The Medicines Intelligence Data Platform: A Population‐Based Data Resource From New South Wales, Australia

ABSTRACT Background The Medicines Intelligence (MedIntel) Data Platform is an anonymised linked data resource designed to generate real‐world evidence on prescribed medicine use, effectiveness, safety, costs and cost‐effectiveness in Australia. Results The platform comprises Medicare‐eligible people...

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Veröffentlicht in:Pharmacoepidemiology and drug safety 2024-08, Vol.33 (8), p.e5887-n/a
Hauptverfasser: Zoega, Helga, Falster, Michael O., Gillies, Malcolm B., Litchfield, Melisa, Camacho, Ximena, Bruno, Claudia, Daniels, Benjamin, Donnolley, Natasha, Havard, Alys, Schaffer, Andrea L., Chambers, Georgina, Degenhardt, Louisa, Dobbins, Timothy, Gisev, Natasa, Ivers, Rebecca, Jorm, Louisa, Liu, Bette, Vajdic, Claire M., Pearson, Sallie‐Anne
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container_issue 8
container_start_page e5887
container_title Pharmacoepidemiology and drug safety
container_volume 33
creator Zoega, Helga
Falster, Michael O.
Gillies, Malcolm B.
Litchfield, Melisa
Camacho, Ximena
Bruno, Claudia
Daniels, Benjamin
Donnolley, Natasha
Havard, Alys
Schaffer, Andrea L.
Chambers, Georgina
Degenhardt, Louisa
Dobbins, Timothy
Gisev, Natasa
Ivers, Rebecca
Jorm, Louisa
Liu, Bette
Vajdic, Claire M.
Pearson, Sallie‐Anne
description ABSTRACT Background The Medicines Intelligence (MedIntel) Data Platform is an anonymised linked data resource designed to generate real‐world evidence on prescribed medicine use, effectiveness, safety, costs and cost‐effectiveness in Australia. Results The platform comprises Medicare‐eligible people who are ≥18 years and residing in New South Wales (NSW), Australia, any time during 2005–2020, with linked administrative data on dispensed prescription medicines (Pharmaceutical Benefits Scheme), health service use (Medicare Benefits Schedule), emergency department visits (NSW Emergency Department Data Collection), hospitalisations (NSW Admitted Patient Data Collection) plus death (National Death Index) and cancer registrations (NSW Cancer Registry). Data are currently available to 2022, with approval to update the cohort and data collections annually. The platform includes 7.4 million unique people across all years, covering 36.9% of the Australian adult population; the overall population increased from 4.8 M in 2005 to 6.0 M in 2020. As of 1 January 2019 (the last pre‐pandemic year), the cohort had a mean age of 48.7 years (51.1% female), with most people (4.4 M, 74.7%) residing in a major city. In 2019, 4.4 M people (73.3%) were dispensed a medicine, 1.2 M (20.5%) were hospitalised, 5.3 M (89.4%) had a GP or specialist appointment, and 54 003 people died. Anti‐infectives were the most prevalent medicines dispensed to the cohort in 2019 (43.1%), followed by nervous system (32.2%) and cardiovascular system medicines (30.2%). Conclusion The MedIntel Data Platform creates opportunities for national and international research collaborations and enables us to address contemporary clinically‐ and policy‐relevant research questions about quality use of medicines and health outcomes in Australia and globally.
