Can We Rely on Results From IQVIA Medical Research Data UK Converted to the Observational Medical Outcome Partnership Common Data Model?: A Validation Study Based on Prescribing Codeine in Children

Clin Pharmacol Ther. 2020 Apr;107(4):915-925. doi: 10.1002/cpt.1785. Epub 2020 Mar 2.

Abstract

Exploring and combining results from more than one real-world data (RWD) source might be necessary in order to explore variability and demonstrate generalizability of the results or for regulatory requirements. However, the heterogeneous nature of RWD poses challenges when working with more than one source, some of which can be solved by analyzing databases converted into a common data model (CDM). The main objective of the study was to evaluate the implementation of the Observational Medical Outcome Partnership (OMOP) CDM on IQVIA Medical Research Data (IMRD)-UK data. A drug utilization study describing the prescribing of codeine for pain in children was used as a case study to be replicated in IMRD-UK and its corresponding OMOP CDM transformation. Differences between IMRD-UK source and OMOP CDM were identified and investigated. In IMRD-UK updated to May 2017, results were similar between source and transformed data with few discrepancies. These were the result of different conventions applied during the transformation regarding the date of birth for children younger than 15 years and the start of the observation period, and of a misclassification of two drug treatments. After the initial analysis and feedback provided, a rerun of the analysis in IMRD-UK updated to September 2018 showed almost identical results for all the measures analyzed. For this study, the conversion to OMOP CDM was adequate. Although some decisions and mapping could be improved, these impacted on the absolute results but not on the study inferences. This validation study supports six recommendations for good practice in transforming to CDMs.

Publication types

  • Observational Study
  • Validation Study

MeSH terms

  • Analgesics, Opioid / administration & dosage
  • Analgesics, Opioid / standards*
  • Biomedical Research / standards*
  • Biomedical Research / statistics & numerical data
  • Child
  • Child, Preschool
  • Codeine / standards*
  • Data Management / standards*
  • Data Management / statistics & numerical data
  • Databases, Factual / standards*
  • Databases, Factual / statistics & numerical data
  • Drug Prescriptions / standards*
  • Drug Prescriptions / statistics & numerical data
  • Electronic Health Records / standards
  • Electronic Health Records / statistics & numerical data
  • Female
  • Humans
  • Male
  • Retrospective Studies
  • Treatment Outcome
  • United Kingdom / epidemiology

Substances

  • Analgesics, Opioid
  • Codeine