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The Common data elements project Standardization of data collection in TBI NNS 2011 Fort Lauderdale, Florida July 11-13, 2011 Andrew Maas On behalf of the WG demographics and clinical assessments Brain  Injury TODAY  The common data elements project
Why should we standardize data collection? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Standardizing data collection in Traumatic Brain Injury ,[object Object],“ It seems unlikely that we will ever be able to mount adequately-powered trials to study all of the relevant treatment modalities” “ Pooling data from multiple studies (individual patient data analysis), and comparative effectiveness research (CER) utilizing prospective observational data collection, can provide alternative sources of evidence that can be obtained in a more cost-efficient way”
An example of the potential for individual patient data analysis: IMPACT ,[object Object],The problem: Vast heterogeneity of TBI populations  Multicentre RCT’s have all failed to demonstrate benefit of promising treatments Database:   A culture medium for exploring concepts to improve clinical trials in TBI Global aim: To optimize the design and analysis of clinical trials in TBI, to increase the likelihood of demonstrating benefit of a truly effective new therapy or therapeutic agent.
IMPACT results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.tbi-impact.org
Potential for analysis of efficacy across studies ,[object Object],Targeting glutamate excitotoxicity Author, year Country Center N  Agent Young et al, 1996 USA 29 463 (1562) PEG-SOD Marshall et al, 1998 INT 50 1120 Tirilazad US – Tirilazad, 1991-1994 USA 36 1155 Tirilazad Author, year Country Center N  Agent Eliprodil, 1993-1995 EU 20+ 452 Eliprodril Morris et al, 1999 INT 95 693 Selfotel Saphir, 1995-1997 EU 51 924 D-CPP-ene Cerestat, 1996-1997 INT 38 532 Aptiganel Yurkewicz et al , 1998-2001 USA 40 404 CP-101606
TBI common data elements project – Interagency workshop March 2009 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Biospecimens and biomarkers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Radiologic imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcome: recommendations for instruments Domain Instruments Global GOSE Neuropsych RAVLT, TMT, Processing speed Psych BSI-18 Symptoms RPQ Disability FIM: cognitive and motor subscales Social participation CHART-SF Qol SWLS
Aim WG:  Demographics & Clinical Assessment ,[object Object],[object Object],[object Object]
Members WG demographics & clinical assessment David Adelson Phoenix, USA Tom Balkin Washington DC, USA Ross Bullock Miami, USA Doortje Engel Heidelberg, Germany Wayne Gordon New York, USA Cynthia Harrison-Felix Englewood, US Jean Langlois-Orman Houston,  USA Henry L. Lew Richmond,  USA Andrew Maas Antwerp, Belgium David Menon Cambridge, UK Claudia Robertson Houston, USA Karen Schwab Washington DC, USA Nancy Temkin Seattle, USA Alex Valadka Austin, USA Mieke Verfaillie Boston, USA Mark Wainwright Chicago, USA David Wright Atlanta, USA
International experts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Common Data Elements project ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.tbi-impact.org Example Participants/subject characteristic   Demographics   Age/gender/race
CDE: 8  categories ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Elements and templates
Example of data elements for TIL Therapy intensity level (TIL): Basic
Therapy intensity level (TIL): Intermediate
Structure of templates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Example of template: age
Building a CRF for an acute phase study in severe TBI
CDE’s published
Current status CDE’s ,[object Object],[object Object],[object Object],www.tbi-impact.org www.commondataelements.ninds.nih.gov
CDE’s: a living organism ,[object Object],[object Object],[object Object],[object Object]
Development electronic format ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The case for a new beginning ,[object Object],[object Object],[object Object],[object Object],[object Object],The war on TBI

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Standardizing data collection in TBI through the Common Data Elements project

  • 1. The Common data elements project Standardization of data collection in TBI NNS 2011 Fort Lauderdale, Florida July 11-13, 2011 Andrew Maas On behalf of the WG demographics and clinical assessments Brain Injury TODAY The common data elements project
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  • 10. Outcome: recommendations for instruments Domain Instruments Global GOSE Neuropsych RAVLT, TMT, Processing speed Psych BSI-18 Symptoms RPQ Disability FIM: cognitive and motor subscales Social participation CHART-SF Qol SWLS
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  • 12. Members WG demographics & clinical assessment David Adelson Phoenix, USA Tom Balkin Washington DC, USA Ross Bullock Miami, USA Doortje Engel Heidelberg, Germany Wayne Gordon New York, USA Cynthia Harrison-Felix Englewood, US Jean Langlois-Orman Houston, USA Henry L. Lew Richmond, USA Andrew Maas Antwerp, Belgium David Menon Cambridge, UK Claudia Robertson Houston, USA Karen Schwab Washington DC, USA Nancy Temkin Seattle, USA Alex Valadka Austin, USA Mieke Verfaillie Boston, USA Mark Wainwright Chicago, USA David Wright Atlanta, USA
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  • 18. Example of data elements for TIL Therapy intensity level (TIL): Basic
  • 19. Therapy intensity level (TIL): Intermediate
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  • 22. Building a CRF for an acute phase study in severe TBI
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