Apply to use registry data
Data topics
Permission for use of the data Family phone interviews
Conducted by the
research nurse using standard forms. Data is collected related to the time prior
to JDM, at initial diagnosis, and during follow-up after diagnosis (up to
approximately 2 to 3 years after diagnosis or until the child is lost to
follow-up).
History of the onset of JDM:
- Onset dates of JDM
- Antecedent illness/symptoms 3 months prior to JDM
Onset date history of the JDM case:
- Physician types seen prior to and at diagnosis (by dates)
- Medicine prescribed at diagnosis
- Physical therapy and occupational therapy information
- Functional status at various time points
- Use of alternative medicine/therapies for JDM symptoms before/after
diagnosis
Family background:
- Child's places of residence since birth by city, state, zipcode and dates.
- Family structure (mom, dad, siblings by birthdays)
- Race/ethnic background: (using grandparent logarithm)
- Family history of 25 autoimmune diseases or 4 psychiatric illnesses
- Parent's education level and occupation types
The child's medical background:
- History of mother's pregnancy (prenatal condition)
- History of breast or formula feeding (by time spent on these/other feeding
patterns)
- History of hospitalizations (prior to and including at diagnosis by dates)
- History of fractures
- History of allergic conditions
- History of immunizations or reactions to immunizations
- History of other medical/psychological conditions (by dates)
Environment:
- Personal or family stressful life events three months prior to JDM onset
- Items on school attendance (where, how many children, how many hours/week,
days missed due to illness)
- Types of insect bites three months prior to JDM onset
- Excess sun exposures/sunburn three months prior to JDM onset (use of
sunscreen)
Descriptions of child's residence:
- Proximity (within 5 miles) to bodies of water, sources of air pollution,
industry exposures, chemical exposures
- Drinking water supply
- Exposure to animals/pets Smoking history of members living in child's
home
Physician chart reviews
Verified with medical
records by the research nurse, collected for initial diagnosis time frame and
then annually thereafter until the child is lost to follow-up.
Physician referral patterns: How arrived to primary physician managing JDM
Utilization of tests and results: Muscle and/or skin biopsies EMG, EKG, MRI
Pulmonary function tests, echocardiograms, esophagrams
Clinical findings at initial visit to your
office: Level and distribution of
skin involvement Level and distribution of weakness involvement: Functional
status Level and distribution of joint involvement
Distribution of pain: Presence of infection at diagnosis Vital
Signs/anthropometrics Radiographic evidence of bone changes Labs: Muscle
enzymes, autoantibodies, virus studies Steroid therapy (date of initiation, type
and dose)
History of other therapies, outcome
data: Using follow-up data to determine
JDM health status, treatment efficacy, and utilization of services over time.
Process for use of JDM registry data
The
following process describes how consented subjects in the National Juvenile
Dermatomyositis (JDM) Registry have the opportunity to contact individual
investigators. The Investigator(s) refers to those who have approved
applications to use the Registry for additional research protocols through their
institutions.
- The Investigator whose protocol has been approved by the Registry
Committee must send the JDM Registry staff a proposed study packet which
includes: letters that explain the study to the families and who to contact
from the proposed study for further information, consent(s), and a
self-addressed envelope .
- The JDM Registry staff mails out this packet to potential (as per the
proposed study's protocol) subjects enrolled in the JDM Registry for the
families consideration.
- The families send back the signed consent to the Registry staff or a card
noting that they are/are not interested in that particular proposed study.
- The Investigator and the Registry staff keep a log of those families who
have consented, using the JDM Registry's already established numbered coding
system. After families have consented, the investigator is notified and has
access to confidential data (names, addresses, phone numbers, etc) stored in
the Registry databases.
- Those families not sending any response within a month from the first
mailing receive a second opportunity via a second mailing of the same proposed
study packet. Those that do not respond after this second opportunity are not
contacted further and are logged as non-responders for that particular
proposed study.