PT - JOURNAL ARTICLE AU - New, John P AU - Bakerly, Nawar Diar AU - Leather, David AU - Woodcock, Ashley TI - Obtaining real-world evidence: the Salford Lung Study AID - 10.1136/thoraxjnl-2014-205259 DP - 2014 Dec 01 TA - Thorax PG - 1152--1154 VI - 69 IP - 12 4099 - http://thorax.bmj.com/content/69/12/1152.short 4100 - http://thorax.bmj.com/content/69/12/1152.full SO - Thorax2014 Dec 01; 69 AB - We need to assess clinical treatments in real-life settings outside of randomised controlled trials (RCTs). Pragmatic RCT (pRCT) data can supplement RCTs by providing effectiveness information to support healthcare decisions. Electronic health records can facilitate concurrent safety monitoring and data collection without direct patient contact for large randomised study populations in pRCTs. The Salford Lung Study is the world's first phase III pRCT in asthma and chronic obstructive pulmonary disease (COPD), which aims to randomise over 7000 patients. This paper describes the hurdles overcome and the enormous effort and resource required to establish this comparative effectiveness study of a prelicence intervention.GlaxoSmithKline protocol HZC115151Asthma study clinicaltrials.gov registration NCT01706198COPD study clinicaltrials.gov registration NCT01551758