학술논문

A System for Phenotype Harmonization in the National Heart, Lung, and Blood Institute Trans-Omics for Precision Medicine (TOPMed) Program
Document Type
article
Source
American Journal of Epidemiology. 190(10)
Subject
Epidemiology
Health Sciences
Human Genome
Lung
Genetics
Clinical Research
Cardiovascular
Good Health and Well Being
Data Aggregation
Genetic Association Studies
Humans
Information Dissemination
National Heart
Lung
and Blood Institute (U.S.)
Phenomics
Phenotype
Precision Medicine
Program Evaluation
United States
cardiovascular disease
common data elements
hematologic disease
information dissemination
lung diseases
phenotypes
sleep-wake disorders
Mathematical Sciences
Medical and Health Sciences
Language
Abstract
Genotype-phenotype association studies often combine phenotype data from multiple studies to increase statistical power. Harmonization of the data usually requires substantial effort due to heterogeneity in phenotype definitions, study design, data collection procedures, and data-set organization. Here we describe a centralized system for phenotype harmonization that includes input from phenotype domain and study experts, quality control, documentation, reproducible results, and data-sharing mechanisms. This system was developed for the National Heart, Lung, and Blood Institute's Trans-Omics for Precision Medicine (TOPMed) program, which is generating genomic and other -omics data for more than 80 studies with extensive phenotype data. To date, 63 phenotypes have been harmonized across thousands of participants (recruited in 1948-2012) from up to 17 studies per phenotype. Here we discuss challenges in this undertaking and how they were addressed. The harmonized phenotype data and associated documentation have been submitted to National Institutes of Health data repositories for controlled access by the scientific community. We also provide materials to facilitate future harmonization efforts by the community, which include 1) the software code used to generate the 63 harmonized phenotypes, enabling others to reproduce, modify, or extend these harmonizations to additional studies, and 2) the results of labeling thousands of phenotype variables with controlled vocabulary terms.