Evaluation of Research Accessibility and Data Elements of HIV Registries

Page: [258 - 265] Pages: 8

  • * (Excluding Mailing and Handling)

Abstract

Background: Patient registries represent a long-term data collection system that is a platform for performing multiple research studies to generate real-world evidence. Many of these registries use common data elements (CDEs) and link data from Electronic Health Records.

Objective: This study evaluated HIV registry features that contribute to the registry’s usability for retrospective analysis of existing registry data or new prospective interventional studies.

Methods: We searched PubMed and ClinicalTrials.gov (CTG) to generate a list of HIV registries. We used the framework developed by the European Medical Agency (EMA) to evaluate the registries by determining the presence of key research features. These features included information about the registry, request and collaboration processes, and available data. We acquired data dictionaries and identified CDEs.

Results: We found 13 HIV registries that met our criteria, 11 through PubMed and 2 through CTG. The prevalence of the evaluated features ranged from all 13 (100%) having published key registry information to 0 having a research contract template. We analyzed 6 data dictionaries and identified 14 CDEs that were present in at least 4 of 6 (66.7%) registry data dictionaries.

Conclusion: The importance of registries as platforms for research data is growing and the presence of certain features, including data dictionaries, contributes to the reuse and secondary research capabilities of a registry. We found some features such as collaboration policies were in the majority of registries while others such as, ethical support, were in a few and are more for future development.

Keywords: HIV, clinical research informatics, patient disease registry, secondary research, common data elements, data reuse.

