Routinely collected data from electronic health records (EHRs) could potentially be used to facilitate clinical trials. Use of computational phenotypes shows promise for detecting trial-eligible paediatric patients; however, moving from EHR identification to recruitment requires consideration of legal, ethical and logistical challenges.
References
Rheault, M. N. & Wenderfer, S. E. Evolving epidemiology of pediatric glomerular disease. Clin. J. Am. Soc. Nephrol. 13, 977–978 (2018).
Harambat, J. et al. Epidemiology of chronic kidney disease in children. Pediatr. Nephrol. 27, 363–373 (2012).
Inrig, J. K. et al. The landscape of clinical trials in nephrology: a systematic review of ClinicalTrials.gov. Am. J. Kidney Dis. 63, 771–780 (2014).
Denburg, M. R. et al. Using electronic health record data to rapidly identify children with glomerular disease for clinical research. J. Am. Soc. Nephrol. 30, 2427–2435 (2019).
Raman, S. R. et al. Leveraging electronic health records for clinical research. Am. Heart J. 202, 13–19 (2018).
Perneger, T. V. et al. Diagnosis of hypertensive end-stage renal disease: effect of patient’s race. Am. J. Epidemiol. 141, 10–15 (1995).
Horth, R. Z. et al. Use of electronic health records from a statewide health information exchange to support public health surveillance of diabetes and hypertension. BMC Public Health 19, 1106 (2019).
Acknowledgements
L.P. is supported by a National Institute for Health Research (NIHR) Doctoral Research Fellowship DRF-2016-09-055. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. The funding body had no role in the design, collection, analysis or interpretation of data, in the writing of the manuscript, or in the decision to submit the manuscript for publication. D.N. is co-applicant on two GlaxoSmithKline-funded, open-label studies in sub-Saharan Africa that are unrelated to this work.
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Plumb, L., Nitsch, D. Are electronic health records ready for clinical trial use?. Nat Rev Nephrol 16, 191–192 (2020). https://doi.org/10.1038/s41581-020-0252-2
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DOI: https://doi.org/10.1038/s41581-020-0252-2
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