Evidence map›Paper›PMID 35213741›Full record

ReviewClinical pharmacology and therapeutics2022

The Current Landscape and Emerging Applications for Real-World Data in Diagnostics and Clinical Decision Support and its Impact on Regulatory Decision Making.

Elodie Baumfeld Andre, Nate Carrington, Flora S Siami, Jo Carol Hiatt, Carly McWilliams, Carolyn Hiller, Andy Surinach, Alejandro Zamorano, Chris L Pashos, Wade L Schulz

Open access · greenAbstract readReview
In one paragraph

Review in Clinical pharmacology and therapeutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  16. [Ontologies Applied in Clinical Decision Support Systems for Diabetes].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023
    Review
  17. Review
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 5 institutions in 4 countries.

Elodie Baumfeld AndreRoche Diagnostics, Santa Clara, California, USA.
Nate CarringtonRoche Diagnostics, Indianapolis, Indiana, USA.
Flora S SiamiMedical Device Innovation Consortium, Arlington, Virginia, USA.
Jo Carol HiattMedical Device Innovation Consortium, Arlington, Virginia, USA.
Carly McWilliamsRoche Diagnostics, Washington, DC, USA.
Carolyn HillerMedical Device Innovation Consortium, Arlington, Virginia, USA.
Andy SurinachGenesis Research, Hoboken, New Jersey, USA.
Alejandro ZamoranoDatavant, San Francisco, California, USA.
Chris L PashosGenesis Research, Hoboken, New Jersey, USA.
Wade L SchulzYale School of Medicine, New Haven, Connecticut, USA.
The Medical Device (United Kingdom) · GBRoche (United States) · USCS Diagnostics · DEDATADVANCE (France) · FRYale 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
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Real-world data (RWD) and real-world evidence (RWE) are becoming essential tools for informing regulatory decision making in health care and offer an opportunity for all stakeholders in the healthcare ecosystem to evaluate medical products throughout their lifecycle. Although considerable interest has been given to regulatory decisions supported by RWE for treatment authorization, especially in rare diseases, less attention has been given to RWD/RWE related to in vitro diagnostic (IVD) products and clinical decision support systems (CDSS). This review examines current regulatory practices in relation to IVD product development and discusses the use of CDSS in assisting clinicians to retrieve, filter, and analyze patient data in support of complex decisions regarding diagnosis and treatment. The review then explores how utilizing RWD could augment regulatory body understanding of test performance, clinical outcomes, and benefit-risk profiles, and how RWD could be leveraged to augment CDSS and improve safety, quality, and efficiency of healthcare practices. Whereas we present examples of RWD assisting in the regulation of IVDs and CDSS, we also highlight key challenges within the current healthcare system which are impeding the potential of RWE to be fully realized. These challenges include issues such as data availability, reliability, accessibility, harmonization, and interoperability, often for reasons specific to diagnostics. Finally, we review ways that these challenges are actively being addressed and discuss how private-public collaborations and the implementation of standardized language and protocols are working toward producing more robust RWD and RWE to support regulatory decision making.

Indexed as

Decision Support Systems, ClinicalDecision MakingEcosystemHumansRare DiseasesReproducibility of Results

Identifiers

PMID35213741
PMCPMC9790425
OpenAlexW4214565223

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.