Evidence map›Paper›PMID 37029233›Full record

ArticlePharmacoEconomics2023

Developing a Framework of Cost Elements of Socioeconomic Burden of Rare Disease: A Scoping Review.

Gillian R Currie, Brittany Gerber, Diane Lorenzetti, Karen MacDonald, Susanne M Benseler, Francois P Bernier, Kym M Boycott, K Vanessa Carias, Bettina Hamelin, Robin Z Hayeems and 6 more

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in PharmacoEconomics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Counting the Cost: The Hidden Financial Realities of Neuromuscular Disease Through Patient and Family Perspectives.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
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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

16 authors at 7 institutions in 1 country.

Gillian R CurrieDepartment of Pediatrics, Health Research Innovation Centre, University of Calgary, Room 3C56, 3280 Hospital Drive NW, Calgary, AB, T2N 4Z6, Canada. currie@ucalgary.ca.ORCID 0000-0002-4681-9893
Brittany GerberDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada.ORCID 0000-0001-5370-2135
Diane LorenzettiDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada.ORCID 0000-0001-8423-3458
Karen MacDonaldDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada.ORCID 0000-0001-7739-4296
Susanne M BenselerDepartment of Pediatrics, Health Research Innovation Centre, University of Calgary, Room 3C56, 3280 Hospital Drive NW, Calgary, AB, T2N 4Z6, Canada.ORCID 0000-0001-5756-3638
Francois P BernierAlberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada.ORCID 0000-0001-7063-4269
Kym M BoycottDepartment of Genetics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.ORCID 0000-0003-4186-8052
K Vanessa CariasGenome Alberta, Calgary, AB, Canada.
Bettina HamelinOntario Genomics Institute, Toronto, ON, Canada.
Robin Z HayeemsChild Health Evaluative Sciences, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0003-3269-8004
Claire LeBlancDepartment of Pediatrics, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Marinka TwiltDepartment of Pediatrics, Cumming School of Medicine, McCaig Institute for Bone and Joint Health, and the Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada.ORCID 0000-0003-1954-2822
Gijs van RooijenGenome Alberta, Calgary, AB, Canada.
Durhane Wong-RiegerCanadian Organization for Rare Disorders (CORD), Toronto, ON, Canada.ORCID 0000-0001-5771-5400
Rae S M YeungDepartments of Paediatrics, Immunology and Medical Science, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-2361-725X
Deborah A MarshallDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-8467-8008
University of Calgary · CAGenome Canada · CAUniversity of Toronto · CAAlberta Health Services · CAMcGill University · CAOntario Genomics · CAUniversity of Ottawa · CA

Funding

CIHR 429362
6 · The paper itself

Abstract

BACKGROUND AND

objectiveRare diseases place a significant burden on patients, families, the healthcare system, and society. Evidence on the socioeconomic burden of rare disease is limited and mostly reflects diseases where treatments are available. We developed a framework encompassing recommended cost elements for studies of the socioeconomic burden of rare diseases.

methodsA scoping review, conducted in five databases (Cochrane Library, EconLit, Embase, MEDLINE, and APA PsycINFO), identified English language publications from 2000 to 2021 presenting frameworks developed for determining, measuring or valuing costs for rare or chronic diseases. Cost elements were extracted and used to develop a literature-informed framework. Structured feedback was gathered from experts in rare diseases, health economics/health services, and policy research to revise the framework.

resultsOf 2990 records identified, eight papers were included and informed our preliminary framework; three focused on rare disease and five on chronic disease. Following expert input, we developed a framework consisting of nine cost categories (inpatient, outpatient, community, healthcare products/goods, productivity/education, travel/accommodation, government benefits, family impacts, and other), with several cost elements within each category. Our framework includes unique costs, added from the expert feedback, including genetic testing to inform treatment, use of private laboratories or out-of-country testing, family involvement in foundations and organizations, and advocacy costs for special access programs.

conclusionsOur work is the first to identify a comprehensive list of cost elements for rare disease for use by researchers and policy makers to fully capture socioeconomic burden. Use of the framework will increase the quality and comparability of future studies. Future work should focus on measuring and valuing these costs through onset, diagnosis, and post-diagnosis.

Indexed as

Delivery of Health CareRare DiseasesChronic DiseaseHumansSocioeconomic Factors

Identifiers

PMID37029233
OpenAlexW4362704228

What OpenQuestion holds

Textmetadata
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.