The Development of The Longitudinal Pediatric
The Development of The Longitudinal Pediatric
The Development of The Longitudinal Pediatric
The Development of the Longitudinal Pediatric Data Resource to Support Translational Research in Newborn Screening
1Center
Contact Information: Email: [email protected] The Center for Biomedical Informatics at CHOP
Jennifer G. Loutrel1, Stacey Wrazien1, Nicole M. Ferraro1, Jeffrey W. Pennington1, Mark Porter1, Amy M. Brower2, Peter S. White1,3,4
for Biomedical Informatics, The Childrens Hospital of Philadelphia, Philadelphia, PA; 2Newborn Screening Translational Research Network (NBSTRN) Coordinating Center, American College of Medical Genetics and Genomics, Bethesda, MD; 3Division of Oncology, The Childrens Hospital of Philadelphia, Philadelphia, PA; 4Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA
BACKGROUND
Newborn Screening Newborn screening (NBS) is used nationwide for the early identification, diagnosis, and treatment of a variety of disorders in order to improve health outcomes for affected infants. Each year in the United States approximately 12,500 infants are found by NBS to have a condition that requires medical intervention. The Newborn Screening Translational Research Network The Newborn Screening Translational Research Network (NBSTRN) Coordinating Center was established in 2008 by the NICHD to facilitate the development of a set of tools and infrastructure to support research in NBS. Because the majority of NBS conditions are rare, translating new discoveries about NBS disorders into clinical practice requires the prospective collection and aggregation of health information across the continuum of clinical care and diverse geographic settings. The Longitudinal Pediatric Data Resource The Center for Biomedical Informatics (CBMi) at the Childrens Hospital of Philadelphia (CHOP) was tasked with creating a long-term follow-up informatics system, the Longitudinal Pediatric Data Resource (LPDR), to enable enhanced data collection, data management, case reporting, and data analysis across disorders and institutions. The LPDR consists of multiple disease-specific REDCap projects, disease-specific paper case report forms (CRFs), and the Data Almanac, an electronic metadata resource available at the point of data entry.
METHODS
Align existing disease datasets with national standards and grantee specific aims and protocols
Provide electronic definitions for elements in REDCap at the point of data entry
Collect feedback from national committees and workgroups using an electronic survey
RESULTS
Newborn
Screening
Visit
Demographics
and
History
Parents
Siblings
Biochemical
labs
Other
labs
Pharmacotherapy
NBS
Hearing
screen
Consent
Status
change
Growth
Development
Medica<on
Treatment
Status
Par<cipa<on
Newborn Screen
Family History
Visit Findings
Demographics
Genotype Other
Socioeconomics
Procedures
Emergency Management
For more information about the Longitudinal Pediatric Data Resource please visit http://www.nbstrn.org.
Three prospective studies are utilizing the completed case report forms detailing 52 conditions, 88% (46/52) are part of routine NBS and 12% (6/52) are the focus of pilots to determine if NBS is warranted. In the future the LPDR will enable investigators to submit genomic information to analyze along with clinical data.
CBMi is funded by a subcontract to the American College of Medical Genetics and Genomics (HHSN27520080001C-2-0-1) 8/1/11-9/23/13. 1. Paul A. Harris et al. Research electronic data capture (REDCap)-a metadata-driven methodology and workflow process for providing translational research informatics support, J Biomed Inform. 2009 Apr42(2):377-81.
Nutri<on
Diagnosis
Ini<al Tes<ng
Consent
Visit Studies-Other
Prenatal
Diagnos<c
Recommenda<ons Diets
Study Status