Optimising medication data collection in a large-scale clinical trial

© 2019 Lockery et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Objective: Pharmaceuticals play an imp...

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Main Authors: Lockery, J.E., Rigby, J., Collyer, T.A., Stewart, A.C., Woods, R.L., McNeil, J.J., Reid, Christopher, Ernst, M.E.
Format: Journal Article
Language:English
Published: PUBLIC LIBRARY SCIENCE 2019
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/80054
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author Lockery, J.E.
Rigby, J.
Collyer, T.A.
Stewart, A.C.
Woods, R.L.
McNeil, J.J.
Reid, Christopher
Ernst, M.E.
author_facet Lockery, J.E.
Rigby, J.
Collyer, T.A.
Stewart, A.C.
Woods, R.L.
McNeil, J.J.
Reid, Christopher
Ernst, M.E.
author_sort Lockery, J.E.
building Curtin Institutional Repository
collection Online Access
description © 2019 Lockery et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Objective: Pharmaceuticals play an important role in clinical care. However, in community-based research, medication data are commonly collected as unstructured free-text, which is prohibitively expensive to code for large-scale studies. The ASPirin in Reducing Events in the Elderly (ASPREE) study developed a two-pronged framework to collect structured medication data for 19,114 individuals. ASPREE provides an opportunity to determine whether medication data can be cost-effectively collected and coded, en masse from the community using this framework. Methods: The ASPREE framework of type-to-search box with automated coding and linked free text entry was compared to traditional method of free-text only collection and post hoc coding. Reported medications were classified according to their method of collection and analysed by Anatomical Therapeutic Chemical (ATC) group. Relative cost of collecting medications was determined by calculating the time required for database set up and medication coding. Results Overall, 122,910 participant structured medication reports were entered using the type-tosearch box and 5,983 were entered as free-text. Free-text data contributed 211 unique medications not present in the type-to-search box. Spelling errors and unnecessary provision of additional information were among the top reasons why medications were reported as freetext. The cost per medication using the ASPREE method was approximately USD $0.03 compared with USD $0.20 per medication for the traditional method. Conclusion Implementation of this two-pronged framework is a cost-effective alternative to free-text only data collection in community-based research. Higher initial set-up costs of this combined method are justified by long term cost effectiveness and the scientific potential for analysis and discovery gained through collection of detailed, structured medication data.
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spelling curtin-20.500.11937-800542021-01-05T08:07:08Z Optimising medication data collection in a large-scale clinical trial Lockery, J.E. Rigby, J. Collyer, T.A. Stewart, A.C. Woods, R.L. McNeil, J.J. Reid, Christopher Ernst, M.E. Science & Technology Multidisciplinary Sciences Science & Technology - Other Topics REDUCING EVENTS POLYPHARMACY TRANSITION ASPIRIN ASPREE © 2019 Lockery et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Objective: Pharmaceuticals play an important role in clinical care. However, in community-based research, medication data are commonly collected as unstructured free-text, which is prohibitively expensive to code for large-scale studies. The ASPirin in Reducing Events in the Elderly (ASPREE) study developed a two-pronged framework to collect structured medication data for 19,114 individuals. ASPREE provides an opportunity to determine whether medication data can be cost-effectively collected and coded, en masse from the community using this framework. Methods: The ASPREE framework of type-to-search box with automated coding and linked free text entry was compared to traditional method of free-text only collection and post hoc coding. Reported medications were classified according to their method of collection and analysed by Anatomical Therapeutic Chemical (ATC) group. Relative cost of collecting medications was determined by calculating the time required for database set up and medication coding. Results Overall, 122,910 participant structured medication reports were entered using the type-tosearch box and 5,983 were entered as free-text. Free-text data contributed 211 unique medications not present in the type-to-search box. Spelling errors and unnecessary provision of additional information were among the top reasons why medications were reported as freetext. The cost per medication using the ASPREE method was approximately USD $0.03 compared with USD $0.20 per medication for the traditional method. Conclusion Implementation of this two-pronged framework is a cost-effective alternative to free-text only data collection in community-based research. Higher initial set-up costs of this combined method are justified by long term cost effectiveness and the scientific potential for analysis and discovery gained through collection of detailed, structured medication data. 2019 Journal Article http://hdl.handle.net/20.500.11937/80054 10.1371/journal.pone.0226868 English http://creativecommons.org/licenses/by/4.0/ PUBLIC LIBRARY SCIENCE fulltext
spellingShingle Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
REDUCING EVENTS
POLYPHARMACY
TRANSITION
ASPIRIN
ASPREE
Lockery, J.E.
Rigby, J.
Collyer, T.A.
Stewart, A.C.
Woods, R.L.
McNeil, J.J.
Reid, Christopher
Ernst, M.E.
Optimising medication data collection in a large-scale clinical trial
title Optimising medication data collection in a large-scale clinical trial
title_full Optimising medication data collection in a large-scale clinical trial
title_fullStr Optimising medication data collection in a large-scale clinical trial
title_full_unstemmed Optimising medication data collection in a large-scale clinical trial
title_short Optimising medication data collection in a large-scale clinical trial
title_sort optimising medication data collection in a large-scale clinical trial
topic Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
REDUCING EVENTS
POLYPHARMACY
TRANSITION
ASPIRIN
ASPREE
url http://hdl.handle.net/20.500.11937/80054