Mallory Powell

By

College: Medicine

Lung Cancer Patients May Benefit from Innovative Informatics Project

Published: May 30, 2014

 

LEXINGTON, Ky. (May 30, 2014) -- A multidisciplinary team of doctors, researchers, and informaticists at the University of Kentucky is working to improve identification of lung cancer patients who are eligible to participate in clinical trials for novel treatments.

 

Clinical trials are critical for advancing research into new and better treatments for patients, and the need for improved treatment of lung cancer is dire: Lung cancer is the leading cause of cancer death worldwide. Its burden is especially significant in the Commonwealth, where rates of lung cancer incidence and mortality are the highest in the country. In Appalachian Kentucky, the situation is even worse, with incidence rates nearly twice the national rate.

 

Despite high rates of lung cancer, less than 1 percent of lung cancer patients enroll in clinical trials. This is partly due to the difficult and tedious business of identifying and recruiting patients who are eligible for trials, a task currently conducted by research staff who manually reviews patient information for a multitude of (often complex) eligibility factors. The process is time consuming and inefficient, with studies showing that manual identification can overlook up to 60 percent of eligible patients. Furthermore, patient eligibility can vary by study and change over time.

 

And, unfortunately, the severity of the disease also contributes to the exceptionally low rates of lung cancer patient enrollment in clinical trials. Lung cancer is often diagnosed so late that the median survival time is only eight months, leaving little time for patients to explore treatment options or for doctors to identify patients who are eligible for novel therapeutic interventions offered through clinical trials.

 

The combination of the burden of lung cancer in Kentucky and the urgency of identifying patients who are eligible for clinical trials motivated Dr. Eric Durbin and his team to devise a more efficient method for screening patient eligibility. Durbin, an assistant professor in the division of biomedical informatics at the UK College of Public Health, is the director of the Cancer Research Informatics Shared Resource Facility at the UK Markey Cancer Center and director of cancer informatics at the Kentucky Cancer Registry.

 

With pilot funding from the Kentucky Lung Cancer Research Program (KLCRP), Durbin and his team are leveraging the rich and unique electronic data sources managed by the UK Center for Clinical and Translational Science (CCTS), the UK Institute for Pharmaceutical Outcomes and Policy (IPOP), the Markey Cancer Center,  and the Kentucky Cancer Registry (KCR), which is housed at UK, to design, develop, pilot, and evaluate an innovative, electronic informatics system to automatically identify patients who are eligible for clinical trials. The outcomes of the automated identification system will then be compared to those of the manual identification methods. If successful, the automated system could dramatically increase the speed, completeness, and efficiency of identifying patients for lung cancer clinical trials.

 

"The need for improvement was pretty obvious, and my colleagues and I thought it would be an ideal project for KLCRP pilot funding," said Durbin, who is the principal investigator on the project. "We're trying to leverage existing and new electronic data sources to improve the efficiency of the identification and recruitment process."

 

The pilot project will specifically focus on identification of eligible patients at the UK Markey Cancer Center. Due to its designation as National Cancer Institute, Markey offers unique clinical trials that are only available through NCI centers.

 

"Clinical trial recruitment is critically important to the Markey Cancer Center if we're going to get lifesaving therapeutics to our patients," said Dr. Susanne Arnold, associate professor in medical oncology and radiation medicine at the Markey Cancer Center and member of the project team. “It’s also how we make progress in cancer treatment.”

 

It is particularly important to identify and recruit clinical trial participants from the entire pool of eligible patients in order to remove any potential bias from the study results and to ensure that the findings are applicable to the general population. Additionally, under-recruitment in underserved populations, such as Kentucky's Appalachian residents, can be perceived as unequal access to the most cutting-edge treatments and technologies.

 

"We want to ensure that all patients have the opportunity to enroll in clinical trials," said Durbin.

 

The two-year project is currently in its seventh month, and the team is in the discovery phase of evaluating the multiple data sources and testing different query methods. In addition to using discrete data elements, such as lab values, the team is utilizing natural language processing methodology to incorporate more conceptual data, such as patient performance status, from the qualitative notes that doctors make in their medical records.

 

"We are combining discrete data elements with natural language processing approaches to extract complete information," said Durbin. "This is a very important area of informatics."

 

The objectives of the project align perfectly with the mission of the Kentucky Lung Cancer Research Program, who funded the project and whose mission is to reduce the burden of lung cancer in Kentucky.  

 

"A critical component to reducing this burden is clinical research," said Dr. Nathan Vanderford, assistant director for research at the Markey Cancer Center and the center's liaison to the Kentucky Lung Cancer Research Program.

 

"The potential to greatly improve enrollment in studies will ultimately translate into improved lung cancer detection, diagnosis, and treatment in the future."

 

Vanderford recognizes the distinctive capacity of Durbin's team to capitalize on the robust data, expertise, and technology available at UK. In addition to the wealth of electronic health data at UK, the Kentucky Cancer Registry (KCR) is housed at the university by legislative mandate.  The KCR operates a population-based electronic pathology reporting system that captures 90 percent of all histologically confirmed cancer cases in Kentucky within days of diagnosis.

 

"We are very uniquely situated in terms of the data sources and technology we have at UK. And this team is uniquely skilled to do this project. They have a significant number of years of experience and are very familiar with all the data sources. We're very cutting edge in being able to apply all these different data sources to achieve our objective in a much better way," he said.

 

While the pilot project focuses specifically on lung cancer patients at Markey Cancer Center, the automated identification system could be easily applied to a broad range of cancers and other disease conditions in the future.

 

"What's really exciting about Dr. Durbin's study is that it has the potential to greatly improve clinical research not only in lung cancer but in other cancers and disease conditions as well," said Vanderford.

