Advancing Collaborative Pediatric Brain Tumor Research Through Temporally Based Predictive Modeling of a Large Scale National CDRN

Predictive models on temporal data in the form of observations in a sequence or series have helped make headway in utilizing large sets of clinical data collected from health systems in the electronic medical record and billing systems to predict outcomes, diagnoses and help make quicker decisions for health of populations with precision, treating the person and their disease based on genomic characteristics or predictive modeling. This concept of precision medicine is a heavy focus in research on diseases like cancer, and it is grounded in the individual’s cancer genomics which could have completely different molecular characteristics case-to-case and person-to-person. In fact, the tumor itself has different genomic characteristics when compared with other cells in the body. This proposal intends to look predictive models based on temporally based observational health data that is sequential in nature from clinical data sets to annotate the complex biology collected from cancer patients – specifically children suffering from highly lethal rare high-grade gliomas. This research focuses on the intersection two national longitudinal health data collection projects: The Children’s Brain Tumor Tissue Consortium (CBTTC) and the PEDSnet Clinical Data Research Network (CDRN) with the intention of harmonizing the two national projects as they grow to aid in the human annotation of biologically based resources with large scale automated health data networks. The research proposed herein contributes to the coherence broadly defined technical area of cross-platform workflow architectures to facility resource sharing and reuse in biomedical research. Specifically, the methods in this proposal use two common observational research methods utilized by two national organizations to come up with ways of doing large scale data and system integration for rare and deadly diseases by opening this data to more minds outside of purely the biomedical domain.

Clinical Outcomes by Language of Care in Pediatric Oncology

Although language disparities in outcomes are well documented in general pediatrics and adult oncology, little is known in pediatric oncology. Patient or family language is not included in many multi- institutional databases and patient registries, limiting studies of language-based inequities…

Extreme weather impacts on children’s acute and chronic health outcomes; a multisite study with evaluation of vulnerabilities

The “Extreme Weather and Pediatric Health Outcomes” study investigates the impact of climate change-related extreme weather events, such as extreme heat and heavy rainfall, on children’s health across the United States. This innovative research aims to address critical knowledge gaps…

Characterization of Babies Born with Hemolytic Disease of the Fetus/Newborn (HDFN)

Hemolytic disease of the fetus and newborn (HDFN) otherwise known as erythroblastosis fetalis, is a disease in which fetal and neonatal erythrocytes are destroyed by maternal IgG alloantibodies. Before the first RhD immunoprophylaxis was introduced as a treatment in 1968,…

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