record (EHR), open source software, patient recruitment, pharmaceutical trials.

Graphical Abstract

[1]
Marcovitz S, Miresco ET. MUPPET: A program combining interactive data analysis and time-oriented database for clinical investigation of patients with pituitary tumors. Comput Biol Med 1984; 14(2): 225-35.
[http://dx.doi.org/10.1016/0010-4825(84)90009-X] [PMID: 6609796]
[2]
Mitchel EF Jr, Schach SR, Island DP. ENDO-LAB: An integrated, portable endocrinology laboratory software system. Comput Methods Programs Biomed 1988; 27(3): 241-8.
[http://dx.doi.org/10.1016/0169-2607(88)90088-0] [PMID: 3215020]
[3]
Tierney WM, Overhage JM, McDonald CJ. Computerizing guidelines: factors for success. Proc AMIA Annu Fall Symp 1996; 459-62.
[PMID: 8947708]
[4]
Black N. High-quality clinical databases: Breaking down barriers. Lancet 1999; 353(9160): 1205-6.
[http://dx.doi.org/10.1016/S0140-6736(99)00108-7] [PMID: 10217078]
[5]
Butte AJ, Kohane IS. Unsupervised knowledge discovery in medical databases using relevance networks. Proc AMIA Symp 1999; 711-5.
[PMID: 10566452]
[6]
Holt RI, Miklaszewicz P, Cranston IC, Russell-Jones D, Rees PJ, Sönksen PH. Computer assisted learning is an effective way of teaching endocrinology. Clin Endocrinol (Oxf) 2001; 55(4): 537-42.
[http://dx.doi.org/10.1046/j.1365-2265.2001.01346.x] [PMID: 11678838]
[7]
Montori VM, Smith SA. Information systems in diabetes: In search of the holy grail in the era of evidence-based diabetes care. Exp Clin Endocrinol Diabetes 2001; 109(Suppl. 2): S358-72.
[http://dx.doi.org/10.1055/s-2001-18595] [PMID: 11460584]
[8]
Konwar R, Singh MM, Bid HK. E-endocrinology: An update. Indian J Med Sci 2008; 62(2): 74-83.
[http://dx.doi.org/10.4103/0019-5359.39372] [PMID: 18319537]
[9]
Devlies J, De Clercq E, Van Casteren V, Thienpont G, Lafontaine MF, De Moor G. The use of a compliant EHR when providing clinical pathway driven care to a subset of diabetic patients: Recommendation from a Working Group. Stud Health Technol Inform 2008; 141: 149-61.
[PMID: 18953135]
[10]
Webster PC. The rise of open-source electronic health records. Lancet 2011; 377(9778): 1641-2.
[http://dx.doi.org/10.1016/S0140-6736(11)60659-4] [PMID: 21591284]
[11]
Eng DS, Lee JM. The promise and peril of mobile health applications for diabetes and endocrinology. Pediatr Diabetes 2013; 14(4): 231-8.
[http://dx.doi.org/10.1111/pedi.12034] [PMID: 23627878]
[12]
Marcucci G, Cianferotti L, Parri S, et al. HypoparaNet: A database of chronic hypoparathyroidism based on expert medical-surgical centers in Italy. Calcif Tissue Int 2018; 103(2): 151-63.
[http://dx.doi.org/10.1007/s00223-018-0411-7] [PMID: 29511787]
[13]
Katehakis DG, Tsiknakis M. Electronic health record wiley encyclopedia of biomedical engineering. John Wiley & Sons, Inc.:Washington, DC,. 2006.
[14]
Charles D, Gabriel M, Furukawa M. The office of the national coordinator for health information technology. ONC Data Brief 2008; 116(1): 1.
[15]
Bernstein K, Bruun-Rasmussen M, Vingtoft S, Andersen SK, Nøhr C. Modelling and implementing electronic health records in Denmark. Int J Med Inform 2005; 74(2-4): 213-20.
[http://dx.doi.org/10.1016/j.ijmedinf.2004.07.007] [PMID: 15694627]
[16]
Dorda W, Duftschmid G, Gerhold L, Gall W, Gambal J. Austria’s path toward nationwide electronic health records. Methods Inf Med 2008; 47(2): 117-23.
