Research

Mixed

Using electronically captured routine data (e.g., hospital episode statistics, clinical databases) for health technology assessment via randomised controlled trials is feasible and potentially cheaper than using purpose-designed data, provided clinical symptoms and signs are collected in sufficient detail.

For researchers designing health technology assessments, consider leveraging existing electronic patient records (like hospital episode statistics) to reduce costs and speed up recruitment. However, ensure that the routine data captures detailed clinical symptoms and signs, as administrative codes alone may not suffice for judging clinical effectiveness. Validate your local data systems' capability before committing to this approach.

GoodSupportsHIGH confidence
Generally two-thirds of the research questions posed by health technology assessment through RCTs could be answered using routinely collected data... Routine data were found potentially to be cheaper to extract and analyse than designed data, and they also facilitate recruitment
Joanna Picot et al. · Health Technology Assessment · 2009

Why this rating

Based on a systematic review of four replicated RCTs with independent statistical analysis, though validity of routine data is noted as 'suspect'.

Source

The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation

Joanna Picot et al. · Health Technology Assessment · 2009

DOI 10.3310/hta13410

systematic_reviewCited 1,064×
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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