リハビリテーション患者データベースの二次分析:—プロセス，可能性と限界— Secondary Analysis of the Rehabilitation Patient Database : Process, Potentials and Limitations
The Japanese Association of Rehabilitation Medicine (JARM) is developing a Rehabilitation Patient Database (DB). The accumulated number of registered patients exceeded 10000 by March, 2011. The purposes of this article are to describe the process and procedures of secondary analysis and to consider potentials and limitations of the DB to promote the research activities of JARM members. JARM Members who submitted patient data or cooperate with JARM in the secondary analysis are regarded as eligible to use the combined data submitted by many hospitals. A suitable patient dataset should be derived from the DB including stroke, hip fracture, and spinal cord injury, and also patient data from the acute to recovery phase of rehabilitation. Additionally, before paper drafts can be submitted, a reviewing process is needed. The DB holds much potential, because the sample size is large and data were submitted from many hospitals. Since there are inherent limitations in all observational research, many issues such as endogeneities and confounders should be considered carefully to ensure high quality evidence is obtained with validity and reliability using the DB.
リハビリテーション医学 49(3), 142-148, 2012