Opportunities and challenges for real-world studies on chronic inflammatory joint diseases through data enrichment and collaboration between national registers: the Nordic example

Research output: Contribution to journalReviewResearchpeer-review


  • Katerina Chatzidionysiou
  • Hetland, Merete Lund
  • Thomas Frisell
  • Daniela Di Giuseppe
  • Karin Hellgren
  • Glintborg, Bente
  • Dan Nordström
  • Kalle Aaltonen
  • Minna Rk Törmänen
  • Eirik Klami Kristianslund
  • Tore K Kvien
  • Sella A Provan
  • Bjorn Björn Guðbjörnsson
  • Lene Dreyer
  • Lars Erik Kristensen
  • Tanja Schjødt Jørgensen
  • Lennart Jacobsson
  • Johan Askling

There are increasing needs for detailed real-world data on rheumatic diseases and their treatments. Clinical register data are essential sources of information that can be enriched through linkage to additional data sources such as national health data registers. Detailed analyses call for international collaborative observational research to increase the number of patients and the statistical power. Such linkages and collaborations come with legal, logistic and methodological challenges. In collaboration between registers of inflammatory arthritides in Sweden, Denmark, Norway, Finland and Iceland, we plan to enrich, harmonise and standardise individual data repositories to investigate analytical approaches to multisource data, to assess the viability of different logistical approaches to data protection and sharing and to perform collaborative studies on treatment effectiveness, safety and health-economic outcomes. This narrative review summarises the needs and potentials and the challenges that remain to be overcome in order to enable large-scale international collaborative research based on clinical and other types of data.

Original languageEnglish
Article numbere000655
JournalRMD Open
Issue number1
Number of pages8
Publication statusPublished - 2018

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