日本临床数据管理:过去、现在和未来

Takuhiro Yamaguchi, T. Miyaji, H. Suganami, H. Ohtsu, Y. Ohashi
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引用次数: 1

摘要

在过去的10年里,日本的临床试验设计和分析得到了改善,这是由于对临床试验研究人员的作用的理解增加,并承认生物统计学家的贡献。然而,在此期间,研究主要集中在临床数据管理(CDM)和试验的技术方面(例如,数据收集和输入,检查),不同地点之间存在许多差异。对于学术界的临床试验,虽然电子数据采集(EDC)的引入已经开始,但使用纸质病例报告表格收集数据仍然是主流。清洁发展机制的目的是确保将数据的质量维持在适当的水平,以便进行公平的科学评价,这一点在许多教育活动中没有得到承认。有一种印象是,清洁发展机制的作用被低估了,因为它没有被充分定位为进行临床试验的“专业”。综上所述,1)对清洁发展机制的重要性认识不足;2)清洁发展机制的教育体系不到位;3)没有进行系统的清洁发展机制研究。今天,随着电子技术的广泛使用,例如电子数据中心和电子患者报告结果,以及质量管理和基于风险的方法的引入,数据管理人员有更多机会访问实时数据。因此,数据管理人员的工作变得多样化,角色的范围也扩大了。最近,我们的目标是建立临床数据管理协会(SCDM)日本分会,以1)在日本传播SCDM的活动,2)在日本CDM中推广认证临床数据管理人员(CCDM)的价值,3)通过SCDM日本地区办事处加强CDM网络,4)通过SCDM教材(如良好临床数据管理实践(GCDMP))向日本CDM提供全面的CDM教育计划。SCDM日本于2019年2月正式获得批准,SCDM网站(https://scdm.org/japan/)的日语页面于2020年8月投入使用。来自学术界、工业界和监管事务的16名指导委员会成员管理SCDM日本。我们下设GCDMP、认证委员会、会员委员会、出版委员会、教育委员会、在线课程委员会五个分会。活动介绍在SCDM日本网站上。在这篇特别的文章中,我们总结了CDMin日本的简史。在这里,我们展示了制药公司而不是学术界为临床试验奠定基础的特殊情况。我们已经解释了临床数据管理人员在学术研究组织、制药公司和接触研究组织中的角色差异。介绍了日本CDM的现状和问题,包括CDM专业人员的培训、教育和职业道路。最后,我们对日本清洁发展机制的未来表示期待。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Data Management in Japan: Past, Present, and the Future
Inthe past 10 years in Japan, clinical trial design and analysis have improved owingto the increased understanding of the role ofresearchers inclinical trials and acknowledging thecontribution of biostatisticians. However, during this time, studies havemainly focused on clinical data management (CDM) and the technicalaspects of trials (e.g., data collection and entry, check), and many differences existamong sites. For clinical trials within academia, although the introduction ofElectronic Data Capture (EDC) had begun, data collection using paper casereport forms was still the mainstream. The aimof CDM was to ensure maintainingthe quality of data at an appropriate level to allow for fair scientificevaluation, and this was not recognized in many educational activities. Therewas an impression that the role of CDM was underestimated because it was notsufficiently positioned as a “profession” in conducting clinical trials. Tosummarize, 1) there was little awareness on the importance of CDM, 2) theeducation system for CDM was not in place, and 3) systematic CDM research wasconducted. Today, with the widespread use of electronic technologies, such asEDC and electronic Patient Reported Outcome, and the introduction of qualitymanagement and risk-based approach, data managers have more opportunities toaccess real-time data. As such, the work ofdata managers has diversified and the range of roles has expanded. Recently, we aimed to establish the Society of Clinical Data Management (SCDM)Japanese Branch to 1) disseminate the activities of SCDM inJapan, 2) promote the value of certified clinical data manager (CCDM) amongJapanese CDM, 3) strengthen the CDMnetwork through the SCDM Japanese regional office, and 4) provide acomprehensive educational program on CDM through SCDM educational material suchas Good Clinical Data Management Practice (GCDMP) to CDM in Japan. SCDM Japan wasofficially approved in February 2019 and the Japanese page of the SCDM website (https://scdm.org/japan/) wasfunctional in August 2020. Sixteen steering committee members from academia,industry, and regulatory affairs manage SCDM Japan. We have five sub-committees,namely, GCDMP, Certification (CCDM), Membership, Publication, Education, andOnline Course Committee. Activities are introduced on the SCDM Japan website. In this specialarticle, we summarize the brief history of CDMin Japan. Here, we have presented special circumstances in which pharmaceuticalcompanies, and not academia, have laid the foundation for clinical trials. We haveexplained the differences in the role of clinical datamanagers in academic research organizations, pharmaceutical companies, and Contact research organizations. The currentstatus and issues of CDM in Japan are introduced, including training, education,and career paths for CDM professionals. Lastly, we express our expectations forthe future of CDM in Japan.
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