General | 1 |
- (A)
(A). Define the reasons for establishing the register and the major scientific questions - (B)
(B). Consider sample sizes and duration needed to accrue sufficient information to address the main study questions using power calculations
|
Population to be targeted | 2 |
- (A)
(A). Define eligibility criteria for registration - (B)
(B). Consider whether capture is targeting new users or prevalent users - (C)
(C). Define ‘exposed’ population and the intended comparator. Establishment of a register with a comparator is strongly encouraged. Comparison cohort should be as similar as possible to exposed cohort, aside from exposure to drug - (D)
(D). Consider whether targeted patients will be representative of the disease in the general population (external validity) when selecting recruitment centres, and whether treated and comparator subjects should/need come from the same centres
|
Data items to be collected, treatment and the treated condition | 3 |
- (A)
(A). Stipulate a necessary and achievable minimum core set of variables to be collected for all individuals - (B)
(B). Clearly define each variable to minimise false interpretation. Aid data entry by examples, pop-up boxes or other means; provide predefined possible range of answers. Use coded data in favour of free-text strings where possible - (C)
(C). When capturing composite scores (eg, DAS28), collect core components if possible - (D)
(D). Collect start and stop dates of treatments of interest, including categorised reasons for discontinuation - (E)
(E). For treatments given infrequently (eg, infusions), collect the dates of each treatment cycle administration - (F)
(F). Collect dose or other means to discriminate between high and low exposure - (G)
(G). Define and collect core data on comorbidities, other medications and the treated conditions in order to allow for statistical adjustment for channelling bias and for assessments of predictors of risk
|
Data items to be collected, outcomes | 4 | - (A)
(A). Make every effort to collect outcomes in a complete, robust and transparent manner. Consider overlapping sources for information on outcome - (B)
(B). Consider methods to validate outcomes of interest - (C)
(C). Take care to accurately capture dates of events - (D)
(D). Safety outcomes should be considered beyond drug discontinuation and cover any minimum observation time - (E)
(E). Use accepted systems that allow for standardised coding of adverse events - (F)
(F). Ensure data on relevant confounders are captured so that channelling bias and confounding can be estimated (and managed in statistical analyses)
|
Follow-up methods | 5 | - (A)
(A). Methods of follow-up should be as similar as possible between exposed and comparison cohorts, and for all subjects in each cohort - (B)
(B). Use predefined follow-up time points of data collection weighed against practicality - (C)
(C). Consider strategies to minimise losses to follow-up and maximise completeness of the data items to be entered. Consider providing clinical benefits to maximise ongoing participation: clinician-specific or centre-specific audit data, automated transfer of electronic medical data, newsletters, financial reward for contribution
|
Data collection process and data collectors | 6 | - (A)
(A). Define who is to provide and enter data (patient, doctor, health professional, other) - (B)
(B). Define and test how data is to be captured and entered (electronic, paper, other) - (C)
(C). Define methods to assess completeness of patient inclusion (population coverage) - (D)
(D). Define methods, processes and standards of data monitoring (eg, completeness, plausibility, quality assurance at different levels of the research process) - (E)
(E). Define a strategy to allow patients/centres to exit from further registration (NB: losses to follow-up may introduce bias if related to exposure and outcome)
|
Data handling and storage, ethical and legal considerations | 7 | - (A)
(A). Ensure security of patient-identifiable information and compliance with local legislation - (B)
(B). Database architecture needs planning to ensure possibility for output on several levels (patient/site/treatment) - (C)
(C). Provide easy access to clear description of study design, variable definitions and frequently asked questions (FAQs) - (D)
(D). Define a priori the ownership and access of data - (E)
(E). Define the role of any external sponsor including data access, use and presentation - (F)
(F). Define the relationships between researchers and participating physicians - (G)
(G). Consider whether any regulatory requirements need be taken into account
|