Registry Based Medical Research: Data Dredging or Value Building to Quality of Care?

Registry Based Medical Research: Data Dredging or Value Building to Quality of Care? Ann Thorac Surg. 2019 Feb 08;: Authors: Mulder DS, Spicer J Abstract Registry based medical research is an important tool in assessing health care interventions in the general population. They are observational studies used to establish effectiveness while randomized clinical trials assess efficacy in an experimental manner targeting a carefully selected population of patients. A medical registry may be office or hospital based, state/provincial, national or more recently global in nature. The role in post-marketing pharmaco-surveillance is effective in detecting early adverse events and long-term benefits. Surgical disciplines use registry data to discover early device or prosthesis failures. Payers/administrators depend on medical registries to measure cost effectiveness (value). Patients are the ultimate beneficiary in terms of quality care. Current medical registries benefit from the explosion in medical informatics. The growth in the electronic health record for individual patients and hospitals provides an on-line wealth of data. The pharmaceutical industry has accurate cost usage data in many jurisdictions. Device manufacturers have upgraded data generated by using unique identifiers and device generated surveillance alerts. Measurement of surgical innovations by registry is a new challenge. Quality data entry will become more user friendly an...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research