Generating fit-for-purpose real-world evidence in Asia: How far are we from closing the gaps?

Evidence generated by randomized controlled trials (RCTs) does not often represent the patient journey and clinical outcomes in the real world due to limited external validity or generalizability. Studies based on real-world data are intended to generalize results to the broader population; however,...

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Main Authors: Wen-Yi Shau, Sajita Setia, Salil Shinde, Handoko Santoso, Daniel Furtner
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Perspectives in Clinical Research
Subjects:
Online Access:http://www.picronline.org/article.asp?issn=2229-3485;year=2023;volume=14;issue=3;spage=108;epage=113;aulast=Shau
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author Wen-Yi Shau
Sajita Setia
Salil Shinde
Handoko Santoso
Daniel Furtner
author_facet Wen-Yi Shau
Sajita Setia
Salil Shinde
Handoko Santoso
Daniel Furtner
author_sort Wen-Yi Shau
collection DOAJ
description Evidence generated by randomized controlled trials (RCTs) does not often represent the patient journey and clinical outcomes in the real world due to limited external validity or generalizability. Studies based on real-world data are intended to generalize results to the broader population; however, if the influence of external factors or confounders is not effectively managed, the cause-and-effect relationship and internal validity may be challenged, resulting in flawed results. The collection of quality real-world evidence (RWE) is crucial in Asia as there is often an underrepresentation of Asian populations in RCTs. In addition, few countries in Asia are catching up with the Western world in issuing practical foundational principles and guidance for conducting and adopting evidence for regulatory and reimbursement decisions. However, privacy and data protection laws are generally lagging behind technological developments in electronic medical records. While leveraging RWE in clinical and regulatory decision-making holds excellent potential, collective efforts across industry, governments, and research institutions are required for generating standardized practices and building capabilities for developing fit-for-purpose RWE in Asia.
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spelling doaj.art-fe4ccffea5954793a1db60e85967365e2023-08-23T09:47:08ZengWolters Kluwer Medknow PublicationsPerspectives in Clinical Research2229-34852023-01-0114310811310.4103/picr.picr_193_22Generating fit-for-purpose real-world evidence in Asia: How far are we from closing the gaps?Wen-Yi ShauSajita SetiaSalil ShindeHandoko SantosoDaniel FurtnerEvidence generated by randomized controlled trials (RCTs) does not often represent the patient journey and clinical outcomes in the real world due to limited external validity or generalizability. Studies based on real-world data are intended to generalize results to the broader population; however, if the influence of external factors or confounders is not effectively managed, the cause-and-effect relationship and internal validity may be challenged, resulting in flawed results. The collection of quality real-world evidence (RWE) is crucial in Asia as there is often an underrepresentation of Asian populations in RCTs. In addition, few countries in Asia are catching up with the Western world in issuing practical foundational principles and guidance for conducting and adopting evidence for regulatory and reimbursement decisions. However, privacy and data protection laws are generally lagging behind technological developments in electronic medical records. While leveraging RWE in clinical and regulatory decision-making holds excellent potential, collective efforts across industry, governments, and research institutions are required for generating standardized practices and building capabilities for developing fit-for-purpose RWE in Asia.http://www.picronline.org/article.asp?issn=2229-3485;year=2023;volume=14;issue=3;spage=108;epage=113;aulast=Shauasiadecision-makinghealth technology assessmentrandomized controlled trialsreal-world datareal-world evidence
spellingShingle Wen-Yi Shau
Sajita Setia
Salil Shinde
Handoko Santoso
Daniel Furtner
Generating fit-for-purpose real-world evidence in Asia: How far are we from closing the gaps?
Perspectives in Clinical Research
asia
decision-making
health technology assessment
randomized controlled trials
real-world data
real-world evidence
title Generating fit-for-purpose real-world evidence in Asia: How far are we from closing the gaps?
title_full Generating fit-for-purpose real-world evidence in Asia: How far are we from closing the gaps?
title_fullStr Generating fit-for-purpose real-world evidence in Asia: How far are we from closing the gaps?
title_full_unstemmed Generating fit-for-purpose real-world evidence in Asia: How far are we from closing the gaps?
title_short Generating fit-for-purpose real-world evidence in Asia: How far are we from closing the gaps?
title_sort generating fit for purpose real world evidence in asia how far are we from closing the gaps
topic asia
decision-making
health technology assessment
randomized controlled trials
real-world data
real-world evidence
url http://www.picronline.org/article.asp?issn=2229-3485;year=2023;volume=14;issue=3;spage=108;epage=113;aulast=Shau
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