Evidence map›Paper›PMID 29299833›Full record

ArticleThe patient2018

Engagement of Canadian Patients with Rare Diseases and Their Families in the Lifecycle of Therapy: A Qualitative Study.

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

Abstract read
PubMed Publisher
In one paragraph

Article in The patient, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. 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
  4. 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 and Policy Unit, School of Public Health, University of Alberta, Edmonton, AB, Canada. aldunn@ualberta.ca.
Devidas MenonHealth Technology and Policy Unit, School of Public Health, University of Alberta, Edmonton, AB, Canada.
Jackie StreetSchool of Public Health, University of Adelaide, Adelaide, SA, Australia.
Walla Al-HertaniCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Tania StafinskiHealth Technology and Policy Unit, School of Public Health, University of Alberta, Edmonton, AB, Canada.

Funding

CIHR TR3 119194
6 · The paper itself

Abstract

introductionPatient involvement is increasingly recognized as critical to the development, introduction and use (i.e. the lifecycle) of new and effective therapies, particularly those for rare diseases, where natural histories and the impact on patients and families are less well-understood than for common diseases. However, little is known about how patients and families would like to be involved during the lifecycle.

objectiveThe aim of this study was to explore ways in which Canadian patients with rare diseases and their families would like to be involved in the lifecycle of therapies and identify their priorities for involvement.

methodsPatients with rare diseases and their families were recruited to participate in two deliberative sessions, during which concepts related to decision-making uncertainty and the technology lifecycle were introduced before eliciting input around ways in which they could be involved. This was followed by a webinar, which was used to further identify opportunities for involvement. The data were then analyzed qualitatively using eclectic coding.

resultsPatients and families identified opportunities that fell into three goals: (1) incorporation of their 'lived experience' in coverage decision making (i.e. decisions by governments on funding new therapies); (2) improved care for patients; and (3) greater awareness of rare diseases, with the first being a priority.

conclusionsOpportunities for patients and families to contribute their 'lived experience' are needed throughout the orphan drug lifecycle, but the ideal mechanisms for providing this input have yet to be determined.

Indexed as

Decision MakingAdultAgedAged, 80 and overCanadaComplementary TherapiesFamilyFemaleHumansMaleMiddle AgedPatient PreferenceQualitative ResearchRare Diseases

Identifiers

What OpenQuestion holds

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Registered trials

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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.