[http://dx.doi.org/10.3414/ME0401] [PMID: 18338082]
[17]
Heimly V, Grimsmo A, Faxvaag A. Diffusion of electronic health records and electronic communication in Norway. Appl Clin Inform 2011; 2(3): 355-64.
[http://dx.doi.org/10.4338/ACI-2011-01-IE-0008] [PMID: 23616882]
[18]
Rau HH, Hsu CY, Lee YL, et al. Developing electronic health records in taiwan. IT Prof 2010; 12(2): 17-25.
[http://dx.doi.org/10.1109/MITP.2010.53]
[19]
Abraham J, McCullough J, Parente S, et al. Prevalence of electronic health records in U.S. hospitals. J Healthc Eng 2011; 2(2): 121-42.
[http://dx.doi.org/10.1260/2040-2295.2.2.121]
[20]
Cebul RD, Love TE, Jain AK, Hebert CJ. Electronic health records and quality of diabetes care. N Engl J Med 2011; 365(9): 825-33.
[http://dx.doi.org/10.1056/NEJMsa1102519] [PMID: 21879900]
[21]
Reed M, Huang J, Graetz I, et al. Outpatient electronic health records and the clinical care and outcomes of patients with diabetes mellitus. Ann Intern Med 2012; 157(7): 482-9.
[http://dx.doi.org/10.7326/0003-4819-157-7-201210020-00004] [PMID: 23027319]
[22]
Eggleston EM, Klompas M. Rational use of electronic health records for diabetes population management. Curr Diab Rep 2014; 14(4): 479.
[http://dx.doi.org/10.1007/s11892-014-0479-z] [PMID: 24615333]
[23]
Ratanawongsa N, Chan LL, Fouts MM, Murphy EJ. The challenges of electronic health records and diabetes electronic prescribing: Implications for safety net care for diverse populations. J Diabetes Res 2017; 2017: 89832-37.
[http://dx.doi.org/10.1155/2017/8983237] [PMID: 28197420]
[24]
Baer HJ, Cho I, Walmer RA, Bain PA, Bates DW. Using electronic health records to address overweight and obesity: A systematic review. Am J Prev Med 2013; 45(4): 494-500.
[http://dx.doi.org/10.1016/j.amepre.2013.05.015] [PMID: 24050426]
[25]
Semanik MG. The use of electronic health records to identify children with elevated blood pressure and hypertension. Curr Hypertens Rep 2017; 19(12): 98.
[http://dx.doi.org/10.1007/s11906-017-0794-2] [PMID: 29075864]
[26]
Ohmann C, Kuchinke W. Meeting the challenges of patient recruitment. Int J Pharm Med 2007; 21(4): 263-70.
[http://dx.doi.org/10.2165/00124363-200721040-00002]
[27]
Kim D, Labkoff S, Holliday SH. Opportunities for electronic health record data to support business functions in the pharmaceutical industry--a case study from Pfizer, Inc. J Am Med Inform Assoc 2008; 15(5): 581-4.
[http://dx.doi.org/10.1197/jamia.M2605] [PMID: 18579836]
[28]
Embi PJ, Jain A, Harris CM. Physicians’ perceptions of an electronic health record-based clinical trial alert approach to subject recruitment: A survey. BMC Med Inform Decis Mak 2008; 8: 13.
[http://dx.doi.org/10.1186/1472-6947-8-13] [PMID: 18384682]
[29]
Andronikou V, Karanastasis E, Chondrogiannis E, et al. Semantically-enabled intelligent patient recruitment in clinical trials. Int Confer P2P, Parallel, Grid. Cloud Internet Comput 2010; 2010: 326-31.
[http://dx.doi.org/10.1109/3PGCIC.2010.54]
[30]
Cuggia M, Besana P, Glasspool D. Comparing semi-automatic systems for recruitment of patients to clinical trials. Int J Med Inform 2011; 80(6): 371-88.
