Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

EHR-based cohort assessment for multicenter RCTs: a fast and flexible model for identifying potential study sites

Sarah J. Nelson, Bethany Drury, Daniel Hood, Jeremy Harper, Tiffany Bernard, Chunhua Weng, Nan Kennedy, Bernie LaSalle, Ramkiran Gouripeddi, Consuelo H. Wilkins, Paul A. Harris

Journal of the American Medical Informatics Association · 2021

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Summary

This paper describes the development and validation of a service line by the Recruitment Innovation Center to streamline the identification of suitable sites for multicenter clinical trials using electronic health records. Working with CTSA hubs nationwide, the RIC created a standardised, low-burden process involving computable phenotype algorithms to estimate study population availability across institutions. The resulting model demonstrated efficiency and reproducibility, with potential for replication across other research networks.

UK applicability

The methodology may be adaptable to NHS settings where EHR systems are increasingly standardised, though the approach would require alignment with UK data governance frameworks and NHS institutional structures rather than the US CTSA network model.

Key measures

Number of phenotype-dependent cohort requests processed (36), response rate to requests (73%), feasibility and efficiency of the EHR cohort assessment process

Outcomes reported

The study reported the development and field-testing of a service line to retrieve study population estimates from electronic health record (EHR) systems for identifying suitable enrollment sites in multicenter clinical trials. The RIC processed 36 phenotype-dependent cohort requests between 2017 and 2020, achieving an average response rate of 73% across CTSA hubs.

Theme
Measurement & metrics
Subject
Measurement methods & nutrient profiling
Study type
Research
Study design
Service development and field test
Source type
Peer-reviewed study
Status
Published
Geography
United States
System type
Human clinical
DOI
10.1093/jamia/ocab265
Catalogue ID
BFmoso8xrl-1ouoep

Topic tags

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