Key result
Real-world data from healthcare utilization and medical record databases provide essential evidence for comparative effectiveness research and healthcare decision-making, complementing clinical trials.
Why the study?
Experimental evaluations rarely reflect clinical practice, creating a need to understand how growing volumes of electronic healthcare data can provide real-world evidence to support and monitor healthcare decisions.
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Design
Review
Supports cautious integration of real-world data into decisions; extends trial evidence while leaving standardization open.
Healthcare decision-makers are increasingly developing policies that seek information on “real-world” data providing “evidence” to support and monitor changes in clinical practice or policy decisions. Many strategies may be evaluated in experimental circumstances, but this does rarely reflect clinical practice. Due to the current focus on information and computer technology to provide safer and more efficient healthcare delivery, the amount of electronic medical records and other electronic healthcare data is increasing exponentially, and these real-world data can be used for evidence generation. This review describes why and how healthcare/policy decision making could benefit from real-world data, it introduces methods to investigate real-world clinical practice, lists potentialities of routinely collected real-world data, reviews their availability in the word, and outlines future challenges in this field.
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Romio et al. (2022) reported a review. Real-world data from healthcare utilization and medical record databases provide essential evidence for comparative effectiveness research and healthcare decision-making, complementing clinical trials.
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