RT Journal Article SR Electronic T1 Opportunities and challenges for real-world studies on chronic inflammatory joint diseases through data enrichment and collaboration between national registers: the Nordic example JF RMD Open JO RMD Open FD EULAR SP e000655 DO 10.1136/rmdopen-2018-000655 VO 4 IS 1 A1 Katerina Chatzidionysiou A1 Merete Lund Hetland A1 Thomas Frisell A1 Daniela Di Giuseppe A1 Karin Hellgren A1 Bente Glintborg A1 Dan Nordström A1 Kalle Aaltonen A1 Minna RK Törmänen A1 Eirik Klami Kristianslund A1 Tore K Kvien A1 Sella A Provan A1 Bjorn Guðbjörnsson A1 Lene Dreyer A1 Lars Erik Kristensen A1 Tanja Schjødt Jørgensen A1 Lennart Jacobsson A1 Johan Askling YR 2018 UL http://rmdopen.bmj.com/content/4/1/e000655.abstract AB There are increasing needs for detailed real-world data on rheumatic diseases and their treatments. Clinical register data are essential sources of information that can be enriched through linkage to additional data sources such as national health data registers. Detailed analyses call for international collaborative observational research to increase the number of patients and the statistical power. Such linkages and collaborations come with legal, logistic and methodological challenges. In collaboration between registers of inflammatory arthritides in Sweden, Denmark, Norway, Finland and Iceland, we plan to enrich, harmonise and standardise individual data repositories to investigate analytical approaches to multisource data, to assess the viability of different logistical approaches to data protection and sharing and to perform collaborative studies on treatment effectiveness, safety and health-economic outcomes. This narrative review summarises the needs and potentials and the challenges that remain to be overcome in order to enable large-scale international collaborative research based on clinical and other types of data.