 

 

MEDIA CONTACT: Mallory Powell, mallory.powell@uky.edu

 

30_may_2014_feature_photo_copy.jpg
April
 
 
 
1
LNFS Presents: Inherent Vice
Wildcat Wellness: Meditation
Successful Networking & Job Search
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Brazilian Conversation Hour
The Arboretum presents a Party for the Planet! Celebrate Kentucky's Past
Mr. PharmD Pageant 2015
Wed
2
LNFS Presents: Manakamana
LNFS Presents: Donnie Darko
National Student Exchange (NSE) Info Session
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Wildcat Wellness: Healthy Habits
SEC-ACC Virtual Career Fair
Massage on the Go #3
Thu
3
Cultural Coffee Hour
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Fri
4
Free Saturday Swing Dance Lessons
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Sat
5
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Sun
6
Wildcat Wellness: Expressions (Creative Stress Relief)
Age Friendly Community Panel
Resumes & Cover Letters that Work
Mon
7
National Student Exchange (NSE) Info Session
Wildcat Wellness: Relaxation
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Tue
8
LNFS Presents: The Godfather
Wildcat Wellness: Meditation
Internship Info Session
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Brazilian Conversation Hour
UK Remembers
SpeakBlue: Richard Sherman
Wed
9
LNFS Presents: The Shawshank Redemption
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Wildcat Wellness: Healthy Habits
From Plows to Plates: A Journey Through Kentucky Foodways
Workshop on Publishing
Teached Documentary
Thu
10
LNFS Presents: Enemy
LNFS Presents: Seven Psychopaths
Cultural Coffee Hour
Last Day to Withdraw or Reduce Course Load
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Robert C. May Photography Endowment Lecture: Julian Cox
Fri
11
Free Saturday Swing Dance Lessons
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
fab-ric-ate Exhibit
Sat
12
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Kentucky's Present - Learn about the Bluegrass region of the Walk Across Kentucky and about invasive plants that threaten Kentucky landscapes
Sun
13
Wildcat Wellness: Expressions (Creative Stress Relief)
Don't Ask, Don't Tell
Get Your DIY On! Fix-It Station Demonstrations
Mon
14
Wildcat Wellness: Relaxation
Job Club - LinkedIn: Your Job Search Best Friend
Tie Dye Tuesday
#UK Kick Butts Day
Career & Major Exploration Session @ 1 p.m.
Career & Major Exploration Session @ 2 p.m.
Career & Major Exploration Session @ 3 p.m.
Take Back the Night Lexington
Tue
15
LNFS Presents: The Godfather: Part II
Wildcat Wellness: Meditation
Brazilian Conversation Hour
Career & Major Exploration Session @ 11 a.m.
Career & Major Exploration Session @ Noon
Career & Major Exploration Session @ 1 p.m.
Affrilachian Poets
Bike-In Movie: The Bicycle Thieves
Wed
16
LNFS Presents: The Perks of Being a Wallflower
Wildcat Wellness: Healthy Habits
CANCELED: Bike-In Breakfast
Human Rights in China: a panel discussion
Thu
17
LNFS Presents: North by Northwest
LNFS Presents: Raiders of the Lost Ark
Cultural Coffee Hour
Car-Free Day
Performance Conference
Audience Appeals and Performing Assistance Conference
Holi: The Indian Festival of Colors
Fri
18
Free Saturday Swing Dance Lessons
Bully Breed Awareness Walk
Spring Carnival 2015
Taste of Africa
GAYla Drag Show and Silent Auction
Sat
19
 
Sun
20
Wildcat Wellness: Expressions (Creative Stress Relief)
Floral Sculpture
Pinterest Party #3
Mon
21
Wildcat Wellness: Relaxation
Student Center "Farewell" Informational Fair
Tour de Downtown Art
Tue
22
LNFS Presents: Birdman
Wildcat Wellness: Meditation
National Student Exchange (NSE) Info Session
Brazilian Conversation Hour
Healthy Smoothie Demonstration
Ping Pong Ball Drop
Shake the Stress Fest
Wed
23
LNFS Presents: Dr. Strangelove or: How I Learned to Stop Worrying and Love the Bomb
LNFS Presents: The Avengers
Wildcat Wellness: Healthy Habits
Wildcat Wrap-Up
UK Elder Care Lunch & Learn
Kentucky's Future - Plant a Tree in the Pennyrile region of the Walk Across Kentucky
Thu
24
LNFS Presents: Batman
LNFS Presents: O Brother, Where Art Thou?
Cultural Coffee Hour
Art in Bloom Weekend
Fri
25
Free Saturday Swing Dance Lessons
Network Publishing: Digital Writing in the Humanities
The Party for the Planet final event in April is Arbor Day at The Arboretum!
Art in Bloom Weekend
Raise the Chinese Dream in Kentucky
Art in Bloom Cocktail Party
Sat
26
Art in Bloom Weekend
Sun
27
Resumes & Cover Letters that Work
Wildcat Wellness: Expressions (Creative Stress Relief)
Fuel for Finals
UK Ag Equine Programs Distinguished Lecture Series
Mon
28
Wildcat Wellness: Relaxation
Be PAWsitive!
Job Club: How to Write the Perfect Resume and Cover Letter
Showcase of Undergraduate Scholars
How to Impress Your Boss: Employer Panel
Tue
29
Wildcat Wellness: Meditation
Internship Info Session
Brazilian Conversation Hour
Appalachian Research Day
Wed
30
Wildcat Wellness: Healthy Habits
Thu
 
 

Repeats every week until Thu Apr 30 2015 except Tue Mar 17 2015.
Tue, 04/28/2015

Tue, 04/28/2015

Reset Page