Assessing an Electronic Health Record research platform for identification of clinical trial participants

Electronic health records (EHR) are a potential resource for identification of clinical trial participants. We evaluated how accurately a commercially available EHR Research Platform, InSite, is able to identify potential trial participants from the EHR system of a large tertiary care hospital. Pati...

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Main Authors: Niina Laaksonen, Juha-Matti Varjonen, Minna Blomster, Antti Palomäki, Tuija Vasankari, Juhani Airaksinen, Risto Huupponen, Mika Scheinin, Juuso Blomster
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Contemporary Clinical Trials Communications
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451865420301769
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author Niina Laaksonen
Juha-Matti Varjonen
Minna Blomster
Antti Palomäki
Tuija Vasankari
Juhani Airaksinen
Risto Huupponen
Mika Scheinin
Juuso Blomster
author_facet Niina Laaksonen
Juha-Matti Varjonen
Minna Blomster
Antti Palomäki
Tuija Vasankari
Juhani Airaksinen
Risto Huupponen
Mika Scheinin
Juuso Blomster
author_sort Niina Laaksonen
collection DOAJ
description Electronic health records (EHR) are a potential resource for identification of clinical trial participants. We evaluated how accurately a commercially available EHR Research Platform, InSite, is able to identify potential trial participants from the EHR system of a large tertiary care hospital. Patient counts were compared with results obtained in a conventional manual search performed for a reference study that investigated the associations of atrial fibrillation (AF) and cerebrovascular incidents. The Clinical Data Warehouse (CDW) of Turku University Hospital was used to verify the capabilities of the EHR Research Platform.The EHR query resulted in a larger patient count than the manual query (EHR Research Platform 5859 patients, manual selection 2166 patients). This was due to the different search logic and some exclusion criteria that were not addressable in structured digital format. The EHR Research Platform (5859 patients) and the CDW search (5840 patients) employed the same search logic. The temporal relationship between the two diagnoses could be identified when they were available in structured format and the time difference was longer than a single hospital visit.Searching for patients with the EHR Research Platform can help to identify potential trial participants from a hospital's EHR system by limiting the number of records to be manually reviewed. EHR query tools can best be utilized in trials where the selection criteria are expressed in structured digital format.
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spelling doaj.art-4fb7c686a9394a0d8ed5bfb8a37a1e0a2022-12-21T21:32:02ZengElsevierContemporary Clinical Trials Communications2451-86542021-03-0121100692Assessing an Electronic Health Record research platform for identification of clinical trial participantsNiina Laaksonen0Juha-Matti Varjonen1Minna Blomster2Antti Palomäki3Tuija Vasankari4Juhani Airaksinen5Risto Huupponen6Mika Scheinin7 Juuso Blomster8Institute of Biomedicine, University of Turku, Kiinamyllynkatu 10, FI-20520, Turku, Finland; Corresponding author. Institute of Biomedicine, University of Turku, Kiinamyllynkatu 10, FI-20520, Turku, Finland.Auria Clinical Informatics, Hospital District of Southwest Finland, PO Box 52, FI-20521, Turku, FinlandAuria Clinical Informatics, Hospital District of Southwest Finland, PO Box 52, FI-20521, Turku, FinlandHeart Centre, Turku University Hospital, PO Box 52, FI-2052, Turku, FinlandHeart Centre, Turku University Hospital, PO Box 52, FI-2052, Turku, FinlandHeart Centre, Turku University Hospital, PO Box 52, FI-2052, Turku, FinlandInstitute of Biomedicine, University of Turku, Kiinamyllynkatu 10, FI-20520, Turku, FinlandInstitute of Biomedicine, University of Turku, Kiinamyllynkatu 10, FI-20520, Turku, FinlandInstitute of Biomedicine, University of Turku, Kiinamyllynkatu 10, FI-20520, Turku, Finland; Heart Centre, Turku University Hospital, PO Box 52, FI-2052, Turku, FinlandElectronic health records (EHR) are a potential resource for identification of clinical trial participants. We evaluated how accurately a commercially available EHR Research Platform, InSite, is able to identify potential trial participants from the EHR system of a large tertiary care hospital. Patient counts were compared with results obtained in a conventional manual search performed for a reference study that investigated the associations of atrial fibrillation (AF) and cerebrovascular incidents. The Clinical Data Warehouse (CDW) of Turku University Hospital was used to verify the capabilities of the EHR Research Platform.The EHR query resulted in a larger patient count than the manual query (EHR Research Platform 5859 patients, manual selection 2166 patients). This was due to the different search logic and some exclusion criteria that were not addressable in structured digital format. The EHR Research Platform (5859 patients) and the CDW search (5840 patients) employed the same search logic. The temporal relationship between the two diagnoses could be identified when they were available in structured format and the time difference was longer than a single hospital visit.Searching for patients with the EHR Research Platform can help to identify potential trial participants from a hospital's EHR system by limiting the number of records to be manually reviewed. EHR query tools can best be utilized in trials where the selection criteria are expressed in structured digital format.http://www.sciencedirect.com/science/article/pii/S2451865420301769Patient identificationPatient recruitmentClinical trialsElectronic health records
spellingShingle Niina Laaksonen
Juha-Matti Varjonen
Minna Blomster
Antti Palomäki
Tuija Vasankari
Juhani Airaksinen
Risto Huupponen
Mika Scheinin
Juuso Blomster
Assessing an Electronic Health Record research platform for identification of clinical trial participants
Contemporary Clinical Trials Communications
Patient identification
Patient recruitment
Clinical trials
Electronic health records
title Assessing an Electronic Health Record research platform for identification of clinical trial participants
title_full Assessing an Electronic Health Record research platform for identification of clinical trial participants
title_fullStr Assessing an Electronic Health Record research platform for identification of clinical trial participants
title_full_unstemmed Assessing an Electronic Health Record research platform for identification of clinical trial participants
title_short Assessing an Electronic Health Record research platform for identification of clinical trial participants
title_sort assessing an electronic health record research platform for identification of clinical trial participants
topic Patient identification
Patient recruitment
Clinical trials
Electronic health records
url http://www.sciencedirect.com/science/article/pii/S2451865420301769
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