Margaret Hackett Family Program Overview for CNS Anomalies
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December 2021
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A private philanthropic organization
dedicated to raising funds for patient care
and research.
•
Educates donors about efforts to
enhance care for CNS anomalies.
•
Supports research and care initiatives
at UChicago Medicine and
collaborating institutions.
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A program at UChicago Medicine focused
on enhancing patient care and advancing
leading-edge research to improve
outcomes.
•
Builds on UChicago Medicine’s
extensive expertise in CNS anomalies
•
Established with philanthropic support
from the Margaret Hackett Family
Center.
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Provide a warm and compassionate destination for the many
children and adults who are seeking answers to their questions
and are in need of treatments
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:
•
Connect patient to
providers
•
Distribute CNS
educational resources
•
Refer to advocacy
organizations
•
Follow-up with Child Life
services
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•
Clinic consultations,
evaluations, and surgery
•
Yearly exam follow-up
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New collaboration with
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Children’s Health
Alliance will increase
the pool of potential
patients served by the
MHFP
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•
Patients are better
educated on conditions
•
Patients gain access to
advocacy groups,
resources, adaptive
sports programming,
financial help, etc.
•
Children and families
learn to self-advocate
with support from the
UChicago Medicine Child
Life program.
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•
Identified internal patient referral processes to improve patient tracking
»
Internal referrals from neonatal and fetal-maternal health service, level lll NICU, and high
risk and congenital fetal maternal health center
•
Educated 394 nurses and nurse educators in the Chicago Public School
system about CNS anomalies
»
Provided educational content to nurses
»
Offered MHFP resources to students with CNS anomalies
»
Connected CPS nurses with MHFP nursing staff for
consultation on 504/IEP plans
•
MHFP brochures and folders reached 25 schools and 50 people in the clinic
»
Yearly goal to reach 40 additional schools
•
Developed
a series of brochures/guides related to general neurosurgery and
distributed 33 guides to patients in clinic
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•
New MHFP virtual outreach event to educate
and include primary care physicians and
pediatricians
•
Goals:
»
Increase outreach for new patients
»
Partner with primary care physicians and
pediatricians on CNS congenital anomaly
patient needs and available resources (clinical
and non-clinical)
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Establish and lead a network of medical experts who are
committed to the care of children and adults with congenital
anomalies of the central nervous system
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Neurosurgeon
Chair, MHFP Consortium
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Los Angeles, CA
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Houston, TX
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Neurosurgeon
Program Director, MHFP
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Chicago, IL
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•
MHFP team organized a Clinical Data Gathering Consortium that meets twice per month.
•
Activities:
»
Direct research activities that currently focus on Hydrocephalus, Chiari Malformation,
Spina bifida, and Achondroplasia
»
Review and discuss unique patient cases within their purview
»
Oversee construction of CNS congenital anomaly patient database
»
Identify new research opportunities
•
Accomplishments:
»
Continued to expand national research collaboration by recruiting a new consortium
member (Texas Children's Hospital).
»
MHFP Consultations
»
MHFP Consortium members track unique patient cases discussed in consortium
meetings
»
Patients will be able to directly request a consultation or appointment from any MHFP
Consortium member
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Create and maintain a clinical database of knowledge
regarding central nervous system congenital anomalies
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12
Build a comprehensive, multi-institutional patient cases database for the study of
CNS congenital anomalies.
•
Consortium members are contributing patient diagnosis and treatment records
•
Researchers within the consortium and at other institutions will use the database to advance
their investigations
Accomplishments include:
•
Creation of the clinical research database, including approvals, infrastructure, and content
»
1,933 surgical cases originally identified as potential records for database
»
605 of those records are CNS congenital anomaly patients that are eligible for entry
•
Hydrocephalus and achondroplasia patient records uploaded
»
2 studies in progress from patient records that have been uploaded and completed
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Advance innovative research initiatives exploring the circumstances
and developmental mechanisms, impact, and options for improved
patient care and outcomes
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14
•
Researchers will use the database to study the following
conditions:
»
Chiari malformation
»
Hydrocephalus
»
Spina Bifida
»
Achondroplasia
*As the studies progress, other conditions will be added to the
research.
