Informatics infrastructure in a rural pediatric clinical trials network: Matching specific clinical research needs
Melody Greer1, Maryam Y Garza1, Jeannette Lee2
1Department of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Insights
This study addresses challenges in pediatric clinical trials, particularly for rural populations. It details a successful multi-site data center deployment using modified infrastructure and open-source tools.
Area of Science:
- Pediatric clinical research
- Health informatics
- Clinical trial management
Background:
- Children are historically underrepresented in clinical trials, especially those in rural or underserved areas.
- Multi-center trials in rural settings face significant informatics challenges.
- Addressing these challenges requires robust informatics infrastructure and effective data management strategies.
Purpose of the Study:
- To describe the implementation of a multi-site data coordinating and operations center for pediatric clinical trials.
- To outline informatics approaches for data collection, processing, and management in rural multi-center studies.
- To provide a model for overcoming informatics barriers in pediatric research networks.
Main Methods:
- Leveraging and modifying existing local infrastructure.
- Utilizing open-source tools for data management.
- Synthesizing literature on data collection/management and Good Clinical Data Management Practices.
Main Results:
- Successful deployment of a multi-site data coordinating and operations center.
- Demonstrated feasibility of conducting multi-center pediatric trials in rural areas.
- Established data collection and management protocols tailored to the IDeA States Pediatric Clinical Trial Network (ISPCTN).
Conclusions:
- Modified local infrastructure and open-source tools can overcome informatics challenges in rural multi-center trials.
- Effective data management is crucial for the success of pediatric clinical networks.
- The ISPCTN model provides a scalable solution for inclusive pediatric research.
Abstract:
Children have historically been underrepresented in randomized controlled trials and multi-center studies. This is particularly true for children who reside in rural and underserved areas. Conducting multi-center trials in rural areas presents unique informatics challenges. These challenges call for increased attention towards informatics infrastructure and the need for development and application of sound informatics approaches to the collection, processing, and management of data for clinical studies. By modifying existing local infrastructure and utilizing open source tools, we have been able to successfully deploy a multi-site data coordinating and operations center. We report our implementation decisions for data collection and management for the IDeA States Pediatric Clinical Trial Network (ISPCTN) based on the functionality needed for the ISPCTN, our synthesis of the extant literature in data collection and management methodology, and Good Clinical Data Management Practices.
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