Evidence map›Paper›PMID 31801581›Full record

ArticleOrphanet journal of rare diseases2019

Treatment needs and expectations for Fabry disease in France: development of a new Patient Needs Questionnaire.

Esther Noël, Bertrand Dussol, Didier Lacombe, Najya Bedreddine, Alain Fouilhoux, Pierre Ronco, Delphine Genevaz, Soumeya Bekri, Albert Hagège, Frédérique Dupuis-Siméon and 3 more

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2019. 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
0.8field-weighted citation impact, top 26% of its field
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, 7 citations in OpenAlex.

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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

13 authors at 12 institutions in 1 country.

Esther NoëlStrasbourg University Hospital, Strasbourg, France. esther.noel@chru-strasbourg.fr.
Bertrand DussolConception Hospital, Marseille, France.
Didier LacombeBordeaux University Hospital, INSERM U1211, Bordeaux University, Bordeaux, France.
Najya BedreddineAssociation des Patients de la Maladie de Fabry (APMF), Marsannay la Côte, France.
Alain FouilhouxLyon University Hospital - Lyon Civil Hospital, Lyon, France.
Pierre RoncoTenon Hospital, Paris, France.
Delphine GenevazVaincre les Maladies Lysosomales (VML), Massy, France.
Soumeya BekriRouen University Hospital, Rouen, France.
Albert HagègeGeorges Pompidou European Hospital, Paris, France.
Frédérique Dupuis-SiméonAmicus Therapeutics, La Défense, France.
Valérie Derrien AnsquerA+A Research, Lyon, France.
Dominique P GermainFrench Referral Center for Fabry disease, Division of Medical Genetics and INSERM U1179, University of Versailles, Paris-Saclay University, Montigny, France.
Olivier LidoveLa Croix St Simon Hospital, Paris, France.
Inserm · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Universitaire de Rouen · FRCommunauté urbaine de Lyon · FRGroupe Hospitalier Diaconesses Croix Saint-Simon · FRHiFiBiO Therapeutics (France) · FRHôpital de la Conception · FRHôpitaux Universitaires de Strasbourg · FRHospices Civils de Lyon · FRl'Assurance Maladie · FRSorbonne Université · FRVaincre la Mucoviscidose · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFabry disease (FD) is a rare, X-linked, inherited lysosomal disease caused by absent or reduced α-galactosidase A activity. Due to the heterogeneity of disease presentation and progression, generic patient-reported outcome (PRO) tools do not provide accurate insight into patients' daily lives and impact of disease specific treatments. Also, the French National Health Authority, (HAS) actively encourages a patient-centric approach to improve the quality of care throughout the patient journey. In response to this initiative, we aimed to develop and validate a specific, self-reported, Patient Needs Questionnaire for people living with Fabry disease to appraise patient needs and expectations towards their treatment (PNQ Fabry). This endeavour was led with the help of French patient associations (APMF & VML) and dedicated expert centres. PNQ Fabry was developed according to the FDA/EMA methodologies and best practices for the development of PRO tools in rare diseases. Our approach comprised of three steps, as follows: concept elicitation and item generation, item reduction, and final validation of the questionnaire through a two-stage survey.

resultsIntrinsic and extrinsic reliability was established, using a validated benchmark questionnaire. With the invaluable help of patient associations, we recruited a satisfactory population in this rare disease setting, to ensure robust participation to validate our PNQ (final number of questionnaires: 76). At the end of the process, a 26-item patient-reported questionnaire was obtained with excellent psychometric properties, exhibiting very satisfactory measurement outcomes for reliability and validity. The results of this initiative demonstrate that the PNQ Fabry is accurate, suitable and tailored to FD patients, as it addresses themes identified during patient interviews, that were further validated through statistical analyses of quantitative surveys. An ongoing phase IV study is using this tool.

conclusionWe believe the PNQ Fabry will be a reliable and insightful tool in clinical practice, to improve patient management in FD.

Indexed as

Fabry DiseaseFranceHumansPsychometricsQuality of LifeSurveys and QuestionnairesFabry diseaseLysosomal disordersPatient associationPatient Needs QuestionnairePatient-reported outcome measurePatient self-reported toolPsychometric analysis

Identifiers

PMID31801581
PMCPMC6894302
OpenAlexW2992956219

What OpenQuestion holds

Textmetadata
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.