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Ethics and legal requirements for data linkage in 14 European countries for children with congenital anomalies

Hugh Claridge Orcid Logo, Joachim Tan, Maria Loane Orcid Logo, Ester Garne Orcid Logo, Ingeborg Barisic, Clara Cavero-Carbonell Orcid Logo, Carlos Dias Orcid Logo, Miriam Gatt, Sue Jordan Orcid Logo, Babak Khoshnood Orcid Logo, Sonja Kiuru-Kuhlefelt, Kari Klungsoyr Orcid Logo, Olatz Mokoroa Carollo, Vera Nelen, Amanda J Neville, Anna Pierini, Hanitra Randrianaivo, Anke Rissmann Orcid Logo, David Tucker, Hermien de Walle, Wladimir Wertelecki, Joan K Morris Orcid Logo

BMJ Open, Volume: 13, Issue: 7, Start page: e071687

Swansea University Author: Sue Jordan Orcid Logo

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Abstract

Introduction: Linking healthcare data sets can create valuable resources for research, particularly when investigating rare exposures or outcomes. However, across Europe, the permissions processes required to access data can be complex. This paper documents the processes required by the EUROlinkCAT...

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Published in: BMJ Open
ISSN: 2044-6055 2044-6055
Published: BMJ 2023
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa64005
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Abstract: Introduction: Linking healthcare data sets can create valuable resources for research, particularly when investigating rare exposures or outcomes. However, across Europe, the permissions processes required to access data can be complex. This paper documents the processes required by the EUROlinkCAT study investigators to research the health and survival of children with congenitalanomalies in Europe. Methods: Eighteen congenital anomaly registries in 14 countries provided information on all the permissions required to perform surveillance of congenital anomalies and to link their data on live births with available vital statistics and healthcare databases for research. Smallnumber restrictions imposed by data providers were also documented. Results: The permissions requirements varied substantially, with certain registries able to conduct congenital anomaly surveillance as part of national or regional healthcare provision, while others were required to obtain ethics approvals or informed consent. Data linkage and analysis for research purposes addedadditional layers of complexity for registries, with some required to obtain several permissions, including ethics approvals to link the data. Restrictions relating to small numbers often resulted in a registry’s data on specific congenital anomalies being unusable. Conclusion: The permissions required to obtain and link data on children with congenital anomalies varied greatly across Europe. The variation and complexity present a significant obstacle to the use of such data, especially in large data linkage projects. Furthermore, small number restrictions severely limited the research that could be performed for children with specific rare congenital anomalies.
Keywords: Data linkage, EUROlinkCAT, congenital anomalies, ethics, legal requirements
College: Faculty of Medicine, Health and Life Sciences
Funders: Horizon 2020
Issue: 7
Start Page: e071687