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dc.contributor.authorZiemssen, T
dc.contributor.authorHillert, J
dc.contributor.authorButzkueven, H
dc.date.accessioned2021-02-12T00:26:08Z
dc.date.available2021-02-12T00:26:08Z
dc.date.issued2016-05-31
dc.identifierpii: 10.1186/s12916-016-0627-1
dc.identifier.citationZiemssen, T., Hillert, J. & Butzkueven, H. (2016). The importance of collecting structured clinical information on multiple sclerosis. BMC MEDICINE, 14 (1), https://doi.org/10.1186/s12916-016-0627-1.
dc.identifier.issn1741-7015
dc.identifier.urihttp://hdl.handle.net/11343/260599
dc.description.abstractBACKGROUND: Randomized controlled trials (RCTs) are the 'gold standard' in the generation of drug efficacy and safety evidence. However, enrolment criteria, timelines and atypical comparators of RCTs limit their relevance to standard clinical practice. DISCUSSION: Real-world data (RWD) provide longitudinal information on the comparative effectiveness and tolerability of drugs, as well as their impact on resource use, medical costs, and pharmacoeconomic and patient-reported outcomes. This is particularly important in multiple sclerosis (MS), where economic treatment benefits of long-term disability reduction are a cornerstone of payer drug approvals - these are typically not examined in the RCT itself but modelled using real-world datasets. Importantly, surrogate markers used in RCTs to predict the prevention of long-term disability progression can only truly be assessed through RWD methodologies. We discuss the differences between RCTs and RWD studies, describe how RWD complements the evidence base from RCTs in MS, summarize the different methods of RWD collection, and explain the importance of structuring data analysis to avoid bias. Guidance on performing and identifying high-quality real-world evidence studies is also provided.
dc.languageEnglish
dc.publisherBMC
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleThe importance of collecting structured clinical information on multiple sclerosis
dc.typeJournal Article
dc.identifier.doi10.1186/s12916-016-0627-1
melbourne.affiliation.departmentMedicine (RMH)
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.source.titleBMC Medicine
melbourne.source.volume14
melbourne.source.issue1
dc.rights.licenseCC BY
melbourne.elementsid1077683
melbourne.contributor.authorButzkueven, Helmut
dc.identifier.eissn1741-7015
melbourne.accessrightsOpen Access


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