Evidence map›Paper›PMID 36393894›Full record

ArticleBMJ surgery, interventions, & health technologies2022

Advancing the Real-World Evidence for Medical Devices through Coordinated Registry Networks.

Art Sedrakyan, Danica Marinac-Dabic, Bruce Campbell, Suvekshya Aryal, Courtney E Baird, Philip Goodney, Jack L Cronenwett, Adam W Beck, Elizabeth W Paxton, Jim Hu and 21 more

Abstract read
In one paragraph

Article in BMJ surgery, interventions, & health technologies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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  5. Monitoring performance and improving outcomes: characteristics and outputs of Australian clinical registries.Health information management : journal of the Health Information Management Association of Australia · 2026
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  20. Development of a coordinated registry network for pelvic organ prolapse technologies.BMJ surgery, interventions, & health technologies · 2022
    Article
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

31 authors.

Art SedrakyanDepartment of Population Health Sciences; Medical Devices Epidemiology Network (MDEpiNet) Coordinating Center, Weill Cornell Medical College, New York, New York, USA.ORCID 0000-0003-3882-9765
Danica Marinac-DabicCenter for Devices and Radiological Health (CDRH), US Food and Drug Administration, Silver Spring, Maryland, USA.
Bruce CampbellVascular Surgery, University of Exeter Medical School, Exter, UK.
Suvekshya AryalDepartment of Population Health Sciences; Medical Devices Epidemiology Network (MDEpiNet) Coordinating Center, Weill Cornell Medical College, New York, New York, USA.
Courtney E BairdHealth Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island, USA.
Philip GoodneyVascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.ORCID 0000-0002-3973-3506
Jack L CronenwettVascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Adam W BeckDivision of Vascular Surgery and Endovascular Therapy, University of Alabama, Birmingham, Alabama, USA.
Elizabeth W PaxtonSurgical Outcomes and Analysis, Kaiser Permanente, Harbor City, California, USA.
Jim HuDepartment of Urology, Weill Cornell Medical College, New York, New York, USA.ORCID 0000-0003-2562-8024
Ralph BrindisPhilip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, California, USA.
Kevin BaskinVascular and Interventional Radiology, Conemaugh Memorial Medical Center, Johnstown, Pennsylvania, USA.
Terrie CowleyThe TMJ Association, Milwaukee, Wisconsin, USA.
Jeffery LevyRobotic Surgery, Institute of Surgical Excellence, Philadelphia, Pennsylvania, USA.
David S LiebeskindDepartment of Neurology, Stroke Center, University of California Los Angeles, Los Angeles, California, USA.
Benjamin K PouloseCenter for Abdominal Core Health, Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Charles R RardinDepartment of Obstetrics and Gyencology, Women and Infants Hospital of Rhode Island, Providence, Rhode Island, USA.
Frederic S ResnicDepartment of Cardiology, Comparative Effective Research Institute, Lahey Hospital and Medical Center, Burlington, Massachusetts, USA.ORCID 0000-0002-4105-4529
James TchengDepartment of Medicine, Division of Cardiology, Duke University, Durham, North Carolina, USA.
Benjamin FisherCenter for Devices and Radiological Health (CDRH), US Food and Drug Administration, Silver Spring, Maryland, USA.
Charles VivianoCenter for Devices and Radiological Health (CDRH), US Food and Drug Administration, Silver Spring, Maryland, USA.
Vincent DevlinCenter for Devices and Radiological Health (CDRH), US Food and Drug Administration, Silver Spring, Maryland, USA.
Murray SheldonCenter for Devices and Radiological Health (CDRH), US Food and Drug Administration, Silver Spring, Maryland, USA.
Jens Eldrup-JorgensenVascular Surgery, Maine Medical Center, Portland, Maine, USA.
Jesse A BerlinGlobal Epidemiology, Johnson and Johnson Limited, New Brunswick, New Jersey, USA.
Joseph DrozdaOutcomes Research, Mercy Health, St. Louis, Missouri, USA.ORCID 0000-0001-9181-8534
Michael E MathenyDepartment of Biomedical Informatics and Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Sanket S DhruvaDepartment of Medicine, University of California San Francisco School of Medicine, San Francisco, California, USA.ORCID 0000-0003-0674-2032
Timothy FeeneyDepartment of Surgery, Boston University, Boston, Massachusetts, USA.
Kristi MitchellHealth Equity Outcomes, Avalere Health, Washington, DC, USA.
Gregory PappasCenter for Biologicals Evaluation and Research (CBER), US Food and Drug Administration, Silver Spring, Maryland, USA.ORCID 0000-0001-9507-0674

Funding

Novel Approaches to Advance Coordinated Registry Networks (CRNs).U01FD006936 · FDA · WEILL MEDICAL COLL OF CORNELL UNIV · PI SEDRAKYAN, ART · 2020 to 2022
$2.1M
FDA HHS U01 FD006936
6 · The paper itself

Abstract

Objectives: Generating and using real-world evidence (RWE) is a pragmatic solution for evaluating health technologies. RWE is recognized by regulators, health technology assessors, clinicians, and manufacturers as a valid source of information to support their decision-making. Well-designed registries can provide RWE and become more powerful when linked with electronic health records and administrative databases in coordinated registry networks (CRNs). Our objective was to create a framework of maturity of CRNs and registries, so guiding their development and the prioritization of funding. Design setting and participants: We invited 52 stakeholders from diverse backgrounds including patient advocacy groups, academic, clinical, industry and regulatory experts to participate on a Delphi survey. Of those invited, 42 participated in the survey to provide feedback on the maturity framework for CRNs and registries. An expert panel reviewed the responses to refine the framework until the target consensus of 80% was reached. Two rounds of the Delphi were distributed via Qualtrics online platform from July to August 2020 and from October to November 2020. Main outcome measures: Consensus on the maturity framework for CRNs and registries consisted of seven domains (unique device identification, efficient data collection, data quality, product life cycle approach, governance and sustainability, quality improvement, and patient-reported outcomes), each presented with five levels of maturity. Results: Of 52 invited experts, 41 (79.9%) responded to round 1; all 41 responded to round 2; and consensus was reached for most domains. The expert panel resolved the disagreements and final consensus estimates ranged from 80.5% to 92.7% for seven domains. Conclusions: We have developed a robust framework to assess the maturity of any CRN (or registry) to provide reliable RWE. This framework will promote harmonization of approaches to RWE generation across different disciplines and health systems. The domains and their levels may evolve over time as new solutions become available.

Indexed as

device safetydevice surveillancehealth care quality, access, and evaluationhealth technologyreal world evidence

Identifiers

PMID36393894
PMCPMC9660584

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.