中国药房2024,Vol.35Issue(23) :2844-2850.DOI:10.6039/j.issn.1001-0408.2024.23.02

患者体验数据应用于药物真实世界研究的价值、方法与挑战

Value,methods and challenges of applying patient experience data in real-world study of drugs

张乐乐 朱可盈 王端宁 何玉莹 丁佐奇
中国药房2024,Vol.35Issue(23) :2844-2850.DOI:10.6039/j.issn.1001-0408.2024.23.02

患者体验数据应用于药物真实世界研究的价值、方法与挑战

Value,methods and challenges of applying patient experience data in real-world study of drugs

张乐乐 1朱可盈 1王端宁 1何玉莹 1丁佐奇1
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作者信息

  • 1. 中国药科大学国际医药商学院,南京 211198
  • 折叠

摘要

"以患者为中心"的药品监管理念下,在真实世界证据中纳入患者维度的评价愈显重要.患者体验数据可以补充和解释已有数据、生成直接来自患者的证据,实现药物研发中的患者参与.数据类型包括患者报告结局、自由文本类数据等,可通过自主收集或数据库获取.应用场景涉及新药注册、安全性评价、新增适应证等.在我国,将患者体验数据应用于真实世界研究主要面临以下挑战:缺乏收集高质量数据的条件、标准、动力,数据类型单一,数据安全与数据自由难以平衡等.建议我国出台专项指南、建立测量工具认证程序、拓展数据收集途径、探索数据源整合方法、优化知情同意机制、建立证据协同机制,以推动"以患者为中心"理念在药物真实世界研究中的实践应用.

Abstract

Under the "patient-centered" drug regulation concept,the inclusion of patient dimensions in real-world evidence becomes increasingly important. Patient experience data can complement and interpret existing data,generate evidence directly from patients,and achieve patient participation in drug development. Data types include patient-reported outcomes and free-text data,which can be collected autonomously or obtained from databases. Application scenarios involve new drug registration,safety evaluation,and additional indications. In China,applying patient experience data to real-world study mainly faces the following challenges:lack of conditions,standards,and motivation to collect high-quality data,a single type of data,and the difficulty of balancing data security with freedom,etc. It is recommended to issue special guidelines,establish a measurement tool certification process,expand data collection channels,explore data source integration methods,optimize the informed consent mechanism,and establish an evidence synergy mechanism to promote the practical application of the "patient-centered" concept in real-world study of drugs.

关键词

患者体验数据/真实世界研究/监管决策/患者报告结局

Key words

patient experience data/real-world study/regulatory decision-making/patient-reported outcome

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出版年

2024
中国药房
中国医院协会,中国药房杂志社

中国药房

CSTPCD北大核心
影响因子:0.956
ISSN:1001-0408
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