The methodology used for the CCTLP study is a rather simple design as it is just myself working on this in my spare time in between working a full time job and caring for a son with cancer. The process of finding a person who is or was diagnosed with a childhood cancer to the point it becomes a case entry in the study is as follows:
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- Using online resources such as social media sites (Facebook, Instagram, Reddit, GoFundMe) as well as news articles, obituaries, videos, etc… I find a potential case to review.
- Initially try to determine the person’s date of birth, gender, age at diagnosis, current city/state and parent names.
- If the items in Step 2 cannot be completely determined the information gets placed on another list for future review.
- Assuming I can find the information in Step 2 next is to locate the home where the person was living about 4-6 years prior to diagnosis. Ewing Sarcoma in particular seems to take a few years to develop before either a tumor forms and is visible on the outside of the body or becomes painful for the individual from forming inside the body causing pain to vital organs and bones. I use resources such as address directories publicly available online as well property appraiser websites to locate residences for a given time period.
- Assuming I can determine the residence I move on to the next step which is to use a US Transmission Line map which is overlayed on a street map. From here I can determine what transmission lines are in the nearby vicinity. If there appears to be transmission lines nearby, I use a distance tool included with the mapping application to estimate distance. The US Transmission Line map also yields the strength and number of these lines. This will then become a case in the study with the home address being the exposure location.
- If a residence cannot be located in Step 5, an attempt is made to locate the school (if it is a child/young adult) that the child was attending in the timeframe of interest. If a school can be located, the same steps that were used in Step 5 apply to the school location. If the transmission lines are found in the vicinity of the school a case is created with school as the exposure location.
- In Summary:
- If home found but no school found:
- If transmission lines near home, becomes a case
- If no transmission lines near home, placed on list to be re-reviewed at later date in hopes to find school information.
- If school found but no home found:
- If transmission lines near school, becomes a case
- If no transmission lines near school, placed on list to be re-reviewed at later date in hopes to find home information.
- If both home and school found:
- If transmission lines near either home or school, becomes a case.
- Have not found a case yet where no transmission lines nearby either location.
- If child is an athlete an attempt is made to find where sports were being played
- This is usually difficult as there are multiple fields in a given area.
- Hockey generally is an easier sport to track down given smaller number of rinks in a given area.
- If home found but no school found:
Challenges with a study such as this:
- Divorced parents – Hard to know who the child is living with.
- Parents who relocate frequently – They are harder to track down where they’ve been and when they’ve moved.
- Property appraiser websites that don’t provide complete sales history or enough detail.
- Parents / single moms or dads who are renting.
- Kids who are posting their own cancer journeys without any mention of parents/schools/city locations.
- Common last names living in bigger cities.
- Younger children in daycares.
TOTAL COST OF THIS STUDY: $0.00