Every clinical trial generates abundant amounts of data like
patient reports, medical history, age, gender, consent forms, laboratory notes,
trial design, dose regimen, transcriptions copies, and much more. With such immense
of data, and each piece being so important, it is highly crucial for all this
data to be completely organized. Databases that are specially designed for the
particular set of trials are used to achieve this.
The data is entered into the database and stored in a rows
and columns format, after which it is checked for any discrepancies, which are
then corrected. This data is then analyzed using statistical analysis methods
before being presented to the concerned authorities. This entire process of data
collection, integration, and validation is collectively known as clinical data
management; and the person responsible to execute this role is known as
clinical data manager.
It is the quality of data generated that decides upon the
approval or disapproval of the drug, which is why it is necessary to adhere to quality
standards and practices to eliminate all kinds of errors during data entry.
1)
The first stage of clinical data management
involves designing of case report forms, followed by database design.
2)
The second stage of clinical data management
includes data entry, validation by edit checks, making notes of queries, and
medical coding.
3)
The third and last stage of clinical data
management begins with severe adverse event reconciliation, which compares the
data management database and that collected through SAE forms, such that there
is data consistency in both the systems. After this, a database lock is done to
ensure that data is not manipulated during the final analysis stage. This
presents a clean database that is ready for analysis and presentation.
A clinical data manager is responsible to supervise and
analyze all the aspects of clinical data. His daily tasks involve contribution
to compilation, organization and production of protocols, clinical study
reports, processing the collected data, and regulatory and controlled
documentation. His other duties include framing the work instruction manuals,
technological modifications, process modifications, preparing guidelines and
operating procedures, performing regular quality control audits, and developing
specifications for data management programming. Thus, his main activities
include processing the clinical data, auditing the data, protecting the data,
documentation, and standardizing the data management procedures.
To execute all his responsibilities well, a clinical data
manager requires strong written and verbal communication skills, computer
programming sills, team leading skills, and project management skills.
Additionally, he must also have the qualities of critical thinking, logical
reasoning, problem solving attributes, attentive listening, administration
skills, cooperation, analytical thinking, and paying attention to detail.
In
addition, in order to take up the role of a clinical data manager, one needs a
certain level of educational qualification. This includes a bachelors or
masters degree in life sciences, or a doctoral degree. Also, a certification in
clinical data management qualified by an organization offering online clinical research courses in Bangalore; one like Avigna Clinical Research Institute is also applicable. Furthermore,
an experience of 4-5 years in clinical data management, or a 5-10 years as a
clinical research associate is required.
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