Evidence map›Paper›PMID 31527858›Full record

ArticleEuropean journal of human genetics : EJHG2020

Estimating cumulative point prevalence of rare diseases: analysis of the Orphanet database.

Stéphanie Nguengang Wakap, Deborah M Lambert, Annie Olry, Charlotte Rodwell, Charlotte Gueydan, Valérie Lanneau, Daniel Murphy, Yann Le Cam, Ana Rath

Abstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 869 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
869citing papers in PubMed, 3 pooled it
–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

869 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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809 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Stéphanie Nguengang WakapInserm, US14-Orphanet, Paris, France. stephanie.nguengang-wakap@inserm.fr.
Deborah M LambertOrphanet Ireland, National Rare Diseases Office, Mater Misericordiae University Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0003-0967-0476
Annie OlryInserm, US14-Orphanet, Paris, France.
Charlotte RodwellInserm, US14-Orphanet, Paris, France.
Charlotte GueydanInserm, US14-Orphanet, Paris, France.
Valérie LanneauInserm, US14-Orphanet, Paris, France.
Daniel MurphyOrphanet Ireland, National Rare Diseases Office, Mater Misericordiae University Hospital, Dublin, Ireland.
Yann Le CamEurordis - Rare Diseases Europe, Plateforme Maladies Rares, Paris, France.
Ana RathInserm, US14-Orphanet, Paris, France.ORCID http://orcid.org/0000-0003-4308-6337

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rare diseases, an emerging global public health priority, require an evidence-based estimate of the global point prevalence to inform public policy. We used the publicly available epidemiological data in the Orphanet database to calculate such a prevalence estimate. Overall, Orphanet contains information on 6172 unique rare diseases; 71.9% of which are genetic and 69.9% which are exclusively pediatric onset. Global point prevalence was calculated using rare disease prevalence data for predefined geographic regions from the 'Orphanet Epidemiological file' (http://www.orphadata.org/cgi-bin/epidemio.html). Of the 5304 diseases defined by point prevalence, 84.5% of those analysed have a point prevalence of <1/1 000 000. However 77.3-80.7% of the population burden of rare diseases is attributable to the 4.2% (n = 149) diseases in the most common prevalence range (1-5 per 10 000). Consequently national definitions of 'Rare Diseases' (ranging from prevalence of 5 to 80 per 100 000) represent a variable number of rare disease patients despite sharing the majority of rare disease in their scope. Our analysis yields a conservative, evidence-based estimate for the population prevalence of rare diseases of 3.5-5.9%, which equates to 263-446 million persons affected globally at any point in time. This figure is derived from data from 67.6% of the prevalent rare diseases; using the European definition of 5 per 10 000; and excluding rare cancers, infectious diseases, and poisonings. Future registry research and the implementation of rare disease codification in healthcare systems will further refine the estimates.

Indexed as

Databases, FactualGenetic Diseases, InbornGlobal HealthHumansPrevalenceRare Diseases

Identifiers

PMID31527858
PMCPMC6974615

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.