Using Routine Data to Complement and Enhance the Results of Randomised Controlled Trials

Lewsey, James; Murray, Gordon; Leyland, Alastair H.; Boddy, F A

doi:10.4135/9781848608344.n9

Cited by 31 publications

(43 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This may also explain the effect of specialty on confidence score. This reference to complexity of coding is consistent with Lawrence and Murray's findings [16], and also supports the views of Cundy and Dear [19] and Warner [26], that involvement of clinicians in the clinical coding process is required to obtain a greater depth of coding. Increased involvement in coding may be achieved via direct links with a clinical coder or through regular validation of lists.…”

Section: Discussionsupporting

confidence: 79%

“…Two separate health technology assessments (HTAs) [26,27] [22]. Lawrence and Murray identified specific issues related to the complexity and consistency of coding [19] and Gray et al [28] conducted an audit of coding practice in relation to diabetes across 17 General Practitioner (family doctor) practices, again identifying inconsistencies in practice.…”

Section: Factors Associated With Confidence In Informationmentioning

confidence: 99%

See 1 more Smart Citation

An examination of the levels of confidence that consultants have in routinely collected clinical information

Brook

Bath

2006

Health Informatics J

View full text Add to dashboard Cite

Anecdotal evidence suggests that consultants have a low level of confidence in routinely collected clinical data. However, there is little existing research evidence to support or refute these anecdotes. The main aim of this study was to assess the actual levels of confidence experienced by consultants in relation to clinical information and to gain a deeper understanding of what factors affect levels of confidence and why. A questionnaire was devised incorporating a scale to measure levels of confidence. This was disseminated to 506 consultants and achieved a 57% response rate. The confidence scale showed a good level of internal reliability (Cronbach's a > 0.7) and the influential factors were modelled using multi-linear regression. Consultant specialty, increased involvement in clinical coding and participation in service planning/monitoring all had a significant effect on confidence levels. A small number of semi-structured interviews were conducted to provide greater insight into why these were influential. Whilst, these findings confirm there is scope to increase levels of confidence, the mean score was approximately 50% of the maximum achievable indicating neither a high nor low level of confidence. The results demonstrated that many factors are involved in determining levels of confidence and improving consultants' confidence in information is complex and requires a partnership approach.

show abstract

Section: Discussionsupporting

confidence: 79%

Section: Factors Associated With Confidence In Informationmentioning

confidence: 99%

An examination of the levels of confidence that consultants have in routinely collected clinical information

Brook

Bath

2006

Health Informatics J

View full text Add to dashboard Cite

show abstract

“…Recently, they have been used to produce performance and clinical indicators 2,3 . They could also be used for clinical audit 4 and health-technology assessment via randomised trials 5,6 . In the future, they may also be used to inform consultant appraisal and underpin the new consultant contract 7 .…”

mentioning

confidence: 99%

Hospital episode statistics: time for clinicians to get involved?

Williams

Mann

2002

Clinical Medicine

View full text Add to dashboard Cite

The validity of hospital episode statistics was questioned by Körner in 1982. Recent publications have shown that problems persist in England and Wales, and that the quality of the data is inadequate for the task. The lack of involvement of clinicians in the process of data collection and validation is no longer acceptable. To rectify the situation there should be a change of process and culture, supported by education and investment. NHS data definitions of terms such as 'spells' , 'episodes' and 'diagnoses' need to be reviewed. The development of separate data processes to monitor national service frameworks is regrettable.

show abstract

“…23 Contemporary statistical theory 7,24 suggests more informed decisions might be reached by attempting to incorporate prior information with the results of the most recent randomized clinical trial. This is hazardous terrain, and to avoid erroneous conclusions, careful attention must be paid to study populations, treatments received, and outcome measures.…”

Section: Discussionmentioning

confidence: 99%

Medical Decision Making with Incomplete Evidence—Choosing a Platelet Glycoprotein IIbIIIa Receptor Inhibitor for Percutaneous Coronary Interventions

Brophy

Joseph

2005

Med Decis Making

View full text Add to dashboard Cite

show abstract

Using Routine Data to Complement and Enhance the Results of Randomised Controlled Trials

Cited by 31 publications

References 0 publications

An examination of the levels of confidence that consultants have in routinely collected clinical information

An examination of the levels of confidence that consultants have in routinely collected clinical information

Hospital episode statistics: time for clinicians to get involved?

Medical Decision Making with Incomplete Evidence—Choosing a Platelet Glycoprotein IIbIIIa Receptor Inhibitor for Percutaneous Coronary Interventions

Contact Info

Product

Resources

About