Mozun Rebeca, Belle Fabiën N, Agostini Andrea, Baumgartner Matthias R, Fellay Jacques, Forrest Christopher B, Froese D Sean, Giannoni Eric, Goetze Sandra, Hofmann Kathrin, Latzin Philipp, Lauener Roger, Martin Necker Aurélie, Ormond Kelly, Pachlopnik Schmid Jana, Pedrioli Patrick G A, Posfay-Barbe Klara M, Rauch Anita, M Schulzke Sven, Stocker Martin, Spycher Ben D, Vayena Effy, Welzel Tatjana, Zamboni Nicola, Vogt Julia E, Schlapbach Luregn J, Bielicki Julia A, Kuehni Claudia E
Department of Intensive Care and Neonatology and Children's Research Center, University Children's Hospital Zürich, Zurich, Switzerland.
Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland.
BMJ Open. 2024 Dec 26;14(12):e091884. doi: 10.1136/bmjopen-2024-091884.
Children represent a large and vulnerable patient group. However, the evidence base for most paediatric diagnostic and therapeutic procedures remains limited or is often inferred from adults. There is an urgency to improve paediatric healthcare provision based on real-world evidence generation. Digital transformation is a unique opportunity to shape a data-driven, agile, learning healthcare system and deliver more efficient and personalised care to children and their families. The goal of Paediatric Personalized Research Network Switzerland (SwissPedHealth) is to build a sustainable and scalable infrastructure to make routine clinical data from paediatric hospitals in Switzerland interoperable, standardised, quality-controlled, and ready for observational research, quality assurance, trials and health-policy creation. This study describes the design, aims and current achievements of SwissPedHealth.
SwissPedHealth was started in September 2022 as one of four national data streams co-funded by the Swiss Personalized Health Network (SPHN) and the Personalized Health and Related Technologies (PHRT). SwissPedHealth develops modular governance and regulatory strategies and harnesses SPHN automatisation procedures in collaboration with clinical data warehouses, the Data Coordination Center, Biomedical Information Technology Network, and other SPHN institutions and funded projects. The SwissPedHealth consortium is led by a multisite, multidisciplinary Steering Committee, incorporating patient and family representatives. The data stream contains work packages focusing on (1) governance and implementation of standardised data collection, (2) nested projects to test the feasibility of the data stream, (3) a lighthouse project that enriches the data stream by integrating multi-omics data, aiming to improve diagnoses of rare diseases and 4) engagement with families through patient and public involvement activities and bioethics interviews.
The health database regulation of SwissPedHealth was approved by the ethics committee (AO_2022-00018). Research findings will be disseminated through national and international conferences and publications in peer-reviewed journals, and in lay language via online media and podcasts.
儿童是一个庞大且脆弱的患者群体。然而,大多数儿科诊断和治疗程序的证据基础仍然有限,或者常常是从成人研究中推断而来。基于真实世界证据生成来改善儿科医疗服务迫在眉睫。数字化转型是塑造一个数据驱动、敏捷、可学习的医疗系统并为儿童及其家庭提供更高效、个性化护理的独特机遇。瑞士儿科个性化研究网络(SwissPedHealth)的目标是建立一个可持续且可扩展的基础设施,使瑞士儿科医院的常规临床数据能够实现互操作、标准化、质量可控,并可用于观察性研究、质量保证、试验和卫生政策制定。本研究描述了SwissPedHealth的设计、目标和当前成果。
SwissPedHealth于2022年9月启动,是由瑞士个性化健康网络(SPHN)和个性化健康及相关技术(PHRT)共同资助的四个国家数据流之一。SwissPedHealth制定模块化治理和监管策略,并与临床数据仓库、数据协调中心、生物医学信息技术网络以及其他SPHN机构和资助项目合作,利用SPHN自动化程序。SwissPedHealth联盟由一个多地点、多学科的指导委员会领导,该委员会纳入了患者和家庭代表。该数据流包含多个工作包,重点关注:(1)标准化数据收集的治理与实施;(2)测试数据流可行性的嵌套项目;(3)一个灯塔项目,通过整合多组学数据丰富数据流,旨在改善罕见病的诊断;以及(4)通过患者和公众参与活动以及生物伦理访谈与家庭进行互动。
SwissPedHealth的健康数据库规定已获得伦理委员会批准(AO_2022 - 00018)。研究结果将通过国内和国际会议以及同行评审期刊上的出版物进行传播,并通过在线媒体和播客以通俗易懂的语言进行传播。