doi_str_mv 10.1002/pds.5887
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Results The platform comprises Medicare‐eligible people who are ≥18 years and residing in New South Wales (NSW), Australia, any time during 2005–2020, with linked administrative data on dispensed prescription medicines (Pharmaceutical Benefits Scheme), health service use (Medicare Benefits Schedule), emergency department visits (NSW Emergency Department Data Collection), hospitalisations (NSW Admitted Patient Data Collection) plus death (National Death Index) and cancer registrations (NSW Cancer Registry). Data are currently available to 2022, with approval to update the cohort and data collections annually. The platform includes 7.4 million unique people across all years, covering 36.9% of the Australian adult population; the overall population increased from 4.8 M in 2005 to 6.0 M in 2020. As of 1 January 2019 (the last pre‐pandemic year), the cohort had a mean age of 48.7 years (51.1% female), with most people (4.4 M, 74.7%) residing in a major city. In 2019, 4.4 M people (73.3%) were dispensed a medicine, 1.2 M (20.5%) were hospitalised, 5.3 M (89.4%) had a GP or specialist appointment, and 54 003 people died. Anti‐infectives were the most prevalent medicines dispensed to the cohort in 2019 (43.1%), followed by nervous system (32.2%) and cardiovascular system medicines (30.2%). Conclusion The MedIntel Data Platform creates opportunities for national and international research collaborations and enables us to address contemporary clinically‐ and policy‐relevant research questions about quality use of medicines and health outcomes in Australia and globally.</description><identifier>ISSN: 1053-8569</identifier><identifier>ISSN: 1099-1557</identifier><identifier>EISSN: 1099-1557</identifier><identifier>DOI: 10.1002/pds.5887</identifier><identifier>PMID: 39145404</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Australia ; Cardiovascular system ; Cost-Benefit Analysis ; Data collection ; data linkage ; Databases, Factual ; Emergency medical care ; Female ; Hospitalization - statistics &amp; numerical data ; Humans ; Intelligence ; Male ; Medicare ; Middle Aged ; Nervous system ; New South Wales - epidemiology ; pharmacoepidemiology ; Pharmacoepidemiology - methods ; population‐based ; Prescription Drugs - economics ; Prescription Drugs - therapeutic use ; real‐world data ; Young Adult</subject><ispartof>Pharmacoepidemiology and drug safety, 2024-08, Vol.33 (8), p.e5887-n/a</ispartof><rights>2024 The Author(s). published by John Wiley &amp; Sons Ltd.</rights><rights>2024 The Author(s). 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Results The platform comprises Medicare‐eligible people who are ≥18 years and residing in New South Wales (NSW), Australia, any time during 2005–2020, with linked administrative data on dispensed prescription medicines (Pharmaceutical Benefits Scheme), health service use (Medicare Benefits Schedule), emergency department visits (NSW Emergency Department Data Collection), hospitalisations (NSW Admitted Patient Data Collection) plus death (National Death Index) and cancer registrations (NSW Cancer Registry). Data are currently available to 2022, with approval to update the cohort and data collections annually. The platform includes 7.4 million unique people across all years, covering 36.9% of the Australian adult population; the overall population increased from 4.8 M in 2005 to 6.0 M in 2020. As of 1 January 2019 (the last pre‐pandemic year), the cohort had a mean age of 48.7 years (51.1% female), with most people (4.4 M, 74.7%) residing in a major city. In 2019, 4.4 M people (73.3%) were dispensed a medicine, 1.2 M (20.5%) were hospitalised, 5.3 M (89.4%) had a GP or specialist appointment, and 54 003 people died. Anti‐infectives were the most prevalent medicines dispensed to the cohort in 2019 (43.1%), followed by nervous system (32.2%) and cardiovascular system medicines (30.2%). Conclusion The MedIntel Data Platform creates opportunities for national and international research collaborations and enables us to address contemporary clinically‐ and policy‐relevant research questions about quality use of medicines and health outcomes in Australia and globally.