Graphical Abstract

[1]
Olmo CA, McGettigan P, Kurz X. Barriers and Opportunities for Use of Patient Registries in Medicines Regulation. Clin Pharmacol Ther 2019; 106(1): 39-42.
[http://dx.doi.org/10.1002/cpt.1414] [PMID: 30970160]
[2]
European Medicines Agency: Discussion Paper: Use of patient disease registries for regulatory purposes – methodological and operational considerations (task force on Patient Registries) [Internet]. Available from. https://www.ema.europa.eu/documents/other/discussion-paper-use-patient-disease-registries-regulatory-purposes-methodological-operational_en.docx
[3]
Framework for FDA’s: Real-World Evidence Program 2018. download.pdf [Internet]. Available from. https://www.fda.gov/media/120060/download [cited 2019 Aug 28].
[4]
Shahraki AD, Ghabaee M, Shahmoradi L, Malak JS, Jazani MR, Safdari R. Smart acute stroke quality registry design-data elements identification. J Registry Manag 2018; 45(1): 43-7.
[PMID: 30183697]
[5]
Huser V, Amos L. Analyzing Real-World Use of Research Common Data Elements. AMIA Annu Symp Proc AMIA Symp. 602-8.
[6]
Behrendt C-A, Heidemann F, Rieß HC, Stoberock K, Debus SE. Registry and health insurance claims data in vascular research and quality improvement. Vasa 2017; 46(1): 11-5.
[http://dx.doi.org/10.1024/0301-1526/a000589] [PMID: 27871211]
[7]
Bodenreider O, Cornet R, Vreeman DJ. Recent Developments in Clinical Terminologies - SNOMED CT, LOINC, and RxNorm. Yearb Med Inform 2018; 27(1): 129-39.
[http://dx.doi.org/10.1055/s-0038-1667077] [PMID: 30157516]
[8]
The Antiretroviral Pregnancy Registry. Available from. http://www.apregistry.com/ [cited 2019 Jul 29].
[9]
National Quality Registry for HIV (InfCare HIV) - Nationella Kvalitetsregister [Internet]. Available from. http://kvalitetsregister.se/englishpages/findaregistry/registerarkivenglish/nationalqualityregistryforhivinfcarehiv.2172.html [cited 2019 Jul 29].
[10]
CHIP – Centre of Excellence for Health, Immunity and Infections [Internet]. Available from. https://chip.dk/Studies/RESPOND/Collaborating-cohorts-and-partners/EuroSIDA [cited 2019 Jul 29].
[11]
Center For AIDS Research (CFAR) Registry: HIV/AIDS Data [Internet]. Available from. http://it.emory.edu/ [cited 2019 Jul 29].
[12]
HIV | UNSW - The Kirby Institute for infection and immunity in society [Internet]. Available from. https://kirby.unsw.edu.au/research/hiv [cited 2019 Jul 29].
[13]
CHIP – Centre of Excellence for Health, Immunity and Infections [Internet]. Available from. https://chip.dk/Studies/EuroSIDA/Study-documents [cited 2019 Jul 29].
[14]
Data Entry/Submission Instructions and Timelines - Minnesota Dept. of Health [Internet]. Available from. https://www. health. state.mn.us/diseases/hiv/partners/careware/dataentry.html [cited 2019 Jul 29].
[15]
Mhlanga FG, Noguchi L, Balkus JE, et al. Implementation of a prospective pregnancy registry for antiretroviral based HIV prevention trials. HIV Clin Trials 2018; 19(1): 8-14.
[http://dx.doi.org/10.1080/15284336.2017.1411419] [PMID: 29268654]
[16]
Colasanti J, Sumitani J, Mehta CC, et al. Implementation of a rapid entry program decreases time to viral suppression among vulnerable persons living with HIV in the Southern United States. Open Forum Infect Dis 2018; 5(6)ofy104
[http://dx.doi.org/10.1093/ofid/ofy104] [PMID: 29992172]
[17]
Rabeneck L, Menke T, Simberkoff MS, et al. Using the national registry of HIV-infected veterans in research: lessons for the development of disease registries. J Clin Epidemiol 2001; 54(12): 1195-203.
[http://dx.doi.org/10.1016/S0895-4356(01)00397-3] [PMID: 11750188]
[18]
Buchacz K, Chen M-J, Parisi MK, et al. Using HIV surveillance registry data to re-link persons to care: the RSVP Project in San Francisco. PLoS One 2015; 10(3)e0118923
[http://dx.doi.org/10.1371/journal.pone.0118923] [PMID: 25748668]
[19]
Wiewel EW, Borrell LN, Maroko AR, Jones HE, Torian LV, Udeagu C-C. Neighborhood social cohesion and viral suppression after HIV diagnosis. J Health Psychol 2018; 1359105318810088.
[http://dx.doi.org/10.1177/1359105318810088] [PMID: 30518282]
[20]
Boender TS, Smit C, Sighem A, et al. AIDS Therapy Evaluation in the Netherlands (ATHENA) national observational HIV cohort: cohort profile. BMJ Open 2018; 8(9)e022516
[21]
