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What might it allow us to do that we have not been able to do with the SEER database? The SEER database was created by the National Cancer Institute (NCI).Dr Yu: First, I think that the SEER database is the gold standard, or the best source of cancer observational data. It was designed as a research tool to actually ask questions.The flagship initiative is probably the Cancer Lin Q™ program. We have a better understanding of what the needs are.Most people, at this point, have worked with electronic medical records (EMRs) and have had some experience and a lot of frustration with them.That is a very labor-intensive process, but that might also point out some inaccuracies in the electronic data that we are able to get directly.Dr Miller: There has been a hope that big data would get around some of the biases that might come into play in our clinical trial results. Welcome to Medscape Oncology Insights, coming to you from the 2016 annual meeting of the American Society of Clinical Oncology (ASCO). I am Kathy Miller, professor of medicine at the Indiana University School of Medicine in Indianapolis, Indiana.

We need to think carefully about what the clinical value is of huge compilations of patient information. Dr Miller: I really appreciate you taking the time from your busy schedule to talk to us about big data.

Dr Miller: We have seen that some studies have used things like the Surveillance, Epidemiology, and End Results (SEER) database.

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