Pediatrics HOT COVID-19 Database in NY Tristate

Study Overview
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Brief Summary
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New York City (NYC) has become the epicenter of the worldwide pandemic caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). By collecting and summarizing the experience with other major health care providers in the tristate (New York (NY), New Jersey (NJ) and Connecticut (CT)) are, the investigators are uniquely positioned to inform the rest of the country about what to expect and how to manage children and young adults with hematological, oncological or stem cell transplant diagnoses during the pandemic.

Detailed Description
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The subjects are all pediatric hematology, oncology or stem cell transplant (HOT) children and young adults who are tested for SARS-CoV-2. The investigators will collect data including demographics, clinical characteristics, clinical courses, outcomes from the medical record. Other information about finances, mental health, and nutrition will be ascertained by questionnaires. The subjects will be asked to allow the researchers to abstract information from their medical record, participate in an interview or telephone call (their choice) to answer questionnaires, and to provide a stool sample at three time points. The creation of an integrated database of COVID-19 pediatric and young adult patients will better inform the pediatric hematology, oncology, and stem cell transplant community about this disease specifically related to patients undergoing HOT therapy and provide valuable evidence to develop standardized and clinically appropriate approaches to their care.

Official Title
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Retrospective and Prospective Database of COVID-19 Prevalence and Clinical Course in Pediatric and Young Adult Hematology/ Oncology/Stem Cell Therapy Patients in the New York Tri-State Area.

Conditions
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Pediatric Cancer, Immune System Disorder, COVID-19, Hemoglobinopathies

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hematologic, Oncologic or Stem Cell Transplant Diagnosis Tested for COVID-19 Age up to 21 years of age Exclusion Criteria: Unwillingness to participate

Ages Eligible for Study
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Maximum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Heme/Non-Sickle Cell Disease<br>Subjects with a diagnosis of hemoglobinapathy except Sickle Cell Disease | |
| Heme/Sickle Cell Disease<br>Subjects with a diagnosis of Sickle Cell Disease | |
| Neuro-Oncological Disease<br>Oncology diagnosis with involvement of the neurological system | |
| Oncology/Non-Neuro-Oncological<br>Subjects with any oncology diagnosis except those that involve the neurological system. | |
| Transplant patients<br>Subjects who have received or are intending to have a stem cell transplant for treatment of disease. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of tristate area pediatric HOT patients tested for COVID-19 that completed 1 year follow-up | To measure the success of the data registry in how many patients agreed to participate and completed the one year follow up. A confirmed case of COVID-19 is defined as a positive result on a reverse-transcriptase- polymerase-chain-reaction (RT-PCR) assay of a specimen collected on a nasopharyngeal swab, or a serum antibody test. Only laboratory-confirmed cases will be described as positive. | One year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in PROMIS T-score | To analyze effect of COVID-19 on patients and their families mental health. PROMIS® (Patient-Reported Outcomes Measurement Information System) is a set of person-centered measures that evaluates and monitors physical, mental, and social health in adults and children. Each item on the measure is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always) with a range in score from 8 to 40 with higher scores indicating greater severity of depression. | Baseline, 3 Months, 6 Months | 
| Number of collected and analyzed stool samples | To examine if the pandemic has effects on the patients' nutrition and microbiome. Each patient is given an opportunity to provide stool samples in addition to survey response. | Up to one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Immune System Disorder in Children, Immune System Disorder In Young Adults