Making the Case for an International Childhood Cancer Data Partnership

Gonçalo Forjaz, Betsy Kohler, Michel P Coleman, Eva Steliarova-Foucher, Serban Negoita, Jaime M Guidry Auvil, Fernanda Silva Michels, Johanna Goderre, Charles Wiggins, Eric B Durbin, Gijs Geleijnse, Marie-Charlotte Henrion, Candice Altmayer, Thomas Dubois, Lynne Penberthy
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Abstract

Childhood cancers are a heterogeneous group of rare diseases, accounting for less than 2% of all cancers diagnosed worldwide. Most countries, therefore, do not have enough cases to provide robust information on epidemiology, treatment, and late effects, especially for rarer types of cancer. Thus, only through a concerted effort to share data internationally will we be able to answer research questions that could not otherwise be answered. With this goal in mind, the U.S. National Cancer Institute and the French National Cancer Institute co-sponsored the Paris Conference for an International Childhood Cancer Data Partnership in November 2023. This meeting convened more than 200 participants from 17 countries to address complex challenges in pediatric cancer research and data sharing. This Commentary delves into some key topics discussed during the Paris Conference and describes pilots that will help move this international effort forward. Main topics presented include: 1) the wide variation in interpreting the European Union's General Data Protection Regulation among Member States; 2) obstacles with transferring personal health data outside of the European Union; 3) standardization and harmonization, including common data models; and 4) novel approaches to data sharing such as federated querying and federated learning. We finally provide a brief description of three ongoing pilot projects. The International Childhood Cancer Data Partnership is the first step in developing a process to better support pediatric cancer research internationally through combining data from multiple countries.
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建立国际儿童癌症数据伙伴关系的理由
儿童癌症是一组异质性的罕见疾病,占全世界诊断的所有癌症的不到2%。因此,大多数国家没有足够的病例,无法提供关于流行病学、治疗和晚期影响的可靠信息,特别是对于罕见类型的癌症。因此,只有通过协调一致的努力,在国际上共享数据,我们才能回答否则无法回答的研究问题。考虑到这一目标,美国国家癌症研究所和法国国家癌症研究所于2023年11月共同主办了国际儿童癌症数据合作伙伴关系巴黎会议。本次会议召集了来自17个国家的200多名与会者,以解决儿童癌症研究和数据共享方面的复杂挑战。本评论深入探讨了巴黎会议期间讨论的一些关键议题,并介绍了有助于推动这一国际努力的试点。提出的主要议题包括:1)成员国之间在解释欧盟一般数据保护条例方面的广泛差异;2)将个人健康数据转移到欧盟以外的障碍;3)标准化和协调,包括通用数据模型;4)数据共享的新方法,如联邦查询和联邦学习。最后,我们简要介绍了三个正在进行的试点项目。国际儿童癌症数据伙伴关系是制定一项进程的第一步,通过整合来自多个国家的数据,更好地支持国际儿科癌症研究。
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