De-identified linkage of data across separate registers: a proposal for improved protection of personal information in registry-based clinical research

Over the last decades the advent of digital documentation has provided research communities with valuable resources of information for clinical research. To utilize the potential of information about patients, their health care, and its outcome that is already available in different registers, the p...

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Main Authors: Tomas Snäckerström, Christian Johansen
Format: Article
Language:English
Published: Upsala Medical Society 2019-01-01
Series:Upsala Journal of Medical Sciences
Subjects:
Online Access:http://dx.doi.org/10.1080/03009734.2018.1527420
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author Tomas Snäckerström
Christian Johansen
author_facet Tomas Snäckerström
Christian Johansen
author_sort Tomas Snäckerström
collection DOAJ
description Over the last decades the advent of digital documentation has provided research communities with valuable resources of information for clinical research. To utilize the potential of information about patients, their health care, and its outcome that is already available in different registers, the possibility to cross-reference information from different registers is inevitably required. When performing linkage, we are currently forced to disclose information of participating subjects either to the administration of the other register(s) or to the researcher. Considering the increased concern of issues around personal integrity, this is a limitation that affects the ethical implications of proposed research and that might in the end affect the willingness of subjects to participate in registers. For this reason we propose a different methodology for performing cross-referencing, one that effectively prevents information leakage between the different organizations participating in linking the data. We believe that it is possible to use commonly adopted technologies within the area of data security and encryption to perform linkage without disclosing any sensitive information between different participants. In this paper we demonstrate how common techniques of encryption could be implemented to achieve that and furthermore significantly simplify discovery and feasibility surveying ahead of studies.
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spelling doaj.art-1f73456c536c41aaa99307ef7186fb912023-09-02T11:35:21ZengUpsala Medical SocietyUpsala Journal of Medical Sciences0300-97342000-19672019-01-011241293210.1080/03009734.2018.15274201527420De-identified linkage of data across separate registers: a proposal for improved protection of personal information in registry-based clinical researchTomas Snäckerström0Christian Johansen1Uppsala University, Uppsala Clinical Research CenterUppsala University, Uppsala Clinical Research CenterOver the last decades the advent of digital documentation has provided research communities with valuable resources of information for clinical research. To utilize the potential of information about patients, their health care, and its outcome that is already available in different registers, the possibility to cross-reference information from different registers is inevitably required. When performing linkage, we are currently forced to disclose information of participating subjects either to the administration of the other register(s) or to the researcher. Considering the increased concern of issues around personal integrity, this is a limitation that affects the ethical implications of proposed research and that might in the end affect the willingness of subjects to participate in registers. For this reason we propose a different methodology for performing cross-referencing, one that effectively prevents information leakage between the different organizations participating in linking the data. We believe that it is possible to use commonly adopted technologies within the area of data security and encryption to perform linkage without disclosing any sensitive information between different participants. In this paper we demonstrate how common techniques of encryption could be implemented to achieve that and furthermore significantly simplify discovery and feasibility surveying ahead of studies.http://dx.doi.org/10.1080/03009734.2018.1527420data linkagedata protectionethicsregistry research
spellingShingle Tomas Snäckerström
Christian Johansen
De-identified linkage of data across separate registers: a proposal for improved protection of personal information in registry-based clinical research
Upsala Journal of Medical Sciences
data linkage
data protection
ethics
registry research
title De-identified linkage of data across separate registers: a proposal for improved protection of personal information in registry-based clinical research
title_full De-identified linkage of data across separate registers: a proposal for improved protection of personal information in registry-based clinical research
title_fullStr De-identified linkage of data across separate registers: a proposal for improved protection of personal information in registry-based clinical research
title_full_unstemmed De-identified linkage of data across separate registers: a proposal for improved protection of personal information in registry-based clinical research
title_short De-identified linkage of data across separate registers: a proposal for improved protection of personal information in registry-based clinical research
title_sort de identified linkage of data across separate registers a proposal for improved protection of personal information in registry based clinical research
topic data linkage
data protection
ethics
registry research
url http://dx.doi.org/10.1080/03009734.2018.1527420
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