The Autoimmune Liver disease Network for Kids (A-LiNK) is a multi-institutional group with the mission to deliver the best care to kids with pediatric autoimmune liver disease (AILD). This study will establish a shared clinical registry and a learning health network for the participating sites focusing on collecting and transmitting clinical measurement data, information about processes, and participation in an improvement collaborative. Pediatric Autoimmune Hepatitis (AIH) and Primary Sclerosing Cholangitis (PSC), represent a spectrum of AILD which present unique diagnostic and therapeutic challenges.A lack of accepted guidelines for disease monitoring or symptom management results in wide treatment variation with liver transplants indicated in refractory, progressive disease. The aims of A-LiNK are to: 1.) Create a learning health network focused on patient-centered outcomes research characterized by transparent sharing among centers, common priorities, and feasible plans for implementing new practices; 2) shift from traditional investigator-driven study to a patient and family-centered approach, and 3.) improve clinical outcomes and quality of life for pediatric AILD patients.
Study Type
OBSERVATIONAL
Enrollment
800
There are no interventions
Stanford University
Palo Alto, California, United States
RECRUITINGRiley Children's Health
Indianapolis, Indiana, United States
RECRUITINGSt. Louis Children's Hospital
St Louis, Missouri, United States
RECRUITINGCincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States
RECRUITINGNationwide Children's Hospital
Columbus, Ohio, United States
RECRUITINGUPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, United States
RECRUITINGUT Southwestern Medical Center
Dallas, Texas, United States
RECRUITINGSeattle Children's Hospital
Seattle, Washington, United States
RECRUITINGBaseline disease characteristics in the population
Time frame: 2034
Disease relapse and biochemical remission rates
Biochemical remission = transaminases (ALT/AST) within the upper limit of normal for age
Time frame: 2034
Complications of disease
Including ascites, esophageal variceal bleeding, cholangitis, hepatic encephalopathy, listed for liver transplant, hepatocellular carcinoma, or cholangiocarcinoma
Time frame: 2034
Side-effects of steroids
Including hypertension, diabetes mellitus, low bone mineral density, glaucoma, cataract, overweight, obesity
Time frame: 2034
Pediatric Quality of Life Inventory (PedsQL 4.0) Generic Core Scales Short Form 15
Health-related quality of life
Time frame: 2034
Racial and ethnic disparities
Time frame: 2034
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