A new research article, entitled “Assessing the
representativeness of single-center EMR data on ten cancer types: A comparative
analysis with national statistics from South Korea (2011–2021)”, authored
by Won Jung-Hyun and Howard Lee, was published in the International
Journal of Medical Informatics(IJMI). IJMI
is a leading international journal that publishes high-impact research on the
development, implementation, and real-world evaluation of health information
systems and clinical informatics technologies.
This study evaluated whether single-center electronic
medical record (EMR) data from Seoul National University Hospital (SNUH) could represent
a real-world data source for oncology research in South Korea. To address this,
the study analyzed annual incidence and prevalence patterns for ten major
cancer types (e.g., breast, gallbladder/biliary tract, gastric, kidney, liver,
lung, pancreatic, prostate, thyroid cancers, and leukemia) from 2011 to 2021
using national cancer statistics from the Korean Statistical Information
Service (KOSIS) as reference. The study also examined age and gender
distributions between two datasets. The results showed that the SNUH EMR data
included 8.2% of national incident cancer cases and 10.7% of prevalent cases. The
study also found no significant differences in age and gender distributions
across all cancer types between the SNUH EMR and national data. In
addition, strong correlations in annual trends were observed for several major
cancers, including breast, lung, and pancreatic cancers. Overall, this study
showed that single-center EMR data can be a valuable, representative clinical
resource for oncology research in South Korea. At the same time, the study
emphasizes that the underrepresentation of certain cancer types and external
temporal factors, such as changes in clinical guidelines or major healthcare
disruptions, should be carefully considered when generalizing findings from a
single institution to broader populations.