
@ShahidNShah
Understanding how and why new therapies are adopted—or not adopted—in real-world practice is critical to advancing precision medicine. While clinical trials may demonstrate efficacy, real-world adoption is shaped by far more complex factors, including diagnostic timing, provider behavior, and care coordination. Real-world data, especially when structured into patient journey analyses, is emerging as a key tool for illuminating these patterns and identifying actionable barriers to treatment uptake.Adoption is rarely uniform when new targeted therapies are introduced into routine clinical care. Despite strong clinical data, some therapies experience slower uptake across sites, regions, or patient groups. The therapies themselves don’t always drive these differences. Instead, they often reflect diagnostic workflows, coordination gaps, and physician decision-making.
The systems that store lab results, pathology findings, and imaging data are often siloed from traditional data warehouses. As a result, constructing patient journeys requires accessing and preparing data from multiple sources, each with its own privacy protocols and operational considerations.To address this, some teams are applying federated approaches that allow patient journeys to be constructed and analyzed locally. Rather than sharing raw clinical data, institutions generate anonymized results on-site, enabling shared analysis without compromising governance. This reduces participation barriers and allows more diverse institutions to contribute, including those that might not otherwise engage due to privacy or resource concerns.
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