Use of electronic healthcare records in large-scale simple randomized trials at the point of care for the documentation of value-based medicine.

Tjeerd Van Staa, T-P van Staa, O Klungel, L Smeeth

    Research output: Contribution to journalArticlepeer-review

    Abstract

    A solid foundation of evidence of the effects of an intervention is a prerequisite of evidence-based medicine. The best source of such evidence is considered to be randomized trials, which are able to avoid confounding. However, they may not always estimate effectiveness in clinical practice. Databases that collate anonymized electronic health records (EHRs) from different clinical centres have been widely used for many years in observational studies. Randomized point-of-care trials have been initiated recently to recruit and follow patients using the data from EHR databases. In this review, we describe how EHR databases can be used for conducting large-scale simple trials and discuss the advantages and disadvantages of their use.
    Original languageEnglish
    Pages (from-to)562-569
    Number of pages7
    JournalJournal of Internal Medicine
    Volume275
    Issue number6
    DOIs
    Publication statusPublished - Jun 2014

    Keywords

    • clinical trials
    • epidemiology

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