Application of data mining to Zheng studies of Chinese medicine based on CER

Yefeng Cai, Yue Zhang, Zhao-hui Liang
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Abstract

Comparative effectiveness research (CER) is a new clinical study model featured by its strategic framework consists of four categories and three themes. The core strategy of CER is to conduct observational longitude research supported by electronic registry and large database based on real world practice. Since CER studies do not uses a classic randomized control trial (RCT) design, the well-developed data analytic methods for RCTs are challenged. The data groups which are not acquired from the same time point, or have significant difference at the baseline are unable to be compared by the classic differential statistical methods, or the outcome will be without robust statistical support. In this paper, we described the characteristics of the Zheng studies of Chinese medicine. Then some data analytic methods based on machine learning are introduced as potential solutions for the data processing in the CER research of Chinese medicine. Finally, a new strategic framework is introduced to establish the CER methodology for Chinese medicine.
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基于CER的数据挖掘在中医郑学研究中的应用
比较疗效研究是一种新的临床研究模式,其战略框架由四大类和三个主题组成。CER的核心策略是在电子注册表和大型数据库的支持下,开展观测经度研究。由于CER研究没有使用经典的随机对照试验(RCT)设计,因此完善的RCT数据分析方法受到了挑战。非同一时间点采集的数据组,或在基线处有显著差异的数据组,无法用经典的差分统计方法进行比较,或者结果将缺乏可靠的统计支持。本文论述了中医正学的特点。在此基础上,介绍了基于机器学习的数据分析方法,为中医CER研究中的数据处理提供了可能的解决方案。最后,介绍了建立中医临床责任评估方法论的新战略框架。
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