Devra E Cohen7, Kimberly A Sullivan2, Rebecca B McNeil3, Rebecca B McNeil3, Wes Ashford4, Alison Bested5, James Bunker6, Amanpreet Cheema5, Devra E Cohen7, Dane Cook8, Jeffrey Cournoyer5, Travis Craddock5, Julia Golier9, Anthony Hardie10, Drew Helmer11, Jacob B Lindheimer12, Patricia Janulewicz Lloyd13, Kathleen Kerr14, Maxine Krengel15, Shree Nadkarni16, Shannon Nugent17, Bonnie Paris18, Matthew Reinhard19, Peter Rumm20, Aaron Schneiderman20, Kellie J Sims21, Lea Steele22, Marsha Turner21, Kimberly A Sullivan2, Laila Abdullah23, Maria Abreu7, Mohamed Abu-Donia24, Kristina Aenlle7, Jimmy Arocho25, Elizabeth Balbin7, James Baraniuk26, Karen Block27, Michelle Block28, Bryann DeBeer29, Brian Engdahl30, Nikolay Filipov31, Mary Ann Fletcher5, Victor Kalasinsky27, Efi Kokkotou32, Kristy Lidie33, Deborah Little22, William Loging34, Marianna Morris5, Lubov Nathanson5, Montra Denise Nichols35, Giulio Pasinetti36, Dikoma Shungu37, Paula Waziry38, Jon VanLeeuwen39, Jarred Younger40. 1. Miami VA Healthcare System, Miami, FL, United States; Institute for Neuro Immune Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, United States. Electronic address: devra.cohen@va.gov. 2. Department of Environmental Health, Boston University School of Public Health, Boston, MA, United States. 3. RTI International, Research Triangle Park, NC, United States. 4. War Related Illness and Injury Study Center, VA Palo Healthcare System, Palo Alto, CA, United States. 5. Institute for Neuro Immune Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, United States. 6. National Gulf War Resource Center, Inc., Topeka, KS, United States. 7. Miami VA Healthcare System, Miami, FL, United States; Institute for Neuro Immune Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, United States. 8. University of Wisconsin-Madison, Madison, WI, United States. 9. James J. Peters VA Medical Center; Icahn School of Medicine at Mount Sinai, Bronx, NY, United States. 10. Veterans for Common Sense and former U.S. Army, Bradenton, FL, United States. 11. Michael E. DeBakey VA Medical Center, Houston, TX, United States. 12. William S. Middleton Veterans Memorial Hospital, University of Wisconsin- Madison, Madison, WI, United States. 13. Boston University, Boston, MA, United States. 14. University of Toronto, Toronto, Canada. 15. Boston VA Healthcare System; Boston University, Boston, MA, United States. 16. War Related Illness and Injury Study Center, VA New Jersey Health Care System, East Orange, NJ, United States. 17. VA Portland Health Care System, Portland, OR, United States. 18. VA Information Resource Center (VIReC), Hines, IL, United States. 19. War Related Illness and Injury Study Center, Washington DC VA Medical Center, Washington, DC, United States. 20. United States Department of Veterans Affairs, Washington, DC, United States. 21. Cooperative Studies Program Epidemiology Center, Durham VA Medical Center, Durham, NC, United States. 22. Baylor College of Medicine, Houston, TX, United States. 23. Roskamp Institute, Sarasota, FL, United States. 24. Duke University Medical Center, Durham, NC, United States. 25. Institute for Neuro Immune Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, United States; United States Army (Retired), United States. 26. Georgetown University, Washington, DC, United States. 27. Office of Research and Development, US Department of Veterans Affairs, Washington, DC, United States. 28. Indiana University, Indianapolis, IN, United States. 29. Texas A&M Health Science Center, Central Texas Veterans Healthcare System, Waco, TX, United States. 30. Minneapolis VA Health Care System, University of Minnesota, Minneapolis, MN, United States. 31. University of Georgia, Atlanta, GA, United States. 32. Harvard University, Beth Israel Deaconess Medical Center, Boston, MA, United States. 33. United States Army and Medical Research and Material Command, Fort Detrick, MD, United States. 34. United States Marine Corps (Retired), Ft. Lauderdale, FL, United States. 35. United States Air Force (Retired), United States. 36. Icahn School of Medicine at Mount Sinai, Bronx, NY, United States. 37. Weill Cornell Medical Center, New York, NY, United States. 38. Nova Southeastern University, Ft. Lauderdale, FL, United States. 39. University of California, VA Research Advisory Committee on Gulf War Veterans' Illnesses, San Francisco, CA, United States. 40. The University of Alabama, Birmingham, AL, United States.
Abstract
AIMS: The Gulf War Illness programs (GWI) of the United States Department of Veteran Affairs and the Department of Defense Congressionally Directed Medical Research Program collaborated with experts to develop Common Data Elements (CDEs) to standardize and systematically collect, analyze, and share data across the (GWI) research community. MAIN METHODS: A collective working group of GWI advocates, Veterans, clinicians, and researchers convened to provide consensus on instruments, case report forms, and guidelines for GWI research. A similar initiative, supported by the National Institute of Neurologic Disorders and Stroke (NINDS) was completed for a comparative illness, Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), and provided the foundation for this undertaking. The GWI working group divided into two sub-groups (symptoms and systems assessment). Both groups reviewed the applicability of instruments and forms recommended by the NINDS ME/CFS CDE to GWI research within specific domains and selected assessments of deployment exposures. The GWI CDE recommendations were finalized in March 2018 after soliciting public comments. KEY FINDINGS: GWI CDE recommendations are organized in 12 domains that include instruments, case report forms, and guidelines. Recommendations were categorized as core (essential), supplemental-highly recommended (essential for specified conditions, study types, or designs), supplemental (commonly collected, but not required), and exploratory (reasonable to use, but require further validation). Recommendations will continually be updated as GWI research progresses. SIGNIFICANCE: The GWI CDEs reflect the consensus recommendations of GWI research community stakeholders and will allow studies to standardize data collection, enhance data quality, and facilitate data sharing.
AIMS: The Gulf War Illness programs (GWI) of the United States Department of Veteran Affairs and the Department of Defense Congressionally Directed Medical Research Program collaborated with experts to develop Common Data Elements (CDEs) to standardize and systematically collect, analyze, and share data across the (GWI) research community. MAIN METHODS: A collective working group of GWI advocates, Veterans, clinicians, and researchers convened to provide consensus on instruments, case report forms, and guidelines for GWI research. A similar initiative, supported by the National Institute of Neurologic Disorders and Stroke (NINDS) was completed for a comparative illness, Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), and provided the foundation for this undertaking. The GWI working group divided into two sub-groups (symptoms and systems assessment). Both groups reviewed the applicability of instruments and forms recommended by the NINDS ME/CFS CDE to GWI research within specific domains and selected assessments of deployment exposures. The GWI CDE recommendations were finalized in March 2018 after soliciting public comments. KEY FINDINGS: GWI CDE recommendations are organized in 12 domains that include instruments, case report forms, and guidelines. Recommendations were categorized as core (essential), supplemental-highly recommended (essential for specified conditions, study types, or designs), supplemental (commonly collected, but not required), and exploratory (reasonable to use, but require further validation). Recommendations will continually be updated as GWI research progresses. SIGNIFICANCE: The GWI CDEs reflect the consensus recommendations of GWI research community stakeholders and will allow studies to standardize data collection, enhance data quality, and facilitate data sharing.
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