The Prospective Dutch Colorectal Cancer (PLCRC) cohort: real-world data facilitating research and clinical care

Abstract Real-world data (RWD) sources are important to advance clinical oncology research and evaluate treatments in daily practice. Since 2013, the Prospective Dutch Colorectal Cancer (PLCRC) cohort, linked to the Netherlands Cancer Registry, serves as an infrastructure for scientific research col...

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Autores principales: Jeroen W. G. Derksen, Geraldine R. Vink, Marloes A. G. Elferink, Jeanine M. L. Roodhart, Helena M. Verkooijen, Wilhelmina M. U. van Grevenstein, Peter D. Siersema, Anne M. May, Miriam Koopman, The PLCRC Study Group
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/179162c857894da7b1109e3921ce2513
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spelling oai:doaj.org-article:179162c857894da7b1109e3921ce25132021-12-02T14:21:50ZThe Prospective Dutch Colorectal Cancer (PLCRC) cohort: real-world data facilitating research and clinical care10.1038/s41598-020-79890-y2045-2322https://doaj.org/article/179162c857894da7b1109e3921ce25132021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79890-yhttps://doaj.org/toc/2045-2322Abstract Real-world data (RWD) sources are important to advance clinical oncology research and evaluate treatments in daily practice. Since 2013, the Prospective Dutch Colorectal Cancer (PLCRC) cohort, linked to the Netherlands Cancer Registry, serves as an infrastructure for scientific research collecting additional patient-reported outcomes (PRO) and biospecimens. Here we report on cohort developments and investigate to what extent PLCRC reflects the “real-world”. Clinical and demographic characteristics of PLCRC participants were compared with the general Dutch CRC population (n = 74,692, Dutch-ref). To study representativeness, standardized differences between PLCRC and Dutch-ref were calculated, and logistic regression models were evaluated on their ability to distinguish cohort participants from the Dutch-ref (AU-ROC 0.5 = preferred, implying participation independent of patient characteristics). Stratified analyses by stage and time-period (2013–2016 and 2017–Aug 2019) were performed to study the evolution towards RWD. In August 2019, 5744 patients were enrolled. Enrollment increased steeply, from 129 participants (1 hospital) in 2013 to 2136 (50 of 75 Dutch hospitals) in 2018. Low AU-ROC (0.65, 95% CI: 0.64–0.65) indicates limited ability to distinguish cohort participants from the Dutch-ref. Characteristics that remained imbalanced in the period 2017–Aug’19 compared with the Dutch-ref were age (65.0 years in PLCRC, 69.3 in the Dutch-ref) and tumor stage (40% stage-III in PLCRC, 30% in the Dutch-ref). PLCRC approaches to represent the Dutch CRC population and will ultimately meet the current demand for high-quality RWD. Efforts are ongoing to improve multidisciplinary recruitment which will further enhance PLCRC’s representativeness and its contribution to a learning healthcare system.Jeroen W. G. DerksenGeraldine R. VinkMarloes A. G. ElferinkJeanine M. L. RoodhartHelena M. VerkooijenWilhelmina M. U. van GrevensteinPeter D. SiersemaAnne M. MayMiriam KoopmanThe PLCRC Study GroupNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jeroen W. G. Derksen
Geraldine R. Vink
Marloes A. G. Elferink
Jeanine M. L. Roodhart
Helena M. Verkooijen
Wilhelmina M. U. van Grevenstein
Peter D. Siersema
Anne M. May
Miriam Koopman
The PLCRC Study Group
The Prospective Dutch Colorectal Cancer (PLCRC) cohort: real-world data facilitating research and clinical care
description Abstract Real-world data (RWD) sources are important to advance clinical oncology research and evaluate treatments in daily practice. Since 2013, the Prospective Dutch Colorectal Cancer (PLCRC) cohort, linked to the Netherlands Cancer Registry, serves as an infrastructure for scientific research collecting additional patient-reported outcomes (PRO) and biospecimens. Here we report on cohort developments and investigate to what extent PLCRC reflects the “real-world”. Clinical and demographic characteristics of PLCRC participants were compared with the general Dutch CRC population (n = 74,692, Dutch-ref). To study representativeness, standardized differences between PLCRC and Dutch-ref were calculated, and logistic regression models were evaluated on their ability to distinguish cohort participants from the Dutch-ref (AU-ROC 0.5 = preferred, implying participation independent of patient characteristics). Stratified analyses by stage and time-period (2013–2016 and 2017–Aug 2019) were performed to study the evolution towards RWD. In August 2019, 5744 patients were enrolled. Enrollment increased steeply, from 129 participants (1 hospital) in 2013 to 2136 (50 of 75 Dutch hospitals) in 2018. Low AU-ROC (0.65, 95% CI: 0.64–0.65) indicates limited ability to distinguish cohort participants from the Dutch-ref. Characteristics that remained imbalanced in the period 2017–Aug’19 compared with the Dutch-ref were age (65.0 years in PLCRC, 69.3 in the Dutch-ref) and tumor stage (40% stage-III in PLCRC, 30% in the Dutch-ref). PLCRC approaches to represent the Dutch CRC population and will ultimately meet the current demand for high-quality RWD. Efforts are ongoing to improve multidisciplinary recruitment which will further enhance PLCRC’s representativeness and its contribution to a learning healthcare system.
format article
author Jeroen W. G. Derksen
Geraldine R. Vink
Marloes A. G. Elferink
Jeanine M. L. Roodhart
Helena M. Verkooijen
Wilhelmina M. U. van Grevenstein
Peter D. Siersema
Anne M. May
Miriam Koopman
The PLCRC Study Group
author_facet Jeroen W. G. Derksen
Geraldine R. Vink
Marloes A. G. Elferink
Jeanine M. L. Roodhart
Helena M. Verkooijen
Wilhelmina M. U. van Grevenstein
Peter D. Siersema
Anne M. May
Miriam Koopman
The PLCRC Study Group
author_sort Jeroen W. G. Derksen
title The Prospective Dutch Colorectal Cancer (PLCRC) cohort: real-world data facilitating research and clinical care
title_short The Prospective Dutch Colorectal Cancer (PLCRC) cohort: real-world data facilitating research and clinical care
title_full The Prospective Dutch Colorectal Cancer (PLCRC) cohort: real-world data facilitating research and clinical care
title_fullStr The Prospective Dutch Colorectal Cancer (PLCRC) cohort: real-world data facilitating research and clinical care
title_full_unstemmed The Prospective Dutch Colorectal Cancer (PLCRC) cohort: real-world data facilitating research and clinical care
title_sort prospective dutch colorectal cancer (plcrc) cohort: real-world data facilitating research and clinical care
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/179162c857894da7b1109e3921ce2513
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