In addition to CNCR, IBA MU has become responsible for central data management of three specific information systems and registries of all three national cancer screening programmes (breast cancer, colorectal cancer and cervical cancer). Data from these information systems have helped the Czech professional medical societies to assess the screening programmes and to optimize their performance and quality control (www.mamo.cz, www.cervix.cz, www.kolorektum.cz).
There is no doubt that CNCR and cancer screening programme registries have become a valuable and widely used source of information. These tools have been recently diversified into several diagnostically specific projects, e.g. www.uroweb.cz. Furthermore, the main and most important pool of information on standard clinical practice in oncology have been clinical registries and databases of the Czech Society for Oncology (CSO) the results of which have been regularly published on the official CSO web page (http://www.linkos.cz/english/index.php).
This family of more than 20 active registries, or more generally, research databases,(e.g. Alert - acute leukaemia registry, Avastin - registry of patients with advanced colorectal carcinoma treated with bevacizumab, Camelia - registry of patients with chronic myeloid leukaemia, Register - registry of patients with gastrointestinal stromal tumours, Interb - registry of HER2 positive breast cancer patients, Ikarus - registry of patients with metastatic solid tumours, RMG - registry of monoclonal gammopaties etc.) enables collection of relevant data regarding diagnostic and therapeutic procedures. They are typically designed to monitor a specific treatment or a well defined group of patients. Together with CNCR and cancer screening programmes registries they constitute comprehensive information - registration system which enables to assess not only the treatment outcomes, but also population-based indicators of quality and regional health care availability.
During the last 10 years, also other medical societies have recognised the importance of local as well as national registries and non-interventional data collection systems and initiated development of more than 50 projects in order to evaluate the situation in respective medical fields. Considerable number of these non-interventional data collection projects and data analyses has been carried out with direct or indirect support of IBA MU (http://www.iba.muni.cz).
The second most prominent group of clinicians which should be mentioned in terms of data collection in the Czech Republic is the Czech Society of Cardiology. This society supports projects such as Ahead - registry of patients with acute heart failure, Kardio ICD - national registry of patients with implantable cardioverter-defibrillator, Katab - national registry of patients that underwent catheter ablation and other (http://www.registry.cz).
Medical societies with numerous members are not the only professional groups that participate in clinical data collection projects. An excellent example of projects focused on a relatively small groups of patients are Amadeus, registry of patients with the wet form of age related macular degeneration (wet AMD) (http://amadeus.registry.cz/index-en.php ), supported by the Czech Society of Ophthalmology, and/or the DMD/BMD project - registry of patients diagnosed with Duchenne/Becker Muscular Dystrophy (http://dystrofie.registry.cz/), which has been run by IBA MU in conjunction with a registered charitable organization "Parent Project".
Despite the fact that private contract research organizations (http://www.acro-cz.cz/en/clenove.html ) have made a notable contribution to organizing and running non-interventional studies in the Czech Republic over the past several years, this field remains the domain of academically driven projects with support of Czech medical and scientific societies, research institutes and universities.
All the academically driven research databases are also opened to a multidisciplinary research focused on optimization of data management processes and information mining. As an example we can mention projects "TaToo" - Tagging tool based on a semantic discovery framework (http://www.tatoo-fp7.eu/tatooweb ) and I-COP - Information Centre for Oncology Care, a data mining tool which can use various sources of clinical and administrative information, carry out comprehensive data analysis and provide results in structured and if required schematic form.
Quick guide for running academic, non-interventional clinical trial in the Czech Republic:
- Find out whether or not there is a similar project running in the Czech Republic (medical and scientific societies, IBA MU).
- Assess the legal requirements for running non-interventional clinical trials in the Czech Republic (the latest version of CHCUK book "NIS in Europe" is up to date).
- Obtain a support of a professional/scientific society that will recommend the approach taking into consideration specifics of each society.
Dr. Vit Kandrnal, MD.,
Manager of clinical projects
Institute of Biostatistics and Analyses
Masaryk University, Brno