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Australia</subject><subject>Cardiovascular system</subject><subject>Cost-Benefit Analysis</subject><subject>Data collection</subject><subject>data linkage</subject><subject>Databases, Factual</subject><subject>Emergency medical care</subject><subject>Female</subject><subject>Hospitalization - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Intelligence</subject><subject>Male</subject><subject>Medicare</subject><subject>Middle Aged</subject><subject>Nervous system</subject><subject>New South Wales - epidemiology</subject><subject>pharmacoepidemiology</subject><subject>Pharmacoepidemiology - methods</subject><subject>population‐based</subject><subject>Prescription Drugs - economics</subject><subject>Prescription Drugs - therapeutic use</subject><subject>real‐world data</subject><subject>Young Adult</subject><issn>1053-8569</issn><issn>1099-1557</issn><issn>1099-1557</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kctKxDAUhoMo3sEnkIAbF3ZMJknTuBsvo4KXwQsuSyY90UrbjEmLuPMRfEafxIzjBQRXSThfPs45P0IblPQoIf3dSRF6IsvkHFqmRKmECiHnp3fBkkykagmthPBISKwpvoiWmKJccMKXUXXzAPgcitKUDQR82rRQVeU9NAbwoW41HlW6tc7Xe3iAR27SxWfpmvfXt30doJgxVxBc5-OPoXc1voBnfO269gHf6QrCDh50ofW6KvUaWrC6CrD-da6i2-HRzcFJcnZ5fHowOEtMX3KZcGakVVJza6DPTZbKQliwyjKSUiILpgxkmRbjQrA0i4VUWq6oSgvbp4qP2Srannkn3j11ENq8LoOJg-kGXBdyRhSjkjPOI7r1B32MozSxuynFRZoxKn6FxrsQPNh84sta-5ecknyaQB4TyKcJRHTzS9iNayh-wO-VRyCZAc9lBS__ivLR4fWn8AMn3Y8y</recordid><startdate>202408</startdate><enddate>202408</enddate><creator>Zoega, Helga</creator><creator>Falster, Michael O.</creator><creator>Gillies, Malcolm B.</creator><creator>Litchfield, Melisa</creator><creator>Camacho, Ximena</creator><creator>Bruno, Claudia</creator><creator>Daniels, Benjamin</creator><creator>Donnolley, Natasha</creator><creator>Havard, Alys</creator><creator>Schaffer, Andrea L.</creator><creator>Chambers, Georgina</creator><creator>Degenhardt, Louisa</creator><creator>Dobbins, Timothy</creator><creator>Gisev, Natasa</creator><creator>Ivers, Rebecca</creator><creator>Jorm, Louisa</creator><creator>Liu, Bette</creator><creator>Vajdic, Claire M.</creator><creator>Pearson, Sallie‐Anne</creator><general>John Wiley &amp; 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Falster, Michael O. ; Gillies, Malcolm B. ; Litchfield, Melisa ; Camacho, Ximena ; Bruno, Claudia ; Daniels, Benjamin ; Donnolley, Natasha ; Havard, Alys ; Schaffer, Andrea L. ; Chambers, Georgina ; Degenhardt, Louisa ; Dobbins, Timothy ; Gisev, Natasa ; Ivers, Rebecca ; Jorm, Louisa ; Liu, Bette ; Vajdic, Claire M. ; Pearson, Sallie‐Anne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2747-43c7f97a4fce24c867d5fef9f306107d39ce88a5bd5368ef967f49196df2194b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Australia</topic><topic>Cardiovascular system</topic><topic>Cost-Benefit Analysis</topic><topic>Data collection</topic><topic>data linkage</topic><topic>Databases, Factual</topic><topic>Emergency medical care</topic><topic>Female</topic><topic>Hospitalization - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Intelligence</topic><topic>Male</topic><topic>Medicare</topic><topic>Middle Aged</topic><topic>Nervous system</topic><topic>New South Wales - epidemiology</topic><topic>pharmacoepidemiology</topic><topic>Pharmacoepidemiology - methods</topic><topic>population‐based</topic><topic>Prescription Drugs - economics</topic><topic>Prescription Drugs - therapeutic use</topic><topic>real‐world data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zoega, Helga</creatorcontrib><creatorcontrib>Falster, Michael O.</creatorcontrib><creatorcontrib>Gillies, Malcolm B.</creatorcontrib><creatorcontrib>Litchfield, Melisa</creatorcontrib><creatorcontrib>Camacho, Ximena</creatorcontrib><creatorcontrib>Bruno, Claudia</creatorcontrib><creatorcontrib>Daniels, Benjamin</creatorcontrib><creatorcontrib>Donnolley, Natasha</creatorcontrib><creatorcontrib>Havard, Alys</creatorcontrib><creatorcontrib>Schaffer, Andrea L.