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Overview: Using clinical data for research Leslie Yuan Clinical and Translational Science Institute (CTSI)

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Page 1: Overview: Using clinical data for research · 11 Clinical Data Colloquium data.ucsf.edu 5/9/17 . I need counts of patients 12 5/9/17 • Counts for a grant, sample size calculation,

Overview: Using clinical data for research Leslie Yuan Clinical and Translational Science Institute (CTSI)

Page 2: Overview: Using clinical data for research · 11 Clinical Data Colloquium data.ucsf.edu 5/9/17 . I need counts of patients 12 5/9/17 • Counts for a grant, sample size calculation,

5/9/17 10

Image: chiefmartec.com

Clinical Data Colloquium data.ucsf.edu

Page 3: Overview: Using clinical data for research · 11 Clinical Data Colloquium data.ucsf.edu 5/9/17 . I need counts of patients 12 5/9/17 • Counts for a grant, sample size calculation,

Five common scenarios

1.  Counts 2.  De-identified data

3.  EHR data, including real dates and zip codes 4.  EHR, including personal identifiers

5.  Recruit

5/9/17 11 Clinical Data Colloquium data.ucsf.edu

Page 4: Overview: Using clinical data for research · 11 Clinical Data Colloquium data.ucsf.edu 5/9/17 . I need counts of patients 12 5/9/17 • Counts for a grant, sample size calculation,

I need counts of patients

5/9/17 12

•  Counts for a grant, sample size calculation, feasibility, hypothesis generation

•  How many patients have been

discharged from the hospital by year with COPD as one of the discharge diagnoses?

Image: readingcraze.com

Clinical Data Colloquium data.ucsf.edu

Page 5: Overview: Using clinical data for research · 11 Clinical Data Colloquium data.ucsf.edu 5/9/17 . I need counts of patients 12 5/9/17 • Counts for a grant, sample size calculation,

I need de-identified data for secondary data analysis

5/9/17 13

I am developing a predictive model to identify patients at high risk for hypoglycemia. I need 20 covariates and outcome data.

Image: ketogenic-diet-resource.com

Clinical Data Colloquium data.ucsf.edu

Page 6: Overview: Using clinical data for research · 11 Clinical Data Colloquium data.ucsf.edu 5/9/17 . I need counts of patients 12 5/9/17 • Counts for a grant, sample size calculation,

I need EHR data, including real dates & zips

5/9/17 14

I am interested in the seasonal impact of the flu and location (rural versus urban environment)

Image: globe-views.com

Clinical Data Colloquium data.ucsf.edu

Page 7: Overview: Using clinical data for research · 11 Clinical Data Colloquium data.ucsf.edu 5/9/17 . I need counts of patients 12 5/9/17 • Counts for a grant, sample size calculation,

I need data from the EHR, including personal identifiers

5/9/17 15

•  I have MRNs and need data for these patients

•  I need ongoing and updated data on consented patients for my study

•  I want to mine “notes” fields from the EHR

Image: physiciansweekly.com

Clinical Data Colloquium data.ucsf.edu

Page 8: Overview: Using clinical data for research · 11 Clinical Data Colloquium data.ucsf.edu 5/9/17 . I need counts of patients 12 5/9/17 • Counts for a grant, sample size calculation,

I want to recruit using data from the EHR

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http://recruit.ucsf.edu

•  CTSI mailing service available

Image: usmailinghouse.com

Clinical Data Colloquium data.ucsf.edu

Page 9: Overview: Using clinical data for research · 11 Clinical Data Colloquium data.ucsf.edu 5/9/17 . I need counts of patients 12 5/9/17 • Counts for a grant, sample size calculation,

Summary

5/9/17 17

Scenario Self-serve (Free)

Consult Required (May have recharge)

IRB needed

Requires MyResearch account or other secure environment

Includes clinical notes

UC Health data available in addition to UCSF data

Counts Yes No No No No Yes

De-ided data Yes No No No No Yes *

Limited data No Yes Yes Yes No Yes *

Id’ed data No Yes Yes Yes Yes Yes *

Recruitment No Yes Yes Yes No Yes *

* Process to obtain data from UC Health sites can be very lengthy

Clinical Data Colloquium data.ucsf.edu

Page 10: Overview: Using clinical data for research · 11 Clinical Data Colloquium data.ucsf.edu 5/9/17 . I need counts of patients 12 5/9/17 • Counts for a grant, sample size calculation,

Have a plan!

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Image: advancedlifeskills.com

Clinical Data Colloquium data.ucsf.edu