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Research ArticleMethodology

The Use of Primary Care Big Data in Understanding the Pharmacoepidemiology of COVID-19: A Consensus Statement From the COVID-19 Primary Care Database Consortium

Hajira Dambha-Miller, Simon J. Griffin, Duncan Young, Peter Watkinson, Pui San Tan, Ashley K. Clift, Rupert A. Payne, Carol Coupland, Jemma C. Hopewell, Jonathan Mant, Richard M. Martin and Julia Hippisley-Cox
The Annals of Family Medicine March 2021, 19 (2) 135-140; DOI: https://doi.org/10.1370/afm.2658
Hajira Dambha-Miller
MRCGP, PhD
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  • For correspondence: H.Dambha-Miller@soton.ac.uk
Simon J. Griffin
DM
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Duncan Young
PhD
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Peter Watkinson
PhD
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Pui San Tan
PhD
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Ashley K. Clift
MBBS
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Rupert A. Payne
MRCGP
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Carol Coupland
PhD
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Jemma C. Hopewell
PhD
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Jonathan Mant
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Richard M. Martin
MRCGP, PhD
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Julia Hippisley-Cox
MRCP, MD
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    Table 1

    Summary of Database Characteristics

    CharacteristicsQResearchRCGP Research & Surveillance Network CenterClinical Practice Research DatalinkUK Biobank
    Established, y2003195719892006
    GP practices, No.1,500 (increasing to 2,519 from Sept 2020)7001,841Partial cohort coverage
    Current patient records as of Jan 1, 2020, No.10.6 million (21 million from Sept 2020)5 million14 million0.5 million
    Coverage, countriesEngland, ScotlandEnglandAll of UKEngland, Scotland, Wales
    Age groupsAllAllAll40-69 years at recruitment
    Clinical systemEMIS WebEMIS Web, INPS Vision, TPP System OneEMIS Web, INPS VisionBespoke system
    Birth registrationYesYesYesNo
    Death registrationYesYesYesYes
    Sociodemographic dataYesYesYesYes
    EthnicityYesYesYesYes
    Genome-wide genotyping dataNoNoNoYes
    Geographical locationYesYesYesYes
    Lab tests incl COVID-19 resultsYesYesYesYes
    Anthropometric dataYesYesYesYes
    Clinical signs and symptomsYesYesYesYes
    Drugs prescribedYesYesYesYes
    Radiology reportsYesYesYesNo
    Hospital referralYesYesYesYes
    Hospital diagnosisYesYesYesYes
    GP attendancesYesYesYesPartial
    Hospital attendanceYesYesYesYes
    Additional key linkages to other data setsa
        Hospital episode statisticsYesYesYesNo
        HES outpatient dataYesYesYesNo
        HES accident and emergency dataYesYesYesNo
        HES diagnostic imaging data setYesYesYesNo
        Death registration data from the Office for National StatisticsYesYesYesYes
        Intensive care data set: ICNARC Case Mix ProgramYesNoPendingNo
    URL for data accesshttps://www.qresearch.orghttps://www.qresearch.orghttps://www.cprd.comhttps://www.ukbiobank.ac.uk/aboutbiobank-uk
    • COVID-19 = coronavirus disease 2019; GP = general practitioner; HES = hospital episode statistics; ICNARC = Intensive Care National Audit and Research Centre; INPS = In Practice Systems Limited; RCGP = Royal College of General Practitioners; TPP = The Phoenix Partnership.

    • Note: For more information see relevant websites. The data in these databases are likely to overlap (about 20% of patients will fall into at least 2 of the data sets). Additional governance and approvals will be needed to remove duplicate entries so that a single patient record and characteristics are included.

    • ↵aFull lists available from each database on request.

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    Table 2

    Recommended Outcome Reporting for COV1D-19 Studies

    Treatment SettingTime PeriodType of Outcomes to Report
    Primary care outcomesShort-termLower respiratory tract infection (pneumonia)
    Emergency admission
    ICU admission
    Long-termAll-cause mortality and cause-specific mortality including COVID-19 specific mortality
    ICU outcomesShort-termVital status at ICU discharge (alive/dead)
    Vital status at acute hospital discharge (alive/dead)
    Days of advanced respiratory support (artificial ventilation)
    Days of advanced cardiovascular support (inotropes, pressors or mechanical cardiovascular support)
    Days of renal support (use of renal replacement therapy)
    Days of ICU care (reported from ICU admission to discharge)
    Days of acute hospital care after ICU discharge (for repeat ICU admissions in the same acute hospital admission the total days not on ICU should be used)
    Long-termVital status (alive/dead) at 30 and 90 days after ICU admission
    All-cause and COVID-19 specific mortality at 6 and 12 months after ICU admission
    • COVID-19 = coronavirus disease 2019; ICU = intensive care unit.

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    • Supplemental data: Appendixes - PDF file
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The Annals of Family Medicine: 19 (2)
The Annals of Family Medicine: 19 (2)
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The Use of Primary Care Big Data in Understanding the Pharmacoepidemiology of COVID-19: A Consensus Statement From the COVID-19 Primary Care Database Consortium
Hajira Dambha-Miller, Simon J. Griffin, Duncan Young, Peter Watkinson, Pui San Tan, Ashley K. Clift, Rupert A. Payne, Carol Coupland, Jemma C. Hopewell, Jonathan Mant, Richard M. Martin, Julia Hippisley-Cox
The Annals of Family Medicine Mar 2021, 19 (2) 135-140; DOI: 10.1370/afm.2658

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The Use of Primary Care Big Data in Understanding the Pharmacoepidemiology of COVID-19: A Consensus Statement From the COVID-19 Primary Care Database Consortium
Hajira Dambha-Miller, Simon J. Griffin, Duncan Young, Peter Watkinson, Pui San Tan, Ashley K. Clift, Rupert A. Payne, Carol Coupland, Jemma C. Hopewell, Jonathan Mant, Richard M. Martin, Julia Hippisley-Cox
The Annals of Family Medicine Mar 2021, 19 (2) 135-140; DOI: 10.1370/afm.2658
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