Status and Future Perspectives of Utilizing Big Data in Neurosurgical and Stroke Research

  • NISHIMURA Ataru
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
  • NISHIMURA Kunihiro
    Center for Cerebral and Cardiovascular Disease Information, National Cerebral and Cardiovascular Center
  • KADA Akiko
    Department of Clinical Trials and Research, Clinical Research Center, National Hospital Organization Nagoya Medical Center
  • IIHARA Koji
    Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University

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Abstract

<p>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.</p>

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