Comp B-Natl SB Patient Registry and Urologic Management of Young Children with SB- Duke Project

描述（由申请人提供）：超过16.6万美国人患有脊柱裂（SB），这是一种先天性神经缺陷，会影响胎儿、成长中的孩子、国家SB患者登记处（NSBPR）由美国疾病控制与预防中心（CDC）于2009年发起，旨在通过一个共同的登记处建立一个全国性的SB诊所网络，以提供1)更清晰地了解全国SB患者的健康状况，2)更好地描述患有SB的美国人的人口统计数据。3)评估在全国范围内单独和集体的SB诊所提供的护理，4)回答假设驱动的问题，以评估临床干预对SB个体的健康和生活质量的影响，5)确定未来合作研究的机会，6)潜在地制定SB个体的国家护理标准。杜克大学自2011年以来一直是NSBPR的数据收集地点。并在头两年从其SB诊所招募了225名患者。鉴于我们的SB诊所规模庞大，包括相对较大比例的成人患者，以及我们已证实参与了与进一步推进NSBPR目标相关的活动，我们相信我们继续参与NSBPR是重要的，并可能促进其成功。本项目拟进一步扩大我院NSBPR的入组人数，通过继续向患者发放新的、扩展的问卷来增强NSBPR收集到的信息，继续与CDC的同事合作，使用增强的数据来回答假设驱动的问题，合并人口统计学和泌尿系统管理方面的简单数据，以便在全国范围内向泌尿外科社区展示。并开展进一步的研究，调查SB患者泌尿外科手术的具体结果，包括尿失禁、患者独立性和最终肾功能。

DESCRIPTION (provided by applicant): More than 166,000 Americans are living with Spina Bifida (SB), a congenital neurologic defect that can affect multiple organ systems in the fetus, growing child, and adult and is the most common permanently disability birth defect in the U.S. The National SB Patient Registry (NSBPR) was initiated in 2009 by the Centers for Disease Control and Prevention (CDC) to create a national network of SB clinics linked through a common registry to provide 1) a clearer current picture of the health of SB patients around the country, 2) better describe the demographics of Americans living with SB, 3) assess the care being delivered at SB clinics both individually and collectively across the country, 4) answer hypothesis-driven questions to assess the impact of clinical interventions upon the health and quality of life of individuals with SB, 5) identify opportunities for future collaborative research and 6) potentially develop national standards of care for individuals with SB. Duke University has been a site of data collection for the NSBPR since 2011, and enrolled 225 patients from its SB clinic in the first two years. Given the large size of our SB clinic, including a relatively lare proportion of adult patients, as well as our proven participation in activities related to furtherig the aims of the NSBPR as a whole, we believe that our continued participation in the NSBPR is important and likely to enhance its success. This project proposes to further expand enrollment in the NSBPR at our site, enhance the information collected in the NSBPR thus far by continuing to administer new, expanded questionnaires to our patients, continue to work with our colleagues at CDC to use the enhanced data to answer hypothesis-driven questions, coalesce simple data on demographics and urologic management for presentation to the urology community on a national level, and initiate additional studies investigating specific outcomes of urologic surgery in SB patients including urinary continence, patient independence, and ultimately renal function.