Libbus MK, Phillips L. J Knudson K. TB-HIV Registry Matching in Missouri, 1987-1999. Public Health Nurs 2002; 19(6): 470-4.
[http://dx.doi.org/10.1046/j.1525-1446.2002.19608.x] [PMID: 12406181]
[22]
Clarke CA, Glaser SL. Population-based surveillance of HIVassociated cancers: utility of cancer registry data. J Acquir Immune Defic Syndr 1999 1999; 36(5): 1083-91.
[23]
Mallitt K-A, Wilson DP, Jansson J, McDonald A, Wand H, Post JJ. Identifying missed clinical opportunities for the earlier diagnosis of HIV in Australia, a retrospective cohort data linkage study. PLoS One 2018; 13(12)e0208323
[http://dx.doi.org/10.1371/journal.pone.0208323] [PMID: 30521582]
[24]
Wannheden C, Hvitfeldt-Forsberg H, Eftimovska E, Westling K, Ellenius J. Boosting Quality Registries with Clinical Decision Support Functionality*. User Acceptance of a Prototype Applied to HIV/TB Drug Therapy. Methods Inf Med 2017; 56(4): 339-43.
[http://dx.doi.org/10.3414/ME16-02-0030] [PMID: 28451688]
[25]
Enns EA, Reilly CS, Virnig BA, Baker K, Vogenthaler N, Henry K. Potential Impact of Integrating HIV Surveillance and Clinic Data on Retention-in-Care Estimates and Re-Engagement Efforts. AIDS Patient Care STDS 2016; 30(9): 409-15.
[http://dx.doi.org/10.1089/apc.2016.0169] [PMID: 27610462]
[26]
Vannappagari V, Albano JD, Koram N, Tilson H, Scheuerle AE, Napier MD. Prenatal exposure to zidovudine and risk for ventricular septal defects and congenital heart defects: data from the Antiretroviral Pregnancy Registry. Eur J Obstet Gynecol Reprod Biol 2016; 197: 6-10.
[http://dx.doi.org/10.1016/j.ejogrb.2015.11.015] [PMID: 26687320]
[27]
Podlekareva D, Grint D, Karpov I, et al. EuroSIDA in EuroCoord. Changing utilization of Stavudine (d4T) in HIV-positive people in 2006-2013 in the EuroSIDA study. HIV Med 2015; 16(9): 533-43.
[http://dx.doi.org/10.1111/hiv.12254] [PMID: 25988795]
[28]
Antiretroviral Pregnancy Registry (APR)-Risk of Birth Defects - Full Text View - ClinicalTrials.gov [Internet]. Available from. https://clinicaltrials.gov/ct2/show/NCT01137981?term=NCT01137981&rank=1
[29]
EMBRACE (Evaluation of Maternal and Baby Outcome Registry After Chemoprophylactic Exposure) - Full Text View - Clinical- Trials.gov [Internet]. Available from. https://clinicaltrials.gov/ct2/show/NCT01209754?term=NCT01209754&rank=1 [cited 2019 Aug 28].
[30]
MTN-016 - EMBRACE | Microbicide Trials Network [Internet]. Available from. https://mtnstopshiv.org/news/mtn-016-embrace [cited 2019 Jul 29].
[31]
Department of Public Health | HIV Epidemiology Section [Internet]. Available from. https://www.sfdph.org/dph/comupg/oprograms/HIVepiSec/HIVepiSecReports.asp [cited 2019 Jul 29].
[32]
HIV/AIDS Surveillance Data - NYC Health [Internet]. Available from. https://www1.nyc.gov/site/doh/data/data-sets/hiv-aids-surveillance.page [cited 2019 Jul 29].
[34]
HIV/AIDS Disease Surveillance | Health & Senior Services [Internet]. Available from. https://health.mo.gov/data/hivstdaids/ [cited 2019 Aug 28].
[35]
[36]
Home | Stichting HIV Monitoring [Internet]. Available from. https://www.hiv-monitoring.nl/nl [cited 2019 Jul 29].
[37]
SERP_Standard-Operating-Procedures-National-HIV-AIDS-Case- Reporting_Mar 2017.pdf [Internet]. Available from. https://kirby.unsw.edu.au/sites/default/files/kirby/report/SERP_Standard-Operating-Procedures-National-HIV-AIDS-Case-Reporting_Mar%202017.pdf [cited 2019 Aug 28].
[38]
Weeks J, Pardee R. Learning to Share Health Care Data: A Brief Timeline of Influential Common Data Models and Distributed Health Data Networks in U.S. Health Care Research. EGEMS (Wash DC) 2019; 7(1): 4.
[http://dx.doi.org/10.5334%2Fegems.279] [PMID: 30937326]
[39]
Lea NC, Nicholls J, Fitzpatrick NK. Between Scylla and Charybdis: Charting the Wicked Problem of Reusing Health Data for Clinical Research Informatics. Yearb Med Inform 2018; 27(1): 170-6.
[http://dx.doi.org/10.1055/s-0038-1641219] [PMID: 30157520]
[40]
Musen MA, Bean CA, Cheung K-H, et al. CEDAR team. The center for expanded data annotation and retrieval. J Am Med Inform Assoc 2015; 22(6): 1148-52.
[http://dx.doi.org/10.1093/jamia/ocv048] [PMID: 26112029]
[41]
Australian HIV Public Access Datasets | UNSW - The Kirby Institute for infection and immunity in society [Internet]. Available from https://kirby.unsw.edu.au/report-type/australian-hiv-public-access-datasets [cited 2019 Aug 28].