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15
•
Hydrocephalus Study
»
Aim: Evaluate if foramen magnum shunt can be successful in hydrocephalus patients who
have failed multiple other shunt designs.
»
Researcher: David Frim, MD, PhD, University of Chicago
•
Study of Speech Impairment in Patients with Chiari Malformation 1 (CM1)
»
Aims:
»
1) Determine whether pre-surgical CM1 brain morphometrics differ between those with and without
speech impairment.
»
2) Determine changes in post-surgical CM1 brain morphometrics for those with improvement in
speech impairment.
»
Researchers: David Frim, MD, PhD, UChicago Medicine; Francis Loth, PhD, University of
Akron
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16
True Fisp MRI Study on Hydrocephalus with Aqueductal Stenosis
»
Aim: Determine and compare how pre- and post-operative imaging correlate in pediatric
patients who underwent successful or failed endoscopic third ventriculostomy in the setting
of hydrocephalus with aqueductal stenosis.
»
Researcher: Moise Danielpour, MD, Cedars-Sinai
Intracranial Compliance Change Study
»
Aims: 1.) Determine the behavior of the brain tissue under cerebrospinal fluid overpressure
in management of pediatric hydrocephalus. 2.) Reduce shunt failures.
»
Researchers: Postdoctoral fellow Seif Gholampour, PhD, with oversight by David Frim, MD,
PhD, UChicago Medicine
Interaction between Blood, Brain, and CSF
»
Aim: Understand the mechanism of the interaction of blood and CSF and the role of the
brain tissue.
»
Researchers: Seif Gholampour with oversight by David Frim, MD, PhD, UChicago Medicine
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17
•
Thermal and Physical Damage in Skull Base Drilling Using Gas Cooling Mode:
FEM Simulation and Experimental Evaluation (In review:
Computer Methods
and Programs in Biomedicine)
•
Influence of Operating Parameters on Improving Performance of Skull Base
Grinding (In progress)
•
Speech Impairment in Patients with Symptomatic Chiari Malformation Type 1
(In review:
Pediatric Neurosurgery)
•
Pediatric and Adult Chiari Syndrome: One Disease or Two? (In progress)
•
Shunting the “Unshuntable”: Results from multiple strategic attempts at CSF
Shunting in Complex Failed-Shunt Patients (In progress)
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18
With help from philanthropic partners like you, the Margaret Hackett Family
Program is:
•
Providing care, education, and resources to individuals and families impacted by
CNS anomalies
•
Bringing expert physicians and scientists together to share insights and collaborate
on efforts to improve patient care
•
Building research infrastructure to facilitate multi-institutional studies and support
leading-edge investigations that will improve treatment for patients with CNS
congenital anomalies
•
Driving innovative research to deliver life-changing medical advances
T
h
a
n
k
Y
o
u
19
Thank you so much for your support of the
Margaret Hackett Family Program at the
University of Chicago Medicine and the
Margaret Hackett Family Center.
With your partnership, we can continue to
advance vital research and patient care
initiatives and improve the lives of
individuals and families impacted by CNS
anomalies.
We appreciate your generous contributions
to help ensure this meaningful work is
sustained and expanded to meet the needs
of all those like Margaret.
The Margaret Hackett Family Program at UChicago Medicine is dedicated to advancing care and research for patients with congenital anomalies of the central nervous system. Through pillars focused on providing compassionate care, establishing a network of experts, creating resources for navigating treatments, and driving innovative research initiatives, the program aims to enhance patient outcomes and offer critical support for children and adults seeking treatment and answers. With a mission to provide a warm and compassionate destination for patients and families, the program has already made an impact by educating patients, identifying new cases, and enabling access to essential resources and support services.
