The purpose of this proposal is to continue to work collaboratively with the CDC and other grantee SB clinics to continue to pilot a disease specific national registry to improve care for individuals with SB.
Specific Aims : 1) continue to pilot the SB registry tool on greater than 125 patients attending the Cincinnati multi-disciplinary SB clinic, 2) work collaboratively with the CDC and other grantee demonstration programs to evaluate and improve the proposed national SB registry tool, and 3) cooperate with other grantee programs to investigate associations among demographics, interventions, and outcomes in individuals with SB. Background: SB is the most common permanently disabling birth defect with an estimated 70,000 individuals living with the more significant forms of this neural tube defect. A study of medical services available to patients with SB found significant variability among the responding SB clinics regarding the number of patients served, types of specialty care available, frequency of clinic sessions, and level of care coordination offered. This SB Registry Demonstration Project is a pilot program aimed at developing a national clinical registry to assess variability across clinics and to evaluate outcomes-based medical care. The Cincinnati Children's Hospital SB Center was chosen as one of the nine centers to pilot the SB Registry and continues to have the clinical, administrative, and research support necessary to continue to be one of the demonstration programs. Methods: Using standardized CDC forms and an electronic registry, data will be collected annually from the patients attending the multi-disciplinary SB Center in the Division of Developmental and Behavioral Pediatrics at the Cincinnati Children's Hospital Medical Center.

Public Health Relevance

The purpose of this proposal is to work collaboratively with the Centers for Disease Control and Prevention and other grantee spina bifida clinics to continue to pilot a disease specific national registry. As data is collected and analyzed, changes to clinical practice may be proposed in order to improve the quality of care of persons living with spina bifida.

Agency
National Institute of Health (NIH)
Institute
Centers for Disease Control and Prevention (NCBDD)
Type
Research Project--Cooperative Agreements (U01)
Project #
1U01DD000766-01
Application #
8241475
Study Section
Special Emphasis Panel (ZDD1-HMS (05))
Program Officer
Brown, Michael
Project Start
2011-09-30
Project End
2014-06-29
Budget Start
2011-09-30
Budget End
2012-09-29
Support Year
1
Fiscal Year
2011
Total Cost
$50,000
Indirect Cost
Name
Cincinnati Children's Hospital Medical Center
Department
Type
DUNS #
071284913
City
Cincinnati
State
OH
Country
United States
Zip Code
45229
Kim, Sunkyung; Ward, Elisabeth; Dicianno, Brad E et al. (2015) Factors associated with pressure ulcers in individuals with spina bifida. Arch Phys Med Rehabil 96:1435-1441.e1
Sawin, Kathleen J; Liu, Tiebin; Ward, Elisabeth et al. (2015) The National Spina Bifida Patient Registry: profile of a large cohort of participants from the first 10 clinics. J Pediatr 166:444-50.e1
Thibadeau, Judy K; Ward, Elisabeth A; Soe, Minn M et al. (2013) Testing the feasibility of a National Spina Bifida Patient Registry. Birth Defects Res A Clin Mol Teratol 97:36-41