</creatorcontrib><creatorcontrib>Chambers, Georgina</creatorcontrib><creatorcontrib>Degenhardt, Louisa</creatorcontrib><creatorcontrib>Dobbins, Timothy</creatorcontrib><creatorcontrib>Gisev, Natasa</creatorcontrib><creatorcontrib>Ivers, Rebecca</creatorcontrib><creatorcontrib>Jorm, Louisa</creatorcontrib><creatorcontrib>Liu, Bette</creatorcontrib><creatorcontrib>Vajdic, Claire M.</creatorcontrib><creatorcontrib>Pearson, Sallie‐Anne</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; 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Results The platform comprises Medicare‐eligible people who are ≥18 years and residing in New South Wales (NSW), Australia, any time during 2005–2020, with linked administrative data on dispensed prescription medicines (Pharmaceutical Benefits Scheme), health service use (Medicare Benefits Schedule), emergency department visits (NSW Emergency Department Data Collection), hospitalisations (NSW Admitted Patient Data Collection) plus death (National Death Index) and cancer registrations (NSW Cancer Registry). Data are currently available to 2022, with approval to update the cohort and data collections annually. The platform includes 7.4 million unique people across all years, covering 36.9% of the Australian adult population; the overall population increased from 4.8 M in 2005 to 6.0 M in 2020. As of 1 January 2019 (the last pre‐pandemic year), the cohort had a mean age of 48.7 years (51.1% female), with most people (4.4 M, 74.7%) residing in a major city. In 2019, 4.4 M people (73.3%) were dispensed a medicine, 1.2 M (20.5%) were hospitalised, 5.3 M (89.4%) had a GP or specialist appointment, and 54 003 people died. Anti‐infectives were the most prevalent medicines dispensed to the cohort in 2019 (43.1%), followed by nervous system (32.2%) and cardiovascular system medicines (30.2%). Conclusion The MedIntel Data Platform creates opportunities for national and international research collaborations and enables us to address contemporary clinically‐ and policy‐relevant research questions about quality use of medicines and health outcomes in Australia and globally.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>39145404</pmid><doi>10.1002/pds.5887</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0452-8470</orcidid><orcidid>https://orcid.org/0000-0003-0215-3249</orcidid><orcidid>https://orcid.org/0000-0003-0761-9028</orcidid><orcidid>https://orcid.org/0000-0002-3612-8298</orcidid><orcidid>https://orcid.org/0000-0001-9038-8050</orcidid><orcidid>https://orcid.org/0000-0001-7137-6855</orcidid><orcidid>https://orcid.org/0000-0003-0390-661X</orcidid><orcidid>https://orcid.org/0000-0001-6444-7272</orcidid><orcidid>https://orcid.org/0000-0002-0787-5825</orcidid><orcidid>https://orcid.org/0000-0001-7789-3415</orcidid><orcidid>https://orcid.org/0000-0002-3701-4997</orcidid><orcidid>https://orcid.org/0000-0003-3409-4386</orcidid><orcidid>https://orcid.org/0000-0003-0002-7724</orcidid><orcidid>https://orcid.org/0000-0002-2371-1441</orcidid><orcidid>https://orcid.org/0000-0001-6563-8804</orcidid><orcidid>https://orcid.org/0000-0003-1841-9056</orcidid><orcidid>https://orcid.org/0000-0002-8513-2218</orcidid><orcidid>https://orcid.org/0000-0003-3448-662X</orcidid><orcidid>https://orcid.org/0000-0001-8617-6055</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Aged
Aged, 80 and over
Australia
Cardiovascular system
Cost-Benefit Analysis
Data collection
data linkage
Databases, Factual
Emergency medical care
Female
Hospitalization - statistics & numerical data
Humans
Intelligence
Male
Medicare
Middle Aged
Nervous system
New South Wales - epidemiology
pharmacoepidemiology
Pharmacoepidemiology - methods
population‐based
Prescription Drugs - economics
Prescription Drugs - therapeutic use
real‐world data
Young Adult
title The Medicines Intelligence Data Platform: A Population‐Based Data Resource From New South Wales, Australia
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