Abstract
Data integration enhances dataset utility but raises privacy concerns due to increased disclosure risks. Synthetic data offers a potential solution, though its role in data integration has not been thoroughly investigated. This study assesses synthetic data integration by evaluating the impact of varying common variables during statistical matching and exploring synthetic-real dataset combinations in donor-recipient settings. We used data from the Korean Genome and Epidemiology Study (KoGES) cohort, with the full dataset as the donor and one-quarter of the subjects as the recipient. Multiple synthetic datasets were generated from both datasets, with varying sets of common variables. Statistical matching was conducted using the nearest-neighbor hotdeck method. Data utility was evaluated using confidence interval overlap measures in the hazard ratio estimates under clinical scenarios to predict diabetes onset. When both donor and recipient data were synthetic, the all-available matched data generally outperformed other matching conditions. However, clinically relevant matching variables occasionally showed equivalent performances. The synthetic data showed comparable model accuracy to real data, although further investigation is warranted to understand the performance differences. Statistically matched synthetic data offers utility comparable to real data, providing a potential approach for reducing privacy risks while maintaining data utility.