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Methods, tools and technologies
USA   Trial Bank
A clinical trials informatics infrastructure for evidence-based medicine
keywords Main objective
clinical trials, evidence-based medicine, meta-analysis, electronic publication, heterogeneous databases, decision-support systems, ontologies, design and production of knowledge bases of clinical research, systematic review. Development of an infrastructure to support the registration and publication of randomized trialsas structured knowledge bases (trial banks).
summary

Randomized controlled trials (RCTs) are one of the best sources of evidence for the scientific practice of medicine. However, RCT findings are typically only published as text articles and are neither structured nor represented in a format to make them computer-tractable.

The Trial Bank system captures information about the design, execution, and summary results of RCTs into a structured electronic knowledge base called an RCT Bank.

The RCT Bank data model (RCT Schema) is based on a task analysis of systematic reviewing, which is the canonical method for interpreting RCTs for clinical application.

By capturing all the information needed for rigorous interpretation of a trial's validity and conclusions, RCT Bank serves as a shared machine-understandable repository of RCTs for computer-assisted evidence-based medicine. This new model of clinical research publishing embodies the principle that scientific knowledge should be disseminated in the form that best facilitates its use. In this way, RCT Bank aims to add significant value to electronic science publishing.

Trial Bank web site home page

Current Status

RCTs accepted for publication in JAMA or the Annals of Internal Medicine are now being co-published on RCT Bank. These entries can be browsed on the web at RCT Presenter.

Trials are entered into RCT Bank using Bank-a-Trial, a web-based program for secure trial-bank entry that also helps users code aspects of the trial using terms from the Unified Medical Language System (UMLS).

links

RCT Presenter (demonstrator - on OpenClinical)

references

Sim I, Carini S, Olasov B, Jeng S. Trial bank publishing: phase I results. Medinfo. 2004;11(Pt 2):1476-80.

[PubMed]   []

" BACKGROUND: Randomized clinical trials (RCTs) are an important source of evidence for clinical practice, but finding and applying RCT reports to care is time consuming. Publishing RCTs directly into machine-understandable "trial banks" may allow computers to deliver RCT evidence more selectively and effectively to clinicians. METHODS: Authors of eligible RCTs published in JAMA or the Annals of Internal Medicine between January 2002 and July 2003 were invited to co-publish their trial in RCT Bank, an electronic knowledge base containing details of trial design, execution, and summary results. Trial bank staff used Bank-a-Trial, a web-based trial-bank entry tool, to enter information from the manuscript into RCT Bank, obtaining additional information as necessary from the authors. RESULTS: The author participation rate rose from 38% to 76% after the first co-published trial was available as an example. Seven diverse RCTs are now co-published, with 14 in progress. CONCLUSIONS: We have demonstrated proof of concept for co-publishing RCTs with leading journals into a structured knowledge base. Phase II of trial bank publishing will introduce direct author submission to RCT Bank. "

Sim I, Olasov B, Carini S. The Trial Bank system: capturing randomized trials for evidence-based medicine. AMIA Annu Symp Proc. 2003;:1076.

[PubMed]   []

" Randomized controlled trials (RCTs) are one of the best sources of evidence for the scientific practice of medicine. However, RCT findings are published only as text articles that are of limited machine understandability. The Trial Bank system captures information about the design, execution, and summary results of RCTs into a structured electronic knowledge base called RCT Bank. "

start date end date location support

Ongoing USA/Global National Library of Medicine
contact Website
Ida Sim
University of California San Francisco
http://rctbank.ucsf.edu/
acknowledgements Ida Sim, Simona Carini, University of California San Francisco
Entry in directory: July 27 2003
Last main update: July 27 2003; 07 June 2005

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