Status and Future Perspectives of Utilizing Big Data in Neurosurgical and Stroke Research.
The management, analysis, and integration of Big Data have received increasing attention in healthcare research as well as in medical bioinformatics. The J-ASPECT study is the first nationwide survey in Japan on the real-world setting of stroke care using data obtained from the diagnosis procedure combination-based payment system. The J-ASPECT study demonstrated a significant association between comprehensive stroke care (CSC) capacity and the hospital volume of stroke interventions in Japan; further, it showed that CSC capabilities were associated with reduced in-hospital mortality rates. Our study aims to create new evidence and insight from 'real world' neurosurgical practice and stroke care in Japan using Big Data. The final aim of this study is to develop effective methods to bridge the evidence-practice gap in acute stroke healthcare. In this study, the authors describe the status and future perspectives of the development of a new method of stroke registry as a powerful tool for acute stroke care research.
Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University.
Ataru
A
Nishimura
Kunihiro
K
Nishimura
Akiko
A
Kada
Koji
K
Iihara
D035843:Biomedical Research; D057225:Data Mining; D019992:Databases as Topic; D006801:Humans; D007564:Japan; D019635:Neurosurgical Procedures; D012042:Registries; D020521:Stroke
J Stroke Cerebrovasc Dis. 2014 May-Jun;23(5):1001-18
24103675
J Neurosurg. 2008 Jun;108(6):1163-9
18518722
Ann Neurol. 2011 Nov;70(5):713-21
21898534
Stroke. 2006 Feb;37(2):440-6
16397164
Harv Bus Rev. 2012 Oct;90(10):60-6, 68, 128
23074865
PLoS One. 2014 May 14;9(5):e96819
24828409
Proc Natl Acad Sci U S A. 2013 Nov 5;110(45):18031-2
24145435
Biomed Res Int. 2014;2014:134023
25254202
Stroke. 2005 Jul;36(7):1597-616
15961715
PLoS One. 2012;7(10):e46401
23056299
Stroke. 2010 Jul;41(7):1573-8
20489174
PLoS One. 2011 Feb 15;6(2):e14683
21347221
Stroke. 1999 Dec;30(12):2523-8
10582972
Stroke. 2007 Jul;38(7):2180-4
17525400
Stroke. 2009 Jul;40(7):2387-92
19461030
Int Heart J. 2005 Sep;46(5):855-66
16272776
JAMA. 2000 Jun 21;283(23):3102-9
10865305
Obstet Gynecol. 2005 Sep;106(3):509-16
16135580
Cancer. 2015 Mar 15;121(6):817-27
25204551
Nature. 2008 Sep 4;455(7209):28-9
18769419
Drug Discov Today. 2014 Apr;19(4):433-40
24183925