[http://dx.doi.org/10.1016/j.ijmedinf.2011.02.003] [PMID: 21459664]
[31]
Fraser D, Christiansen BA, Adsit R, Baker TB, Fiore MC. Electronic health records as a tool for recruitment of participants’ clinical effectiveness research: Lessons learned from tobacco cessation. Transl Behav Med 2013; 3(3): 244-52.
[http://dx.doi.org/10.1007/s13142-012-0143-6] [PMID: 24073175]
[32]
Coorevits P, Sundgren M, Klein GO, et al. Electronic health records: new opportunities for clinical research. J Intern Med 2013; 274(6): 547-60.
[http://dx.doi.org/10.1111/joim.12119] [PMID: 23952476]
[33]
Doods J, Lafitte C, Ulliac-Sagnes N, et al. A European inventory of data elements for patient recruitment. Stud Health Technol Inform 2015; 210: 506-10.
[PMID: 25991199]
[34]
Köpcke F, Trinczek B, Majeed RW, et al. Evaluation of data completeness in the electronic health record for the purpose of patient recruitment into clinical trials: A retrospective analysis of element presence. BMC Med Inform Decis Mak 2013; 13: 37.
[http://dx.doi.org/10.1186/1472-6947-13-37] [PMID: 23514203]
[35]
Callard F, Broadbent M, Denis M, et al. Developing a new model for patient recruitment in mental health services: A cohort study using Electronic Health Records. BMJ Open 2014; 4(12): e005654.
[http://dx.doi.org/10.1136/bmjopen-2014-005654] [PMID: 25468503]
[36]
Obeid JS, Beskow LM, Rape M, et al. A survey of practices for the use of electronic health records to support research recruitment. J Clin Transl Sci 2017; 1(4): 246-52.
[http://dx.doi.org/10.1017/cts.2017.301] [PMID: 29657859]
[37]
Ethier JF, Curcin V, McGilchrist MM, et al. eSource for clinical trials: Implementation and evaluation of a standards-based approach in a real world trial. Int J Med Inform 2017; 106: 17-24.
[http://dx.doi.org/10.1016/j.ijmedinf.2017.06.006] [PMID: 28870379]
[38]
Zimmerman LP, Goel S, Sathar S, et al. A novel patient recruitment strategy: patient selection directly from the community through linkage to clinical data. Appl Clin Inform 2018; 9(1): 114-21.
[http://dx.doi.org/10.1055/s-0038-1625964] [PMID: 29444537]
[39]
Raman SR, Curtis LH, Temple R, et al. Leveraging electronic health records for clinical research. Am Heart J 2018; 202: 13-9.
[http://dx.doi.org/10.1016/j.ahj.2018.04.015] [PMID: 29802975]
[40]
Wu H, Toti G, Morley KI, et al. SemEHR: A general-purpose semantic search system to surface semantic data from clinical notes for tailored care, trial recruitment, and clinical research. J Am Med Inform Assoc 2018; 25(5): 530-7.
[http://dx.doi.org/10.1093/jamia/ocx160] [PMID: 29361077]
[41]
Obeidat HM, Gheeshan HS, Malkhawi OY, et al. Computerized clinical decision support systems and their clinical application in health care delivery system. Al-Magallat al-Tibbiyyat al-Urdunniyyat 2009; 43(4): 267-73.
[42]
Sonntag D, Tresp V, Zillner S, et al. The clinical data intelligence project. Informatik-Spektrum 2015; 39(4): 290-300.
[http://dx.doi.org/10.1007/s00287-015-0913-x]
[43]
El-Sappagh SH, El-Masri S. A proposal of clinical decision support system architecture for distributed electronic health records. Proceedings of the International Conference on Bioinformatics & Computational Biology (BIOCOMP). 18-21 July; Las Vegas, Nevada, USA: The Steering Committee of The World Congress in Computer Science 2011; p. 1.
[44]
Xiao L, Cousins G, Hederman L, et al. The design of an EHR for clinical decision support 2010 3rd International Conference on Biomedical Engineering and Informatics. 2010; 16-8.
[45]
Bennett CC, Doub TW, Selove R. EHRs connect research and practice: Where predictive modeling, artificial intelligence, and clinical decision support intersect. Health Policy Technol 2012; 1(2): 105-14.
