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Published in: Orphanet Journal of Rare Diseases 1/2024

Open Access 01-12-2024 | Turner's Syndrome | Research

Methodological advances in patient-centered rare disease research: the UTHealth Houston Turner Syndrome Society of the United States research registry

Authors: Sara Mansoorshahi, Cindy Scurlock, Scientific Advisory Board of the Turner Syndrome Society of the United States Research Registry, Siddharth K Prakash

Published in: Orphanet Journal of Rare Diseases | Issue 1/2024

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Abstract

Background

Many different clinical specialists provide care to patients with Turner syndrome (TS), who have highly variable clinical manifestations. Therefore, a national TS registry is essential to inform a cohesive approach to healthcare and research. In 2015, the Turner Syndrome Society of the United States (TSSUS) created the Turner Syndrome Research Registry (TSRR) to engage directly with community participants who voluntarily provide longitudinal data about their experiences with TS. TSRR projects are collaborative partnerships between people with TS, TSSUS, and researchers.

Results

To ensure that registry workflows conform to the data privacy choices of participants, TSSUS collaborated with UTHealth Houston in 2021 to create a new version of the TSRR that completely separates participant health data (stored at UTHealth) and personal identifiers (maintained at TSSUS). We developed an innovative Visual Basic (VB) script that, when embedded into Microsoft Outlook, redirects REDCap surveys through TSSUS to participants by matching registry IDs to participant email addresses. Additionally, the utilization of REDCap allows for portability of data as it is an open source platform.

