Determining the feasibility of linked claims and vaccination data for a COVID-19 vaccine pharmacoepidemiological study in Germany—RiCO feasibility study protocol

Introduction In Germany, there has been no population-level pharmacoepidemiological study on the safety of the COVID-19 vaccines. One factor preventing such a study so far relates to challenges combining the different relevant data bodies on vaccination with suitable outcome data, specifically statu...

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Main Authors: Peter Ihle, Brigitte Keller-Stanislawski, Ingo Meyer, Nina Timmesfeld, Robin Denz, Katherina Meiszl, Katrin Scholz, Doris Oberle, Ursula Drechsel-Bäuerle, Hans H Diebner
Format: Article
Language:English
Published: BMJ Publishing Group 2024-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/12/e086074.full
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author Peter Ihle
Brigitte Keller-Stanislawski
Ingo Meyer
Nina Timmesfeld
Robin Denz
Katherina Meiszl
Katrin Scholz
Doris Oberle
Ursula Drechsel-Bäuerle
Hans H Diebner
author_facet Peter Ihle
Brigitte Keller-Stanislawski
Ingo Meyer
Nina Timmesfeld
Robin Denz
Katherina Meiszl
Katrin Scholz
Doris Oberle
Ursula Drechsel-Bäuerle
Hans H Diebner
author_sort Peter Ihle
collection DOAJ
description Introduction In Germany, there has been no population-level pharmacoepidemiological study on the safety of the COVID-19 vaccines. One factor preventing such a study so far relates to challenges combining the different relevant data bodies on vaccination with suitable outcome data, specifically statutory health insurance claims data. Individual identifiers used across these data bodies are of unknown quality and reliability for data linkage.Methods and analysis As part of a larger pharmacovigilance study on the COVID-19 vaccines, called RiCO (German ‘Risikoevaluation der COVID-19-Impfstoffe’, Englisch ‘Risk assessment of COVID-19 vaccines’), a feasibility study is being conducted to determine the overall confidence level with which existing data can be analysed in relation to the safety of the COVID-19 vaccine. This RiCO feasibility study will establish a data flow combining claims data and vaccination data for a subsample of the total German population, describe data quality for each dataset from the various sources, estimate the proportion of the different linkage errors and will develop various approaches for linking the data in addition to the simple form of linkage using a common identifier in order to reduce possible linkage errors. These last three points are the core objective of the feasibility study. A secondary objective is to test the viability of the required data flow involving multiple stakeholders from different parts of the healthcare system.Ethics and dissemination Results will be published and used to plan the actual pharmacovigilance study on the COVID-19 vaccines for Germany, as well as future research on the role of COVID-19 vaccines as risk or protective factors for long-term COVID-19 effects. In accordance with national legal requirements, permission to use of the statutory health insurance claims data was requested and granted by the national regulatory authority for statutory health insurances. The vaccination data will be used in accordance with the requirements of the national regulation on COVID-19 vaccinations. Ethical approval was not required for this secondary data study and was therefore not sought. The results of the feasibility study will be published in a suitable, peer-reviewed scientific journal. Results will also be presented to stakeholders from German statutory health insurances and government organisations.
