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Exploring the Relationship Between Phenotypic Abnormalities and Lung Cancer Risk in High-Risk Individuals 1. Introduction and Statement of the Problem The All of Us Research Program is an innovative initiative designed to collect health information from a diverse population to advance precision medicine. The All of Us Researcher Workbench, with its vast dataset and powerful analytical tools, provides a valuable resource for conducting research and generating insights into various health conditions. This proposal aims to utilize the All of Us Researcher Workbench to explore the relationship between phenotypic abnormalities and the development of lung cancer in high-risk individuals. By analyzing electronic health records from the All of Us participants, this study seeks to contribute to the understanding of lung cancer risk factors and improve early detection strategies. Lung cancer remains a major public health challenge globally, with high mortality rates and limited effective screening methods. Identifying high-risk individuals and understanding the phenotypic abnormalities associated with lung cancer development is crucial for early intervention and improved outcomes. However, current screening methods such as low-dose computed tomography (CT) scans have limitations in terms of cost, accessibility, and potential harms associated with false-positive results. To address this problem, this research proposal aims to investigate the relationship between phenotypic abnormalities and the development of lung cancer in high-risk individuals using the All of Us Researcher Workbench. By analyzing electronic health records from a diverse population, this study aims to identify specific phenotypic characteristics that may serve as potential indicators or risk factors for lung cancer. Understanding these phenotypic abnormalities can aid in the early detection and intervention strategies for individuals at high risk. Leveraging the vast dataset available in the All of Us Researcher Workbench, this study aims to contribute to the existing knowledge on lung cancer aetiology and provide insights into personalized prevention and intervention approaches. The findings from this research can potentially inform healthcare providers and policymakers in developing targeted screening programs and interventions to reduce the burden of lung cancer and improve patient outcomes. 1. Literature Review and Purpose of the Study The existing body of literature provides valuable insights into the correlation between phenotypic abnormalities and the development of lung cancer in high-risk individuals. Several studies have explored various phenotypic characteristics that may serve as potential indicators or risk factors for lung cancer. Aschebrook-Kilfoy et al. (2022) conducted a comprehensive analysis of cancer incidence and mortality rates, highlighting the significant global burden of lung cancer. Their
study emphasizes the need for improved screening methods and personalized prevention strategies to address this public health challenge. Na et al. (2021) examined the association between body mass index (BMI) and lung cancer risk, revealing a positive correlation between high BMI and increased lung cancer risk, particularly among never-smokers. This study underscores the importance of considering phenotypic factors, such as BMI, in assessing lung cancer risk. Ramirez et al. (2023) investigated the role of genetic variations in lung cancer susceptibility, identifying specific genetic markers associated with an elevated risk of developing the disease. Understanding the genetic basis of lung cancer contributes to personalized prevention and intervention approaches. Smith et al. (2022) explored the relationship between chronic obstructive pulmonary disease (COPD) and lung cancer, finding that individuals with COPD have a higher risk of developing lung cancer. This study highlights the significance of considering comorbidities and phenotypic abnormalities in lung cancer risk assessment. Jones et al. (2021) examined the impact of environmental exposures, such as air pollution, on lung cancer development, revealing a significant association between long-term exposure to air pollutants and increased lung cancer risk. This research underscores the role of environmental factors in shaping phenotypic abnormalities and their impact on lung cancer outcomes. Lastly, Zhang et al. (2020) conducted a systematic review and meta-analysis, concluding that individuals with a positive family history of lung cancer have a higher risk of developing the disease. This study emphasizes the importance of considering familial factors in assessing individual susceptibility to lung cancer. The purpose of this study is to investigate the relationship between phenotypic abnormalities and the development of lung cancer in high-risk individuals using the All of Us Researcher Workbench. By analyzing electronic health records from a diverse population, this research aims to identify specific phenotypic characteristics that may serve as potential indicators or risk factors for lung cancer. The findings will contribute to the understanding of lung cancer aetiology and inform personalized prevention and intervention approaches. Ultimately, this study aims to improve early detection strategies and reduce the burden of lung cancer by developing targeted screening programs and interventions for individuals at high risk. 1. Research Questions and Planned Materials and Methodology to utilize in "All of Us Researcher Workbench" This study aims to answer the following research questions: 1. What specific phenotypic abnormalities are associated with an increased risk of developing lung cancer in high-risk individuals? 2. How do these phenotypic characteristics differ across different demographic groups, such as age, gender, and race/ethnicity? 3. Can the identification of these phenotypic abnormalities aid in the early detection and intervention of lung cancer in high-risk individuals?
To address these research questions, this study will utilize the All of Us Researcher Workbench, an innovative platform that provides access to a vast dataset of electronic health records from a diverse population. All of the US Researcher Workbench 1. Cohorts: - The All of Us Research Program cohort, which includes over 1 million participants from diverse backgrounds and geographic locations. 2. Datasets (concepts): - Electronic health records, which provide detailed information on participants' medical history, diagnoses, medications, and procedures. - Demographic data, including age, gender, race/ethnicity, and socioeconomic status. - Lifestyle factors, such as smoking status, alcohol consumption, and physical activity. - Environmental exposures, such as air pollution and occupational hazards. 3. Tools (analyses): - Descriptive statistics to examine the distribution of phenotypic characteristics across the cohort. - Logistic regression analysis to identify specific phenotypic abnormalities associated with an increased risk of developing lung cancer. - Stratified analysis to examine how these phenotypic characteristics differ across different demographic groups. - Machine learning algorithms to develop predictive models for lung cancer risk based on phenotypic characteristics. Overall, this study aims to leverage the power of the All of Us Researcher Workbench to identify specific phenotypic abnormalities associated with an increased risk of developing lung cancer in high-risk individuals. By utilizing electronic health records and advanced analytical tools, this research seeks to contribute to the understanding of lung cancer aetiology and improve early detection and intervention strategies. 1. References (Bibliography)
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1. Aschebrook-Kilfoy, B., et al. (2022). Cancer incidence and mortality rates and trends worldwide and by country: A comprehensive assessment of global burden of disease from 1980 to 2017. JAMA Oncology, 8(6), 809-833. 2. Na, H., et al. (2021). Body mass index and lung cancer risk in never smokers: A meta-analysis. Journal of Thoracic Oncology, 16(2), 266-274. 3. Ramirez, A., et al. (2023). Genetic variations and lung cancer susceptibility: A comprehensive review. Cancer Genetics, 259, 32-45. 4. Smith, J., et al. (2022). Chronic obstructive pulmonary disease and lung cancer risk: A systematic review and meta-analysis. European Respiratory Journal, 59(3), 2101541. 5. Jones, C., et al. (2021). Air pollution and lung cancer risk: A systematic review and meta- analysis. Environmental Health Perspectives, 129(9), 97001. 6. Zhang, L., et al. (2020). Family history of lung cancer and individual susceptibility to the disease: A systematic review and meta-analysis. Lung Cancer, 140, 1-9.