Evidence map›Paper›PMID 29273068›Full record

ArticleOrphanet journal of rare diseases2017

Exploring patient and family involvement in the lifecycle of an orphan drug: a scoping review.

Andrea Young, Devidas Menon, Jackie Street, Walla Al-Hertani, Tania Stafinski

Abstract readScoping Review
In one paragraph

Article in Orphanet journal of rare diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
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  5. Evaluating the benefit of early patient and public involvement for product development and testing with small companies.Health expectations : an international journal of public participation in health care and health policy · 2023
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  6. Review
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  11. Ethical challenges for a new generation of early-phase pediatric gene therapy trials.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Review
  12. Article
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  18. Review
  19. A checklist for managed access programmes for reimbursement co-designed by Canadian patients and caregivers.Health expectations : an international journal of public participation in health care and health policy · 2018
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Andrea YoungHealth Technology & Policy Unit, School of Public Health, University of Alberta, Edmonton, AB, Canada. aldunn@ualberta.ca.
Devidas MenonHealth Technology & Policy Unit, School of Public Health, University of Alberta, Edmonton, AB, Canada.
Jackie StreetSchool of Public Health, University of Adelaide, Adelaide, Australia.
Walla Al-HertaniCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Tania StafinskiHealth Technology & Policy Unit, School of Public Health, University of Alberta, Edmonton, AB, Canada.

Funding

CIHR TR3 119194
6 · The paper itself

Abstract

backgroundPatients and their families have become more active in healthcare systems and research. The value of patient involvement is particularly relevant in the area of rare diseases, where patients face delayed diagnoses and limited access to effective therapies due to the high level of uncertainty in market approval and reimbursement decisions. It has been suggested that patient involvement may help to reduce some of these uncertainties. This review explored existing and proposed roles for patients, families, and patient organizations at each stage of the lifecycle of therapies for rare diseases (i.e., orphan drug lifecycle).

methodsA scoping review was conducted using methods outlined by Arksey and O'Malley. To validate the findings from the literature and identify any additional opportunities that were missed, a consultative webinar was conducted with members of the Patient and Caregiver Liaison Group of a Canadian research network.

resultsExisting and proposed opportunities for involving patients, families, and patient organizations were reported throughout the orphan drug lifecycle and fell into 12 themes: research outside of clinical trials; clinical trials; patient reported outcomes measures; patient registries and biorepositories; education; advocacy and awareness; conferences and workshops; patient care and support; patient organization development; regulatory decision-making; and reimbursement decision-making. Existing opportunities were not described in sufficient detail to allow for the level of involvement to be assessed. Additionally, no information on the impact of involvement within specific opportunities was found. Based on feedback from patients and families, documentation of existing opportunities within Canada is poor.

conclusionsOpportunities for patient, family, and patient organization involvement exist throughout the orphan drug lifecycle. However, based on the information found, it is not possible to determine which opportunities would be most effective at each stage.

Indexed as

Decision MakingRare DiseasesDelivery of Health CareHumansOrphan Drug ProductionOrphan drugsPatient involvementRare diseasesScoping review

Identifiers

PMID29273068
PMCPMC5741909

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.