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Trusted Data Spaces as a Viable and Sustainable Solution for Networks of Population-Based Patient Registries

Harmonization and integration of health data remain as the focus of many ongoing efforts toward the goal of optimizing health and health care policies. Population-based patient registries constitute a critical element of these endeavors. Although their main function is monitoring and surveillance of...

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Detalles Bibliográficos
Autores principales: Nicholson, Nicholas, Caldeira, Sandra, Furtado, Artur, Nicholl, Ciaran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9883740/
https://www.ncbi.nlm.nih.gov/pubmed/36637894
http://dx.doi.org/10.2196/34123
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author Nicholson, Nicholas
Caldeira, Sandra
Furtado, Artur
Nicholl, Ciaran
author_facet Nicholson, Nicholas
Caldeira, Sandra
Furtado, Artur
Nicholl, Ciaran
author_sort Nicholson, Nicholas
collection PubMed
description Harmonization and integration of health data remain as the focus of many ongoing efforts toward the goal of optimizing health and health care policies. Population-based patient registries constitute a critical element of these endeavors. Although their main function is monitoring and surveillance of a particular disease within a given population, they are also an important data source for epidemiology. Comparing indicators across national boundaries brings an extra dimension to the use of registry data, especially in regions where supranational initiatives are or could be coordinated to leverage good practices; this is particularly relevant for the European Union. However, strict data protection laws can unintentionally hamper the efforts of data harmonization to ensure the removal of statistical bias in the individual data sets, thereby compromising the integrated value of registries’ data. Consequently, there is the motivation for creating a new paradigm to ensure that registries can operate in an environment that is not unnecessarily restrictive and to allow accurate comparison of data to better ascertain the measures and practices that are most conducive to the public health of societies. The pan-European organizational model of cancer registries, owing to its long and successful establishment, was considered as a sound basis from which to proceed toward such a paradigm. However, it has certain drawbacks, particularly regarding governance, scalability, and resourcing, which are essential elements to consider for a generic patient registry model. These issues are addressed in a proposal of an adapted model that promises a valuable pan-European data resource for epidemiological research, while providing a closely regulated environment for the processing of pseudonymized patient summary data on a broader scale than has hitherto been possible.
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spelling pubmed-98837402023-01-29 Trusted Data Spaces as a Viable and Sustainable Solution for Networks of Population-Based Patient Registries Nicholson, Nicholas Caldeira, Sandra Furtado, Artur Nicholl, Ciaran JMIR Public Health Surveill Viewpoint Harmonization and integration of health data remain as the focus of many ongoing efforts toward the goal of optimizing health and health care policies. Population-based patient registries constitute a critical element of these endeavors. Although their main function is monitoring and surveillance of a particular disease within a given population, they are also an important data source for epidemiology. Comparing indicators across national boundaries brings an extra dimension to the use of registry data, especially in regions where supranational initiatives are or could be coordinated to leverage good practices; this is particularly relevant for the European Union. However, strict data protection laws can unintentionally hamper the efforts of data harmonization to ensure the removal of statistical bias in the individual data sets, thereby compromising the integrated value of registries’ data. Consequently, there is the motivation for creating a new paradigm to ensure that registries can operate in an environment that is not unnecessarily restrictive and to allow accurate comparison of data to better ascertain the measures and practices that are most conducive to the public health of societies. The pan-European organizational model of cancer registries, owing to its long and successful establishment, was considered as a sound basis from which to proceed toward such a paradigm. However, it has certain drawbacks, particularly regarding governance, scalability, and resourcing, which are essential elements to consider for a generic patient registry model. These issues are addressed in a proposal of an adapted model that promises a valuable pan-European data resource for epidemiological research, while providing a closely regulated environment for the processing of pseudonymized patient summary data on a broader scale than has hitherto been possible. JMIR Publications 2023-01-13 /pmc/articles/PMC9883740/ /pubmed/36637894 http://dx.doi.org/10.2196/34123 Text en ©Nicholas Nicholson, Sandra Caldeira, Artur Furtado, Ciaran Nicholl. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org), 13.01.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Public Health and Surveillance, is properly cited. The complete bibliographic information, a link to the original publication on https://publichealth.jmir.org, as well as this copyright and license information must be included.
spellingShingle Viewpoint
Nicholson, Nicholas
Caldeira, Sandra
Furtado, Artur
Nicholl, Ciaran
Trusted Data Spaces as a Viable and Sustainable Solution for Networks of Population-Based Patient Registries
title Trusted Data Spaces as a Viable and Sustainable Solution for Networks of Population-Based Patient Registries
title_full Trusted Data Spaces as a Viable and Sustainable Solution for Networks of Population-Based Patient Registries
title_fullStr Trusted Data Spaces as a Viable and Sustainable Solution for Networks of Population-Based Patient Registries
title_full_unstemmed Trusted Data Spaces as a Viable and Sustainable Solution for Networks of Population-Based Patient Registries
title_short Trusted Data Spaces as a Viable and Sustainable Solution for Networks of Population-Based Patient Registries
title_sort trusted data spaces as a viable and sustainable solution for networks of population-based patient registries
topic Viewpoint
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9883740/
https://www.ncbi.nlm.nih.gov/pubmed/36637894
http://dx.doi.org/10.2196/34123
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