Conclusion

In this report, we will highlight three recent changes that more closely align the TSRR with this mission: a unique and equal collaborative partnership between UTHealth and TSSUS, an open-source platform, REDCap, that ensures data portability and compatibility across institutions, and an innovative survey routing system that retains participant confidentiality without sacrificing REDCap survey distribution capabilities to connect researchers with thousands of participants.
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Literature
1.
go back to reference Ford CE, Jones KW, Polani PE, De Almeida JC, Briggs JH. A sex-chromosome anomaly in a case of gonadal dysgenesis (Turner’s syndrome). Lancet Lond Engl. 1959;1(7075):711–3.CrossRef Ford CE, Jones KW, Polani PE, De Almeida JC, Briggs JH. A sex-chromosome anomaly in a case of gonadal dysgenesis (Turner’s syndrome). Lancet Lond Engl. 1959;1(7075):711–3.CrossRef
2.
go back to reference Zinn AR, Page DC, Fisher EM. Turner syndrome: the case of the missing sex chromosome. Trends Genet TIG. 1993;9(3):90–3.CrossRefPubMed Zinn AR, Page DC, Fisher EM. Turner syndrome: the case of the missing sex chromosome. Trends Genet TIG. 1993;9(3):90–3.CrossRefPubMed
3.
go back to reference Campbell IM, Shaw CA, Stankiewicz P, Lupski JR. Somatic mosaicism: implications for Disease and Transmission Genetics. Trends Genet TIG. 2015;31(7):382–92.CrossRefPubMed Campbell IM, Shaw CA, Stankiewicz P, Lupski JR. Somatic mosaicism: implications for Disease and Transmission Genetics. Trends Genet TIG. 2015;31(7):382–92.CrossRefPubMed
4.
go back to reference Cui X, Cui Y, Shi L, Luan J, Zhou X, Han J. A basic understanding of Turner syndrome: incidence, complications, diagnosis, and treatment. Intractable Rare Dis Res. 2018;7(4):223–8.CrossRefPubMedPubMedCentral Cui X, Cui Y, Shi L, Luan J, Zhou X, Han J. A basic understanding of Turner syndrome: incidence, complications, diagnosis, and treatment. Intractable Rare Dis Res. 2018;7(4):223–8.CrossRefPubMedPubMedCentral
5.
go back to reference Gravholt CH, Andersen NH, Conway GS, Dekkers OM, Geffner ME, Klein KO et al. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting. Eur J Endocrinol. 2017;177(3):G1–70. Gravholt CH, Andersen NH, Conway GS, Dekkers OM, Geffner ME, Klein KO et al. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting. Eur J Endocrinol. 2017;177(3):G1–70.
6.
go back to reference Viuff M, Skakkebaek A, Nielsen MM, Chang S, Gravholt CH. Epigenetics and genomics in Turner syndrome. Am J Med Genet C Semin Med Genet. 2019;181(1):68–75.CrossRefPubMed Viuff M, Skakkebaek A, Nielsen MM, Chang S, Gravholt CH. Epigenetics and genomics in Turner syndrome. Am J Med Genet C Semin Med Genet. 2019;181(1):68–75.CrossRefPubMed
7.
8.
go back to reference Lin AE, Prakash SK, Andersen NH, Viuff MH, Levitsky LL, Rivera-Davila M, et al. Recognition and management of adults with Turner syndrome: from the transition of adolescence through the senior years. Am J Med Genet A. 2019;179(10):1987–2033.CrossRefPubMed Lin AE, Prakash SK, Andersen NH, Viuff MH, Levitsky LL, Rivera-Davila M, et al. Recognition and management of adults with Turner syndrome: from the transition of adolescence through the senior years. Am J Med Genet A. 2019;179(10):1987–2033.CrossRefPubMed
9.
go back to reference Prakash SK, Lugo-Ruiz S, Rivera-Dávila M, Rubio N, Shah AN, Knickmeyer RC, et al. The Turner syndrome research registry: creating equipoise between investigators and participants. Am J Med Genet C Semin Med Genet. 2019;181(1):135–40.CrossRefPubMedPubMedCentral Prakash SK, Lugo-Ruiz S, Rivera-Dávila M, Rubio N, Shah AN, Knickmeyer RC, et al. The Turner syndrome research registry: creating equipoise between investigators and participants. Am J Med Genet C Semin Med Genet. 2019;181(1):135–40.CrossRefPubMedPubMedCentral
10.
go back to reference Sandberg DE, Singer D, Bugajski B, Gebremariam A, Scerbak T, Maley KLD, et al. Research Priorities of People Living with Turner Syndrome (TS). Am J Med Genet C Semin Med Genet. 2019;181(1):43–51.CrossRefPubMedPubMedCentral Sandberg DE, Singer D, Bugajski B, Gebremariam A, Scerbak T, Maley KLD, et al. Research Priorities of People Living with Turner Syndrome (TS). Am J Med Genet C Semin Med Genet. 2019;181(1):43–51.CrossRefPubMedPubMedCentral
11.
go back to reference Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inf. 2009;42(2):377–81.CrossRef Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inf. 2009;42(2):377–81.CrossRef
12.
go back to reference Gabetta M, Mirabelli M, Klersy C, Musella V, Rizzo G, Pedrazzoli P, et al. An extension of the i2b2 Data Warehouse to support REDCap dynamic data pull. Stud Health Technol Inf. 2019;258:21–5. Gabetta M, Mirabelli M, Klersy C, Musella V, Rizzo G, Pedrazzoli P, et al. An extension of the i2b2 Data Warehouse to support REDCap dynamic data pull. Stud Health Technol Inf. 2019;258:21–5.
13.
go back to reference Donate P, Rivera-Davila M, Prakash SK. Health disparities in Turner Syndrome: UTHealth Turner Syndrome Research Registry. Rare Dis Orphan Drugs J. 2023;2(1):4.CrossRef Donate P, Rivera-Davila M, Prakash SK. Health disparities in Turner Syndrome: UTHealth Turner Syndrome Research Registry. Rare Dis Orphan Drugs J. 2023;2(1):4.CrossRef
14.
go back to reference Rodriguez-Buritica D, Mones M, Prakash SK, Rivera M, Aldrich M, Rogge M, et al. Dermatological concerns for women and girls with turner syndrome. Front Med. 2023;10:1235187.CrossRef Rodriguez-Buritica D, Mones M, Prakash SK, Rivera M, Aldrich M, Rogge M, et al. Dermatological concerns for women and girls with turner syndrome. Front Med. 2023;10:1235187.CrossRef
15.
go back to reference Ribé L, Shihadeh FD, Afifi RO, Estrera AL, Prakash SK. Outcomes of cardiothoracic surgery in women with Turner syndrome. Ann Cardiothorac Surg. 2023;12(6):569–76.CrossRefPubMedPubMedCentral Ribé L, Shihadeh FD, Afifi RO, Estrera AL, Prakash SK. Outcomes of cardiothoracic surgery in women with Turner syndrome. Ann Cardiothorac Surg. 2023;12(6):569–76.CrossRefPubMedPubMedCentral
16.
go back to reference Kanakatti Shankar R, Carl A, Law JR, Bamba V, Brickman WJ, Prakash SK, et al. Inspiring New Science to Guide Healthcare in Turner Syndrome: Rationale, design, and methods for the InsighTS Registry. Am J Med Genet A. 2024;194(2):311–9.CrossRefPubMed Kanakatti Shankar R, Carl A, Law JR, Bamba V, Brickman WJ, Prakash SK, et al. Inspiring New Science to Guide Healthcare in Turner Syndrome: Rationale, design, and methods for the InsighTS Registry. Am J Med Genet A. 2024;194(2):311–9.CrossRefPubMed
Metadata
Title
Methodological advances in patient-centered rare disease research: the UTHealth Houston Turner Syndrome Society of the United States research registry
Authors
Sara Mansoorshahi
Cindy Scurlock
Scientific Advisory Board of the Turner Syndrome Society of the United States Research Registry
Siddharth K Prakash
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Orphanet Journal of Rare Diseases / Issue 1/2024
Electronic ISSN: 1750-1172
DOI
https://doi.org/10.1186/s13023-024-03120-1

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