[http://dx.doi.org/10.1016/j.hlpt.2012.03.001]
[46]
Winman T, Rystedt H. Electronic patient records in interprofessional decision making: Standardized categories and local use. Human Technol An Interdiscipl J Humans ICT Environ 2012; 8(1): 46-64.
[http://dx.doi.org/10.17011/ht/urn.201205141652]
[47]
El-Sappagh SH, El-Masri S. A distributed clinical decision support system architecture. J King Saud Univ Comp Inform Sci 2014; 26(1): 69-78.
[http://dx.doi.org/10.1016/j.jksuci.2013.03.005]
[48]
van Dam J. Exploring the future of the pharmaceutical industry and the healthcare system–the benefits of electronic health records becoming a reality. Drug Develop 2010; 5: 1-6.
[49]
Kopanitsa G. Integration of hospital information and clinical decision support systems to enable the reuse of electronic health record data. Methods Inf Med 2017; 56(3): 238-47.
[http://dx.doi.org/10.3414/ME16-01-0057] [PMID: 28361157]
[50]
Marcos M, Maldonado JA, Martínez-Salvador B, Boscá D, Robles M. Interoperability of clinical decision-support systems and electronic health records using archetypes: A case study in clinical trial eligibility. J Biomed Inform 2013; 46(4): 676-89.
[http://dx.doi.org/10.1016/j.jbi.2013.05.004] [PMID: 23707417]
[51]
Xiao L, Cousins G, Courtney B, Hederman L, Fahey T, Dimitrov BD. Developing an electronic health record (EHR) for methadone treatment recording and decision support. BMC Med Inform Decis Mak 2011; 11: 5.
[http://dx.doi.org/10.1186/1472-6947-11-5] [PMID: 21284849]
[52]
Wulff A, Haarbrandt B, Tute E, Marschollek M, Beerbaum P, Jack T. An interoperable clinical decision-support system for early detection of SIRS in pediatric intensive care using openEHR. Artif Intell Med 2018; 89: 10-23.
[http://dx.doi.org/10.1016/j.artmed.2018.04.012] [PMID: 29753616]
[53]
Romano MJ, Stafford RS. Electronic health records and clinical decision support systems: Impact on national ambulatory care quality. Arch Intern Med 2011; 171(10): 897-903.
[http://dx.doi.org/10.1001/archinternmed.2010.527] [PMID: 21263077]
[54]
Kashfi H. The intersection of clinical decision support and electronic health record: A literature review. 2011 Federated Conference on Computer Science and Information Systems (FedCSIS) 2011; 18-21.
[55]
Forrest GN, Van Schooneveld TC, Kullar R, Schulz LT, Duong P, Postelnick M. Use of electronic health records and clinical decision support systems for antimicrobial stewardship. Clin Infect Dis 2014; 59(Suppl. 3): S122-33.
[http://dx.doi.org/10.1093/cid/ciu565] [PMID: 25261539]
[56]
Nigrin DJ. ATRAS: A decision support application layered on the W3-EMRS architecture. Stud Health Technol Inform 1998; 52(Pt 1): 40-4.
[PMID: 10384416]
[57]
Segagni D, Sacchi L, Dagliati A, et al. Improving clinical decisions on T2DM patients integrating clinical, administrative and environmental data. Stud Health Technol Inform 2015; 216: 682-6.
[PMID: 26262138]
[58]
Benhamou PY. Improving diabetes management with electronic health records and patients’ health records. Diabetes Metab 2011; 37(Suppl. 4): S53-6.
[http://dx.doi.org/10.1016/S1262-3636(11)70966-1] [PMID: 22208711]
[59]
Peleg M, Shahar Y, Quaglini S, et al. Assessment of a personalized and distributed patient guidance system. Int J Med Inform 2017; 101: 108-30.
[http://dx.doi.org/10.1016/j.ijmedinf.2017.02.010] [PMID: 28347441]
[60]
Mei J, Zhao S, Jin F, et al. Deep Diabetologist: Learning to prescribe hypoglycemic medications with recurrent neural networks. Stud Health Technol Inform 2017; 245: 1277.
