Evidence map›Paper›PMID 33843690›Full record

ArticleJournal of Huntington's disease2021

The Impact of Upcoming Treatments in Huntington's Disease: Resource Capacity Limitations and Access to Care Implications.

Mark Guttman, Marco Pedrazzoli, Marina Ponomareva, Marsha Pelletier, Louisa Townson, Kopano Mukelabai, Aaron Levine, Anna-Lena Nordström, Ralf Reilmann, Jean-Marc Burgunder

Open access · hybridAbstract read
In one paragraph

Article in Journal of Huntington's disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 47% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Disparities in Huntington's disease care and research.Current opinion in neurology · 2025
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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

10 authors at 4 institutions in 3 countries.

Mark GuttmanCentre for Movement Disorders, Toronto, Canada.
Marco PedrazzoliLSC Life Sciences Consultants, Milan, Italy.
Marina PonomarevaLSC Life Sciences Consultants, Milan, Italy.
Marsha PelletierLSC Life Sciences Consultants, Milan, Italy.
Louisa TownsonF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Kopano MukelabaiF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Aaron LevineF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Anna-Lena NordströmF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Ralf ReilmannGeorge Huntington Institute, Muenster, Germany.
Jean-Marc BurgunderSwiss Huntington's Disease Centre, Siloah, Gümligen, Switzerland.
Roche (Switzerland) · CHCentre for Movement Disorders · CAUniversity of Bern · CHUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe most advanced disease-modifying therapies (DMTs) in development for Huntington's disease (HD) require intrathecal (IT) administration, which may create or exacerbate bottlenecks in resource capacity.

objectiveTo understand the readiness of healthcare systems for intrathecally administered HD DMTs in terms of resource capacity dynamics and implications for patients' access to treatment.

methodsForty HD centres across 12 countries were included. Qualitative and quantitative data on current capacity in HD centres and anticipated capacity needs following availability of a DMT were gathered via interviews with healthcare professionals (HCPs). Data modelling was used to estimate the current capacity gap in HD centres.

resultsFrom interviews with 218 HCPs, 25% of HD centres are estimated to have the three components required for IT administration (proceduralists, nurses and facilities). On average, 114 patients per centre per year are anticipated to receive intrathecally administered DMTs in the future. At current capacity, six of the sampled centres are estimated to be able to deliver DMTs to all the anticipated patients based on current resources. The estimated waiting time for IT administration at current capacity will average 60 months (5 years) by the second year after DMT availability.

conclusionAdditional resources are needed in HD centres for future DMTs to be accessible to all anticipated patients. Timely collaboration by the HD community will be needed to address capacity gaps. Healthcare policymakers and payers will need to address costs and navigate challenges arising from country- or region-specific healthcare delivery schemes.

Indexed as

Health ResourcesHealth Services AccessibilityHealth FacilitiesHealth WorkforceHumansHuntington DiseaseInjections, SpinalSpinal Punctureand servicescapacity buildinghealth care facilitieshealth resourceshealth services accessibilityHuntington’s diseaseintrathecal injectionmanpowerspinal puncture

Identifiers

PMID33843690
PMCPMC8293639
OpenAlexW3153934952

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.