荷兰肌营养不良症数据库:具有标准化患者和临床医生真实世界数据报告的国家登记处1。

IF 3.2 4区 医学 Q2 CLINICAL NEUROLOGY
N M van de Velde, Y D Krom, J Bongers, R J A Hoek, N A Ikelaar, M van der Holst, K J Naarding, J C van den Bergen, E Vroom, A Horemans, J G M Hendriksen, I J M de Groot, S L S Houwen-van Opstal, J J G M Verschuuren, H A van Duyvenvoorde, R R Snijder, E H Niks
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引用次数: 0

摘要

背景:杜兴氏和贝克氏肌肉萎缩症缺乏治疗方法。登记册可以促进治疗方法的开发,成为研究流行病学、评估临床试验可行性、确定合格候选者、收集真实世界数据、执行上市后监测以及在(国家间)数据驱动倡议中开展合作的平台:在解决这些问题时,从具有代表性的人群中收集高质量、可互换和可重复使用的数据至关重要。我们介绍了荷兰肌营养不良症数据库(DDD),这是一个针对DMD或BMD患者以及具有致病性DMD变异的女性患者的全国性登记系统,并概述了其设计、管理和使用方法:DDD 的设计基于与系统无关的信息模型,确保数据的互操作性和可重用性符合国际标准。为了最大限度地提高登记率,患者可以在线提供同意书,并允许不同级别的参与,联系方式和临床诊断是最低要求。参与者可以选择接受有关疾病里程碑和药物治疗的年度在线问卷调查,并将在国家参考资料中心就诊时获得的临床数据储存起来。管理包括常务委员会、顾问委员会和数据库管理:2023 年 11 月 1 日,742 名参与者注册。291名杜兴患者、122名贝克患者和38名女性患者提供了自我报告数据。96%访问参考中心的参与者同意存储临床数据。符合条件的患者通过 DDD 了解了临床研究的相关信息,多项数据申请已获批准,可将编码后的临床数据用于质量控制、流行病学和自然史研究:荷兰肌营养不良数据库收集了患者的长期数据和高质量的标准化临床医生报告的医疗保健数据,支持试验准备、上市后监测和有效的数据使用,该数据库采用多中心设计,可扩展到其他神经肌肉疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Dutch Dystrophinopathy Database: A National Registry with Standardized Patient and Clinician Reported Real-World Data.

Background: Duchenne and Becker muscular dystrophy lack curative treatments. Registers can facilitate therapy development, serving as a platform to study epidemiology, assess clinical trial feasibility, identify eligible candidates, collect real-world data, perform post-market surveillance, and collaborate in (inter)national data-driven initiatives.

Objective: In addressing these facets, it's crucial to gather high-quality, interchangeable, and reusable data from a representative population. We introduce the Dutch Dystrophinopathy Database (DDD), a national registry for patients with DMD or BMD, and females with pathogenic DMD variants, outlining its design, governance, and use.

Methods: The design of DDD is based on a system-independent information model that ensures interoperable and reusable data adhering to international standards. To maximize enrollment, patients can provide consent online and participation is allowed on different levels with contact details and clinical diagnosis as minimal requirement. Participants can opt-in for yearly online questionnaires on disease milestones and medication and to have clinical data stored from visits to one of the national reference centers. Governance involves a general board, advisory board and database management.

Results: On November 1, 2023, 742 participants were enrolled. Self-reported data were provided by 291 Duchenne, 122 Becker and 38 female participants. 96% of the participants visiting reference centers consented to store clinical data. Eligible patients were informed about clinical studies through DDD, and multiple data requests have been approved to use coded clinical data for quality control, epidemiology and natural history studies.

Conclusion: The Dutch Dystrophinopathy Database captures long-term patient and high-quality standardized clinician reported healthcare data, supporting trial readiness, post-marketing surveillance, and effective data use using a multicenter design that is scalable to other neuromuscular disorders.

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来源期刊
Journal of neuromuscular diseases
Journal of neuromuscular diseases Medicine-Neurology (clinical)
CiteScore
5.10
自引率
6.10%
发文量
102
期刊介绍: The Journal of Neuromuscular Diseases aims to facilitate progress in understanding the molecular genetics/correlates, pathogenesis, pharmacology, diagnosis and treatment of acquired and genetic neuromuscular diseases (including muscular dystrophy, myasthenia gravis, spinal muscular atrophy, neuropathies, myopathies, myotonias and myositis). The journal publishes research reports, reviews, short communications, letters-to-the-editor, and will consider research that has negative findings. The journal is dedicated to providing an open forum for original research in basic science, translational and clinical research that will improve our fundamental understanding and lead to effective treatments of neuromuscular diseases.
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