Evidence map›Paper›PMID 37204146›Full record

ArticleThe American journal of bioethics : AJOB2023

Rare Disease, Advocacy and Justice: Intersecting Disparities in Research and Clinical Care.

Meghan C Halley, Colin M E Halverson, Holly K Tabor, Aaron J Goldenberg

Open access · greenAbstract read
In one paragraph

Article in The American journal of bioethics : AJOB, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
11.6field-weighted citation impact, top 1% 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

23 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
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  8. Article
  9. Review
  10. Review
  11. Article
  12. Distributional Cost-Effectiveness Analysis in Genomic Medicine: Considerations for Addressing Health Equity.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2025
    Article
  13. Article
  14. Preclinical research (on rare diseases): we need to talk about health equity.Mammalian genome : official journal of the International Mammalian Genome Society · 2025
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Building advocacy into research.Disease models & mechanisms · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Meghan C HalleyStanford University School of Medicine.ORCID 0000-0002-5031-9840
Colin M E HalversonIndiana University School of Medicine.
Holly K TaborStanford University School of Medicine.
Aaron J GoldenbergCase Western Reserve University School of Medicine.
Stanford University · USCase Western Reserve University · USUniversity School · US

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
What comes next? Engaging stakeholders in governance of participant data and relationships during the sunset of large genomic medicine research initiativesU01HG010218 · NHGRI · STANFORD UNIVERSITY · PI ASHLEY, EUAN A, BERNSTEIN, JONATHAN ADAM · 2018 to 2022
$6.3M
Surfacing values in the economic evaluation of genomic sequencing for diagnosis of children with rare diseasesK01HG011341 · NHGRI · STANFORD UNIVERSITY · PI HALLEY, MEGHAN · 2021 to 2025
$868k
Improving Care for Rare Genetic Diseases: Patient-Provider Communication and Patient Validation in the Ehlers-Danlos SyndromesK01HG012408 · NHGRI · INDIANA UNIVERSITY INDIANAPOLIS · PI Colin Michael Egenberger Halverson · 2022 to 2026
$836k
NCATS NIH HHS UL1 TR003142NHGRI NIH HHS K01 HG011341NHGRI NIH HHS K01 HG012408NHGRI NIH HHS U01 HG010218
6 · The paper itself

Abstract

Rare genetic diseases collectively impact millions of individuals in the United States. These patients and their families share many challenges including delayed diagnosis, lack of knowledgeable providers, and limited economic incentives to develop new therapies for small patient groups. As such, rare disease patients and families often must rely on advocacy, including both self-advocacy to access clinical care and public advocacy to advance research. However, these demands raise serious concerns for equity, as both care and research for a given disease can depend on the education, financial resources, and social capital available to the patients in a given community. In this article, we utilize three case examples to illustrate ethical challenges at the intersection of rare diseases, advocacy and justice, including how reliance on advocacy in rare disease may drive unintended consequences for equity. We conclude with a discussion of opportunities for diverse stakeholders to begin to address these challenges.

Indexed as

Rare DiseasesSocial JusticeHumansUnited StatesBioethicsgeneticshealth equitypatient advocacyrare diseasesword

Identifiers

PMID37204146
PMCPMC10321139
OpenAlexW4377093501

What OpenQuestion holds

Textmetadata
LicenceTDM
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.