The Oncology QCARD Initiative: Fostering efficient evaluation of initial real-world data proposals.

IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pharmacoepidemiology and Drug Safety Pub Date : 2024-11-01 DOI:10.1002/pds.5818
Donna R Rivera, Joy C Eckert, Carla Rodriguez-Watson, Catherine C Lerro, Monica M Bertagnolli, Rebecca A Hubbard, Lawrence H Kushi, Jennifer L Lund, Deborah Schrag, Shirley V Wang, William A Wood, Jennifer J Lee, Cristeen Okafor, Kanwal Ghauri, Susan C Winckler, Paul G Kluetz
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Abstract

Purpose: The oncology quality, characterization, and assessment of real-world data (Oncology QCARD) Initiative was formed to develop a set of minimum study design and data elements needed to evaluate the fitness of the real-world data (RWD) source(s) proposed in an initial study concept as part of early interaction with scientific reviewers.

Methods: A multidisciplinary executive committee (EC) was established to guide the Oncology QCARD Initiative. The EC conducted a landscape review of published literature, guidances, and guidelines to evaluate relevant dimensions of data quality measurement. Guided by the review and informed by expert feedback, the Oncology QCARD Initial Protocol Characterization (IPC) provides a summary of minimum elements needed to adequately describe an initial clinical study concept that involves RWD and is intended to support decision-making.

Results: Fit-for-use data and fit-for-purpose design emerged as themes from the landscape analysis. Data that are fit-for-use are both relevant (sufficiently capturing exposure, outcomes, and covariates) and reliable (understanding data accrual and quality control and whether the data represent the underlying concepts they are intended to represent) to answer a specific research question. A fit-for-purpose design takes appropriate steps to ensure internal and external validity and allows for transparency in reporting. The QCARD-IPC focuses on high-level characteristics of RWD sources and study design domains including data temporality, population, medical product exposure, comparators, and covariates, endpoints, statistical analysis, and data quality assurance plans.

Conclusions: Evaluation of studies including RWD requires understanding the data source, study design, and potential biases to preliminarily evaluate whether selected RWD are fit-for-use for the research question. The Oncology QCARD-IPC provides a structured, transparent approach to facilitate early review and enhanced communication between study sponsors and scientific reviewers of initial study proposals including RWD.

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肿瘤学 QCARD 计划:促进对初始真实世界数据提案的高效评估。
目的:肿瘤学真实世界数据的质量、特征描述和评估(Oncology QCARD)倡议旨在制定一套最低限度的研究设计和数据要素,用于评估初始研究概念中提出的真实世界数据(RWD)来源的适宜性,作为与科学评审员早期互动的一部分:方法:成立了一个多学科执行委员会(EC)来指导肿瘤学 QCARD 计划。执委会对已发表的文献、指南和指导方针进行了全面审查,以评估数据质量测量的相关方面。在回顾和专家反馈意见的指导下,肿瘤学 QCARD 初始方案特征描述 (IPC) 概述了充分描述涉及 RWD 的初始临床研究概念所需的最低要素,旨在为决策提供支持:结果:适合使用的数据和适合目的的设计成为前景分析的主题。适合使用的数据既相关(充分捕捉暴露、结果和协变量)又可靠(了解数据应计和质量控制,以及数据是否代表了其所要代表的基本概念),能够回答特定的研究问题。符合目的的设计会采取适当的措施来确保内部和外部的有效性,并使报告具有透明度。QCARD-IPC关注RWD来源和研究设计领域的高层次特征,包括数据的时间性、人群、医疗产品暴露、比较者和协变量、终点、统计分析和数据质量保证计划:评估包括RWD在内的研究需要了解数据来源、研究设计和潜在偏差,以初步评估所选RWD是否适合用于研究问题。肿瘤学 QCARD-IPC 提供了一种结构化、透明的方法,便于研究申办者和科学评审员对包括 RWD 的初步研究提案进行早期评审并加强沟通。
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来源期刊
CiteScore
4.80
自引率
7.70%
发文量
173
审稿时长
3 months
期刊介绍: The aim of Pharmacoepidemiology and Drug Safety is to provide an international forum for the communication and evaluation of data, methods and opinion in the discipline of pharmacoepidemiology. The Journal publishes peer-reviewed reports of original research, invited reviews and a variety of guest editorials and commentaries embracing scientific, medical, statistical, legal and economic aspects of pharmacoepidemiology and post-marketing surveillance of drug safety. Appropriate material in these categories may also be considered for publication as a Brief Report. Particular areas of interest include: design, analysis, results, and interpretation of studies looking at the benefit or safety of specific pharmaceuticals, biologics, or medical devices, including studies in pharmacovigilance, postmarketing surveillance, pharmacoeconomics, patient safety, molecular pharmacoepidemiology, or any other study within the broad field of pharmacoepidemiology; comparative effectiveness research relating to pharmaceuticals, biologics, and medical devices. Comparative effectiveness research is the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition, as these methods are truly used in the real world; methodologic contributions of relevance to pharmacoepidemiology, whether original contributions, reviews of existing methods, or tutorials for how to apply the methods of pharmacoepidemiology; assessments of harm versus benefit in drug therapy; patterns of drug utilization; relationships between pharmacoepidemiology and the formulation and interpretation of regulatory guidelines; evaluations of risk management plans and programmes relating to pharmaceuticals, biologics and medical devices.
期刊最新文献
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