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spelling doaj-art-6a3c24d32eb244d687f95c9408d85fe02025-01-14T09:50:09ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-086074Determining the feasibility of linked claims and vaccination data for a COVID-19 vaccine pharmacoepidemiological study in Germany—RiCO feasibility study protocolPeter Ihle0Brigitte Keller-Stanislawski1Ingo Meyer2Nina Timmesfeld3Robin Denz4Katherina Meiszl5Katrin Scholz6Doris Oberle7Ursula Drechsel-Bäuerle8Hans H Diebner92 PMV Research Group, Medical Faculty and University Hospital Cologne, University of Cologne, Koln, Germany3 Paul-Ehrlich-Institut, Langen, Germany2 PMV Research Group, Medical Faculty and University Hospital Cologne, University of Cologne, Koln, Germany4 Department of Medical Informatics, Biometry and Epidemiology, Ruhr University Bochum, Bochum, Germany1 Department of Medical Informatics, Biometry & Epidemiology, Ruhr University Bochum, Bochum, Germany1 Department of Medical Informatics, Biometry & Epidemiology, Ruhr University Bochum, Bochum, Germany2 PMV Research Group, Medical Faculty and University Hospital Cologne, University of Cologne, Koln, Germany3 Paul-Ehrlich-Institut, Langen, Germany3 Paul-Ehrlich-Institut, Langen, Germany1 Department of Medical Informatics, Biometry & Epidemiology, Ruhr University Bochum, Bochum, GermanyIntroduction In Germany, there has been no population-level pharmacoepidemiological study on the safety of the COVID-19 vaccines. One factor preventing such a study so far relates to challenges combining the different relevant data bodies on vaccination with suitable outcome data, specifically statutory health insurance claims data. Individual identifiers used across these data bodies are of unknown quality and reliability for data linkage.Methods and analysis As part of a larger pharmacovigilance study on the COVID-19 vaccines, called RiCO (German ‘Risikoevaluation der COVID-19-Impfstoffe’, Englisch ‘Risk assessment of COVID-19 vaccines’), a feasibility study is being conducted to determine the overall confidence level with which existing data can be analysed in relation to the safety of the COVID-19 vaccine. This RiCO feasibility study will establish a data flow combining claims data and vaccination data for a subsample of the total German population, describe data quality for each dataset from the various sources, estimate the proportion of the different linkage errors and will develop various approaches for linking the data in addition to the simple form of linkage using a common identifier in order to reduce possible linkage errors. These last three points are the core objective of the feasibility study. A secondary objective is to test the viability of the required data flow involving multiple stakeholders from different parts of the healthcare system.Ethics and dissemination Results will be published and used to plan the actual pharmacovigilance study on the COVID-19 vaccines for Germany, as well as future research on the role of COVID-19 vaccines as risk or protective factors for long-term COVID-19 effects. In accordance with national legal requirements, permission to use of the statutory health insurance claims data was requested and granted by the national regulatory authority for statutory health insurances. The vaccination data will be used in accordance with the requirements of the national regulation on COVID-19 vaccinations. Ethical approval was not required for this secondary data study and was therefore not sought. The results of the feasibility study will be published in a suitable, peer-reviewed scientific journal. Results will also be presented to stakeholders from German statutory health insurances and government organisations.https://bmjopen.bmj.com/content/14/12/e086074.full
spellingShingle Peter Ihle
Brigitte Keller-Stanislawski
Ingo Meyer
Nina Timmesfeld
Robin Denz
Katherina Meiszl
Katrin Scholz
Doris Oberle
Ursula Drechsel-Bäuerle
Hans H Diebner
Determining the feasibility of linked claims and vaccination data for a COVID-19 vaccine pharmacoepidemiological study in Germany—RiCO feasibility study protocol
BMJ Open
title Determining the feasibility of linked claims and vaccination data for a COVID-19 vaccine pharmacoepidemiological study in Germany—RiCO feasibility study protocol
title_full Determining the feasibility of linked claims and vaccination data for a COVID-19 vaccine pharmacoepidemiological study in Germany—RiCO feasibility study protocol
title_fullStr Determining the feasibility of linked claims and vaccination data for a COVID-19 vaccine pharmacoepidemiological study in Germany—RiCO feasibility study protocol
title_full_unstemmed Determining the feasibility of linked claims and vaccination data for a COVID-19 vaccine pharmacoepidemiological study in Germany—RiCO feasibility study protocol
title_short Determining the feasibility of linked claims and vaccination data for a COVID-19 vaccine pharmacoepidemiological study in Germany—RiCO feasibility study protocol
title_sort determining the feasibility of linked claims and vaccination data for a covid 19 vaccine pharmacoepidemiological study in germany rico feasibility study protocol
url https://bmjopen.bmj.com/content/14/12/e086074.full
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