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Presentation Transcript
Margaret Hackett Program Overview: Advancing Care for Congenital Anomalies of the Central Nervous System December 2021
Advancing Care for Patients with Congenital Anomalies of the Central Nervous System (CNS) The Margaret Hackett Family Program The Margaret Hackett Family Center A program at UChicago Medicine focused on enhancing patient care and advancing leading-edge research to improve outcomes. A private philanthropic organization dedicated to raising funds for patient care and research. Educates donors about efforts to enhance care for CNS anomalies. Supports research and care initiatives at UChicago Medicine and collaborating institutions. Builds on UChicago Medicine s extensive expertise in CNS anomalies Established with philanthropic support from the Margaret Hackett Family Center. 2
Mission Statement The Mission of the Margaret Hackett Family Program (MHFP) for Congenital Anomalies of the Central Nervous System (CNS) Pillar I: Provide a warm and compassionate destination for the many children and adults who are seeking answers to their questions and are in need of treatments. Pillar II: Establish and lead a network of medical experts who are committed to the care of children and adults with congenital anomalies of the central nervous system. Pillar III: Create and maintain knowledge and resources for those navigating and treating central nervous system congenital anomalies. Pillar IV: Advance innovative research initiatives exploring the circumstances and developmental mechanisms, impact, and options for improved patient care and outcomes. 3
Pillar I: Provide a Destination for Patients and Families Provide a warm and compassionate destination for the many children and adults who are seeking answers to their questions and are in need of treatments
Pillar I: Provide a Destination for Patients and Families Patients Served: 50 unique patients since November 2020 Specialized Services: Connect patient to providers Distribute CNS educational resources Refer to advocacy organizations Follow-up with Child Life services General Services: Clinic consultations, evaluations, and surgery Yearly exam follow-up Overall Impact Patients are better educated on conditions 48 new potential patients have been identified Patients gain access to advocacy groups, resources, adaptive sports programming, financial help, etc. New collaboration with the Chicagoland Children s Health Alliance will increase the pool of potential patients served by the MHFP Children and families learn to self-advocate with support from the UChicago Medicine Child Life program. 5
Pillar I: Successes Identified internal patient referral processes to improve patient tracking Internal referrals from neonatal and fetal-maternal health service, level lll NICU, and high risk and congenital fetal maternal health center Educated 394 nurses and nurse educators in the Chicago Public School system about CNS anomalies Provided educational content to nurses Offered MHFP resources to students with CNS anomalies Connected CPS nurses with MHFP nursing staff for consultation on 504/IEP plans MHFP brochures and folders reached 25 schools and 50 people in the clinic Yearly goal to reach 40 additional schools Developed a series of brochures/guides related to general neurosurgery and distributed 33 guides to patients in clinic 6
Pillar I: Successes (continued) New MHFP virtual outreach event to educate and include primary care physicians and pediatricians Goals: Increase outreach for new patients Partner with primary care physicians and pediatricians on CNS congenital anomaly patient needs and available resources (clinical and non-clinical) 7
Pillar II: Establish a Network of Medical Experts Establish and lead a network of medical experts who are committed to the care of children and adults with congenital anomalies of the central nervous system
Our Consortium Members Bringing together national experts in CNS congenital anomalies David Frim, MD, PhD Neurosurgeon Program Director, MHFP University of Chicago Medicine Chicago, IL Moise Danielpour, MD Neurosurgeon Chair, MHFP Consortium Cedars-Sinai Medical Center Los Angeles, CA Lissa Baird, MD Neurosurgeon Boston Children s Hospital Boston, MA David F. Bauer, MD, MPH Neurosurgeon Texas Children s Hospital Houston, TX Christina Sayama, MD Neurosurgeon Oregon Health & Science University Portland, OR 9
Consortium Work MHFP team organized a Clinical Data Gathering Consortium that meets twice per month. Activities: Direct research activities that currently focus on Hydrocephalus, Chiari Malformation, Spina bifida, and Achondroplasia Review and discuss unique patient cases within their purview Oversee construction of CNS congenital anomaly patient database Identify new research opportunities Accomplishments: Continued to expand national research collaboration by recruiting a new consortium member (Texas Children's Hospital). MHFP Consultations MHFP Consortium members track unique patient cases discussed in consortium meetings Patients will be able to directly request a consultation or appointment from any MHFP Consortium member 10
