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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front. Med.    2014, Vol. 8 Issue (3) : 294-299    https://doi.org/10.1007/s11684-014-0355-x
REVIEW
Current situation and challenge of registry in China
Yang Zhang1, Yuji Feng2, Zhi Qu1, Yali Qi3, Siyan Zhan1()
1. Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Centre, Beijing 100191, China
2. Pfizer Investment Co., Ltd., Beijing 100010, China
3. Department of Epidemiology, School of Public Health, Beihua University, Jilin 132001, China
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Abstract

Increasing emphasis has been placed on registries for an organized system used in developing clinical research to improve health care. China has sufficient data that can be applied broadly, but the heterogeneity and irregularity of registries limit their applicability. This article aims to describe the status of registries in China and the related challenges. Patient registries for observational studies were retrieved from the International Clinical Trials Registry to quantitatively evaluate the number of comparatively high-quality registries in China. A literature search was also performed to provide support and updates. A total of 64 patient registries were retrieved from ClinicalTrials.gov using disease, product, and health service as criteria. The sample sizes ranged from 15 to 30 400, with only 12 registries marked as completed. This article describes and compares the detailed information in many aspects. The efficient use of registries has already made considerable progress in China; however, registries still require standardization, high-quality transition, and coordinated development.

Keywords Chinese      registry study      patient registries      observational study     
Corresponding Author(s): Siyan Zhan   
Online First Date: 02 September 2014    Issue Date: 09 October 2014
 Cite this article:   
Yang Zhang,Yuji Feng,Zhi Qu, et al. Current situation and challenge of registry in China[J]. Front. Med., 2014, 8(3): 294-299.
 URL:  
https://academic.hep.com.cn/fmd/EN/10.1007/s11684-014-0355-x
https://academic.hep.com.cn/fmd/EN/Y2014/V8/I3/294
Fig.1  The variation in the number of registries in China from January 2009 to April 2014.
NCT number Title Study design Estimated enrollment Start date Completion date Population Sponsor
NCT01779310 Clinical pathway for Alzheimer’s disease in China Case only 1024 Nov. 2012 Apr. 2013 Outpatients with clinically significant cognitive impairment per judgment of the participating physicians Peking University
NCT02093156 A predictive score identifies patients with inadequate bowel preparation for colonoscopy Prospective 605 Sep. 2013 Dec. 2013 Patients with digestive diseases from the Endoscopy Center Fourth Military Medical University
NCT01939613 Colloid improves organs function in resuscitation of extensive burn patients Case control 47 Jul. 2010 Jul. 2013 Extensive burn patients admitted within four hours after injury Tang-Du Hospital
NCT02109120 MMP-9 monitoring particulate cerebral embolization Cohort 48 Feb. 2012 Nov. 2013 Patients under CEA in the Peking Union Medical College Hospital (PUMCH) PUMCH
NCT02105025 A novel clinically usable point score to prejudge the complexity of colonoscopy Prospective 612 Oct. 2013 Jan. 2014 Patients with digestive diseases from the Endoscopy Center Fourth Military Medical University
NCT01838629 The effect of universal salt iodization on thyroid diseases Ecological or community 12 438 Jul. 2009 Jun. 2012 Patients with thyroid disease in Hangzhou Weimin Xu
NCT01755351 Comparative study about the influence of diabetes distress and depression on treatment adherence in Chinese type 2 diabetes patients Cohort 200 Dec. 2011 Dec. 2012 Patients with type 2 diabetes who visited two local hospitals between December 2011 and April 2012 Shandong Provincial Hospital
NCT01752452 Effect of ulnar styloid fracture on the outcome of distal radial fractures treated with external fixation Case control 106 Jan. 2009 Oct. 2012 Unstable distal radial fracture patients: (1) the initial dorsal angulation>20°, (2) with dorsal or volar commination of the metaphysis, (3) shortening of radius>5 mm, and (4) with an associated ulnar fracture The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
NCT01867853 Volume responsiveness before spontaneous breath trial predicts the outcome of mechanical ventilation weaning in critically ill patients Case only 82 Oct. 2012 Mar. 2013 Patients mechanically ventilated and ready to undergo spontaneous breathing trial with a T-piece Southeast University, China
NCT01984970 Evaluation McGrath series 5 videolaryngoscope for double-lumen tube intubation Prospective 43 Nov. 2013 Jan. 2014 Adult patients scheduled for thoracic surgery requiring double-lumen tube insertion for one-lung ventilation Huazhong University of Science and Technology
NCT02011776 A randomized, parallel-group comparison study of topical corticosteroids in dry eye patients with Sjögren syndrome Case control 35 Mar. 2013 Nov. 2013 People who suffered from dry eye disease caused by the Sjögren syndrome Santen Pharmaceutical (China) Co., Ltd.
NCT02102581 Evaluation of short-term effects of tourniquet use in different ways during total knee arthroplasty (TKA) Case control 60 Feb. 2011 Dec. 2011 Consecutive patients who underwent routine TKA Peking Union Medical College Hospital
Tab.1  Characteristics of the 12 completed registries in China
Scope Registered cases (Total= 61)
10–200 201–1000 1001–5000 >5000
Disease or condition 12 12 4 6
Drug 9 2 5 3
Device 10 12 1 1
Tab.2  Registries in China stratified by disease, drug, device, and cases
Disease No. (%)
Endocrine, nutritional, and metabolic diseases 10 (43)
Diseases of the circulatory system 10 (43)
Neoplasms 4 (17)
Diseases of the nervous system 3 (13)
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 3 (13)
Diseases of the respiratory system 1 (4)
Diseases of the musculoskeletal system and connective tissue 1 (4)
Tab.3  Number of registries according to disease
Title Study design Enrollment Time Study sponsor Publications on PubMed
QUEST Prospective 6416 patients in 62 hospitals Jul. 2007 to Nov. 2006 Multicenter 8
CNSR Prospective 22 216 patients in 132 hospitals Aug. 2007 to Jul. 2008 Hospital-based registry funded bythe Chinese government 18
TIT Retrospective 5720 patients in 23 medical centers Jan. 2008 to Dec. 2010 Multicenter 1
CABG Cohort 9248 patients in 35 centers Jan. 2004 to Dec. 2005 Fuwai Hospital; multicenter 4
Tab.4  Characteristics of QUEST, CNSR, TIT, and CABG registries
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