Evidence map›Paper›PMID 31562770›Full record

ReviewClinical pharmacology and therapeutics2020

Examining the Use of Real-World Evidence in the Regulatory Process.

Brett K Beaulieu-Jones, Samuel G Finlayson, William Yuan, Russ B Altman, Isaac S Kohane, Vinay Prasad, Kun-Hsing Yu

Abstract readReview
In one paragraph

Review in Clinical pharmacology and therapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

84 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
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  15. Article
  16. Article
  17. Article
  18. The EU project Real4Reg: unlocking real-world data with AI.Health research policy and systems · 2025
    Article
  19. Observational
  20. Article

24 more citing papers are in PubMed but not listed here.

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

7 authors.

Brett K Beaulieu-JonesDepartment of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-6700-1468
Samuel G FinlaysonDepartment of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, USA.
William YuanDepartment of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, USA.
Russ B AltmanDepartments of Bioengineering, Genetics, Medicine, and Biomedical Data Science, Stanford University, Stanford, California, USA.ORCID 0000-0003-3859-2905
Isaac S KohaneDepartment of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, USA.
Vinay PrasadDivision of Hematology Oncology, Department of Public Health and Preventive Medicine, Center for Health Care Ethics, Knight Cancer Institute, Oregon Health & Science University, Portland, Oregon, USA.
Kun-Hsing YuDepartment of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-9892-8218

Funding

Medical Scientist Training ProgramT32GM007753 · NIGMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WALENSKY, LOREN DAVID · 1985 to 2021
$50.0M
RESEARCH TRAINING-MEDICAL INFORMATICS 90T15LM007092 · NLM · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Nils Gehlenborg · 1992 to 2026
$32.8M
NIGMS NIH HHS T32 GM007753NLM NIH HHS T15 LM007092
6 · The paper itself

Abstract

The 21st Century Cures Act passed by the United States Congress mandates the US Food and Drug Administration to develop guidance to evaluate the use of real-world evidence (RWE) to support the regulatory process. RWE has generated important medical discoveries, especially in areas where traditional clinical trials would be unethical or infeasible. However, RWE suffers from several issues that hinder its ability to provide proof of treatment efficacy at a level comparable to randomized controlled trials. In this review article, we summarized the advantages and limitations of RWE, identified the key opportunities for RWE, and pointed the way forward to maximize the potential of RWE for regulatory purposes.

Indexed as

Clinical Trials as TopicDecision MakingEvidence-Based MedicineHumansUnited StatesUnited States Food and Drug Administration

Identifiers

PMID31562770
PMCPMC7093234

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.