Evidence map›Paper›PMID 30953936›Full record

ArticleAmerican heart journal2019

Validating the use of registries and claims data to support randomized trials: Rationale and design of the Extending Trial-Based Evaluations of Medical Therapies Using Novel Sources of Data (EXTEND) Study.

Jordan B Strom, Hector Tamez, Yuansong Zhao, Linda R Valsdottir, Jeptha Curtis, J Matthew Brennan, Changyu Shen, Jeffrey J Popma, Laura Mauri, Robert W Yeh

Open access · greenAbstract readValidation Study
In one paragraph

Article in American heart journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
11.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 28 citations in OpenAlex.

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  12. Outcomes of stroke events during transcatheter aortic valve implantation.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
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  18. Contemporary use of real-world data for clinical trial conduct in the United States: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Jordan B StromRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology; Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA; Harvard Medical School, Boston, MA.
Hector TamezRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology; Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA; Harvard Medical School, Boston, MA.
Yuansong ZhaoRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology; Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Linda R ValsdottirRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology; Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Jeptha CurtisCenter for Outcomes Research and Evaluation, Yale University School of Medicine, New Haven, CT.
J Matthew BrennanDuke Clinical Research Institute, Durham, NC.
Changyu ShenRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology; Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA; Harvard Medical School, Boston, MA.
Jeffrey J PopmaDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA; Harvard Medical School, Boston, MA; Baim Institute for Clinical Research, Boston, MA.
Laura MauriMedtronic Inc.
Robert W YehRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology; Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, MA; Harvard Medical School, Boston, MA; Baim Institute for Clinical Research, Boston, MA. Electronic address: ryeh@bidmc.harvard.edu.
Beth Israel Deaconess Medical Center · USHarvard University · USBaim Institute for Clinical Research · USClinical Research Institute · USMedtronic (Ireland) · IEYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Use of Registries, Claims and Health System Data to Enhance the Evaluation of Cardiovascular Therapies in Clinical TrialsR01HL136708 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Issa J. Dahabreh, Robert Yeh · 2017 to 2026
$6.9M
Identification of the Components of Frailty Using Administrative Data and Metabolite ProfilingK23HL144907 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI STROM, JORDAN BLAIR · 2019 to 2023
$1.0M
Using Claims-Based Signatures of Frailty to Support Individualized Treatment of Aortic Valve Stenosis and Coronary Artery DiseaseK24HL150321 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Robert Yeh · 2020 to 2026
$862k
American Heart Association-American Stroke Association 18CDA34110267NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K23 HL144907NHLBI NIH HHS K24 HL150321NHLBI NIH HHS R01 HL136708
6 · The paper itself

Abstract

backgroundRandomized controlled trials are the "gold standard" for comparing the safety and efficacy of therapies but may be limited due to high costs, lack of feasibility, and difficulty enrolling "real-world" patient populations. The Extending Trial-Based Evaluations of Medical Therapies Using Novel Sources of Data (EXTEND) Study seeks to evaluate whether data collected within procedural registries and claims databases can reproduce trial results by substituting surrogate non-trial-based variables for exposures and outcomes. METHODS AND

resultsPatient-level data from 2 clinical trial programs-the Dual Antiplatelet Therapy Study and the United States CoreValve Studies-will be linked to a combination of national registry, administrative claims, and health system data. The concordance between baseline and outcomes data collected within nontrial data sets and trial information, including adjudicated end point events, will be assessed. We will compare the study results obtained using these alternative data sources to those derived using trial-ascertained variables and end points using trial-adjudicated end points and covariates.

conclusionsLinkage of trials to registries and claims data represents an opportunity to use alternative data sources in place of and as adjuncts to randomized clinical trial data but requires further validation. The results of this research will help determine how these data sources can be used to improve our present and future understanding of new medical treatments.

Indexed as

RegistriesAged, 80 and overDatabases, FactualDual Anti-Platelet TherapyElectronic Health RecordsFemaleHumansMaleMyocardial IschemiaMyocardial RevascularizationRandomized Controlled Trials as TopicReproducibility of Results

Identifiers

PMID30953936
PMCPMC6535119
OpenAlexW2922310073

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.