Pillar III: Create and Maintain a Clinical Database Create and maintain a clinical database of knowledge regarding central nervous system congenital anomalies
Clinical Research Database Build a comprehensive, multi-institutional patient cases database for the study of CNS congenital anomalies. Consortium members are contributing patient diagnosis and treatment records Researchers within the consortium and at other institutions will use the database to advance their investigations Accomplishments include: Creation of the clinical research database, including approvals, infrastructure, and content 1,933 surgical cases originally identified as potential records for database 605 of those records are CNS congenital anomaly patients that are eligible for entry Hydrocephalus and achondroplasia patient records uploaded 2 studies in progress from patient records that have been uploaded and completed 12
Pillar IV: Advance Innovative Research Advance innovative research initiatives exploring the circumstances and developmental mechanisms, impact, and options for improved patient care and outcomes
Areas of Focus Researchers will use the database to study the following conditions: Chiari malformation Hydrocephalus Spina Bifida Achondroplasia *As the studies progress, other conditions will be added to the research. 14
Current Research Hydrocephalus Study Aim: Evaluate if foramen magnum shunt can be successful in hydrocephalus patients who have failed multiple other shunt designs. Researcher: David Frim, MD, PhD, University of Chicago Study of Speech Impairment in Patients with Chiari Malformation 1 (CM1) Aims: 1) Determine whether pre-surgical CM1 brain morphometrics differ between those with and without speech impairment. 2) Determine changes in post-surgical CM1 brain morphometrics for those with improvement in speech impairment. Researchers: David Frim, MD, PhD, UChicago Medicine; Francis Loth, PhD, University of Akron 15
Current Research (continued) True Fisp MRI Study on Hydrocephalus with Aqueductal Stenosis Aim: Determine and compare how pre- and post-operative imaging correlate in pediatric patients who underwent successful or failed endoscopic third ventriculostomy in the setting of hydrocephalus with aqueductal stenosis. Researcher: Moise Danielpour, MD, Cedars-Sinai Intracranial Compliance Change Study Aims: 1.) Determine the behavior of the brain tissue under cerebrospinal fluid overpressure in management of pediatric hydrocephalus. 2.) Reduce shunt failures. Researchers: Postdoctoral fellow Seif Gholampour, PhD, with oversight by David Frim, MD, PhD, UChicago Medicine Interaction between Blood, Brain, and CSF Aim: Understand the mechanism of the interaction of blood and CSF and the role of the brain tissue. Researchers: Seif Gholampour with oversight by David Frim, MD, PhD, UChicago Medicine 16
Research Papers Forthcoming Thermal and Physical Damage in Skull Base Drilling Using Gas Cooling Mode: FEM Simulation and Experimental Evaluation (In review: Computer Methods and Programs in Biomedicine) Influence of Operating Parameters on Improving Performance of Skull Base Grinding (In progress) Speech Impairment in Patients with Symptomatic Chiari Malformation Type 1 (In review: Pediatric Neurosurgery) Pediatric and Adult Chiari Syndrome: One Disease or Two? (In progress) Shunting the Unshuntable : Results from multiple strategic attempts at CSF Shunting in Complex Failed-Shunt Patients (In progress) 17
Impact for Patients and Families With help from philanthropic partners like you, the Margaret Hackett Family Program is: Providing care, education, and resources to individuals and families impacted by CNS anomalies Bringing expert physicians and scientists together to share insights and collaborate on efforts to improve patient care Building research infrastructure to facilitate multi-institutional studies and support leading-edge investigations that will improve treatment for patients with CNS congenital anomalies Driving innovative research to deliver life-changing medical advances 18
Thank You Thank you so much for your support of the Margaret Hackett Family Program at the University of Chicago Medicine and the Margaret Hackett Family Center. With your partnership, we can continue to advance vital research and patient care initiatives and improve the lives of individuals and families impacted by CNS anomalies. We appreciate your generous contributions to help ensure this meaningful work is sustained and expanded to meet the needs of all those like Margaret. 19
