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Chronic gvhd dictionary-eurograft cost action initiative consensus report
Ana Zelić Kerep1, Atillio Olivieri2, Helene Schoemans3,4
1Division of Hematology, Department of Internal Medicine, University Hospital Center Zagreb, Zagreb, Croatia. azelic987@gmail.com.
Insights
A new cGVHD Dictionary standardizes data for chronic graft versus host disease (cGVHD) after allogeneic stem cell transplants. This aims to improve data retrieval and database merging for this rare condition.
Area of Science:
- Hematology
- Transplantation Medicine
- Oncology
Background:
- Chronic graft versus host disease (cGVHD) is a challenging orphan disease following allogeneic hematopoietic stem cell transplantation (alloHSCT).
- Existing cGVHD databases lack standardization, hindering data retrieval and integration.
- International collaboration is crucial for advancing research and clinical management of cGVHD.
Purpose of the Study:
- To establish a standardized, international cGVHD Dictionary for structuring cGVHD databases.
- To reconcile differences in data retrieval across various registries.
- To facilitate the merging of disparate cGVHD databases for comprehensive analysis.
Main Methods:
- Consensus meetings involving the EUROGRAFT consortium, European Society of Blood and Marrow Transplantation (EBMT), US GvHD consortium, and Center for International Bone Marrow Transplant Registry (CIBMTR).
- Inclusion of data from multiple international databases, including NIH, CIBMTR, and EBMT registries.
- Development of a four-part dictionary structure based on consensus and literature evidence.
Main Results:
- A four-part cGVHD Dictionary has been successfully developed.
- The dictionary standardizes data on patient characteristics, transplant details, cGVHD specifics, and patient-reported outcomes.
- This structure facilitates consistent data collection and analysis across different research groups.
Conclusions:
- The cGVHD Dictionary provides a vital standardized framework for global cGVHD research.
- Implementation of the dictionary will enhance data comparability and support collaborative efforts.
- This standardization is expected to accelerate progress in understanding and treating cGVHD.
Abstract:
Chronic graft versus host disease (cGVHD) affects patients after allogeneic hematopoietic stem cell transplantation (alloHSCT). This orphan disease poses a challenge for clinicians and researchers. The purpose of the cGVHD Dictionary is to provide a standardized structure for cGVHD databases on an international level, reconciling differences in data retrieval and facilitate database merging. It is derived from several consensus meetings of the EUROGRAFT consortium (European Cooperation in Science and Technology-COST Action CA17138) followed by a consensus process involving European Society for Blood and Marrow Transplantation (EBMT), US GvHD consortium and Center for International Bone Marrow Transplant Registry (CIBMTR). Databases used for the dictionary were: the National Institutes of Health (NIH) database, the Center for International Blood and Marrow Transplant Research, Applying Biomarkers to Minimize Long Term Effects of Childhood/Adolescent Cancer Treatment - Pediatric Blood and Marrow Transplant Consortium database, EBMT registry, the German-Austrian-Swiss GvHD registry, Italian Blood and Marrow Transplantation Society registry and Regensburg-Göttingen-Newcastle HSCT dataset. A four-part cGVHD Dictionary was formed based on the databases, consensus, and evidence in the literature. The Dictionary is divided into: (1) Patient characteristics, (2) Transplant characteristics, (3) cGVHD characteristics and (4) patient-reported quality of life, symptom burden and functional indicators.
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