[PMID: 29295362]
[61]
Singh K, Johnson L, Devarajan R, et al. Acceptability of a decision-support electronic health record system and its impact on diabetes care goals in South Asia: A mixed-methods evaluation of the CARRS trial. Diabet Med 2018; 35(12): 1644-54.
[http://dx.doi.org/10.1111/dme.13804] [PMID: 30142228]
[62]
Motahar SM, Safie N, Mukhtar M, et al. An applied approach to teach hospital information systems development using an open source erp framework. 4th International Conference on Electrical Engineering and Informatics (Iceei 2013). Procedia Technol 2013; 11:: 1259-65.
[http://dx.doi.org/10.1016/j.protcy.2013.12.322]
[63]
Aminpour F, Sadoughi F, Ahamdi M. Utilization of open source electronic health record around the world: A systematic review. J Res Med Sci 2014; 19(1): 57-64.
[PMID: 24672566]
[64]
Mamlin BW, Biondich PG. AMPATH Medical Record System (AMRS): Collaborating toward an EMR for developing countries. AMIA Annu Symp Proc 2005; 490-4.
[PMID: 16779088]
[65]
Brown SH, Lincoln MJ, Groen PJ, Kolodner RM. VistA--U.S. Department of Veterans Affairs national-scale HIS. Int J Med Inform 2003; 69(2-3): 135-56.
[http://dx.doi.org/10.1016/S1386-5056(02)00131-4] [PMID: 12810119]
[66]
Kiah ML, Haiqi A, Zaidan BB, Zaidan AA. Open source EMR software: profiling, insights and hands-on analysis. Comput Methods Programs Biomed 2014; 117(2): 360-82.
[http://dx.doi.org/10.1016/j.cmpb.2014.07.002] [PMID: 25070757]
[67]
Zaidan AA, Zaidan BB, Al-Haiqi A, Kiah ML, Hussain M, Abdulnabi M. Evaluation and selection of open-source EMR software packages based on integrated AHP and TOPSIS. J Biomed Inform 2015; 53: 390-404.
[http://dx.doi.org/10.1016/j.jbi.2014.11.012] [PMID: 25483886]
[68]
Zaidan AA, Zaidan BS, Hussain M, et al. Multi-criteria analysis for OS-EMR software selection problem: A comparative study. Decis Support Syst 2015; 78: 15-27.
[http://dx.doi.org/10.1016/j.dss.2015.07.002]
[69]
Syzdykova A, Malta A, Zolfo M, Diro E, Oliveira JL. Open-Source electronic health record systems for low-resource settings: Systematic Review. JMIR Med Inform 2017; 5(4): : e44..
[http://dx.doi.org/10.2196/medinform.8131] [PMID: 29133283]
[70]
Alsaffar M, Yellowlees P, Odor A, Hogarth M. The state of open source electronic health record projects: A software anthropology study. JMIR Med Inform 2017; 5(1): e6.
[http://dx.doi.org/10.2196/medinform.5783] [PMID: 28235750]
[71]
Paton C, Karopka T. The role of free/libre and open source software in learning health systems. Yearb Med Inform 2017; 26(1): 53-8.
[http://dx.doi.org/10.15265/IY-2017-006] [PMID: 28480476]
[72]
CIO CIOC. Electronic Medical Records (EMR) Cost Study-Final Report Chief Information Officer Consortium 2011 February; 2011 Report No.: 1 Contract No.: 1.
[73]
Slight SP, Quinn C, Avery AJ, Bates DW, Sheikh A. A qualitative study identifying the cost categories associated with electronic health record implementation in the UK. J Am Med Inform Assoc 2014; 21(e2): e226-31.
[http://dx.doi.org/10.1136/amiajnl-2013-002404] [PMID: 24523391]
[74]
Wang SJ, Middleton B, Prosser LA, et al. A cost-benefit analysis of electronic medical records in primary care. Am J Med 2003; 114(5): 397-403.
[http://dx.doi.org/10.1016/S0002-9343(03)00057-3] [PMID: 12714130]

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