Evidence map›Paper›PMID 37822540›Full record

ArticleFrontiers in public health2023

Unmet needs in countries participating in the undiagnosed diseases network international: an international survey considering national health care and economic indicators.

Savino Sciascia, Dario Roccatello, Marco Salvatore, Claudio Carta, Laura L Cellai, Gianluca Ferrari, Aimè Lumaka, Stephen Groft, Yasemin Alanay, Maleeha Azam and 22 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02450851 (Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
10.3field-weighted citation impact, top 2% 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.

NCT02450851 recruitingnot on this map

Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network

TypeobservationalSponsorNational Human Genome Research Institute (NHGRI)Ran2015 to 2028Enrolled20,000ConditionsGenetic Disease
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 18 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

32 authors at 20 institutions in 19 countries.

Savino SciasciaCenter of Excellence on Nephrologic, Rheumatologic and Rare Diseases (ERK-Net, ERN-Reconnect and RITA-ERN Member) With Nephrology and Dialysis Unit, San Giovanni Bosco Hub Hospital, ASL Città di Torino and University of Turin, Turin, Italy.
Dario RoccatelloCenter of Excellence on Nephrologic, Rheumatologic and Rare Diseases (ERK-Net, ERN-Reconnect and RITA-ERN Member) With Nephrology and Dialysis Unit, San Giovanni Bosco Hub Hospital, ASL Città di Torino and University of Turin, Turin, Italy.
Marco SalvatoreNational Center for Rare Diseases, Undiagnosed Rare Diseases Interdepartmental Unit, Istituto Superiore di Sanità, Rome, Italy.
Claudio CartaNational Center for Rare Diseases, Undiagnosed Rare Diseases Interdepartmental Unit, Istituto Superiore di Sanità, Rome, Italy.
Laura L CellaiNational Center for Rare Diseases, Undiagnosed Rare Diseases Interdepartmental Unit, Istituto Superiore di Sanità, Rome, Italy.
Gianluca FerrariNational Center for Rare Diseases, Undiagnosed Rare Diseases Interdepartmental Unit, Istituto Superiore di Sanità, Rome, Italy.
Aimè LumakaReference Center for Rare and Undiagnosed Diseases, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Stephen GroftNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, MD, United States.
Yasemin AlanayACURARE-Rare and Undiagnosed Diseases Center, Acibadem University, Istanbul, Türkiye.
Maleeha AzamCOMSATS University Islamabad, Islamabad, Pakistan.
Gareth BaynamRare Care, Clinical Center of Expertise for Rare and Undiagnosed Diseases, Perth Children's Hospital, Perth, WA, Australia.
Helene CederrothWilhelm Foundation, Stockholm, Sweden.
Eva Maria Cutiongco-de la PazInstitute of Human Genetics, National Institutes of Health, University of the Philippines Manila, Manila, Philippines.
Vajira Harshadeva Weerabaddana DissanayakeDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Roberto GiuglianiHouse of Rares, Medical Genetics Service, HCPA, Department Genetics UFRGS and DASA, Porto Alegre, Brazil.
Claudia Gonzaga-JaureguiInternational Laboratory for Human Genome Research, Universidad Nacional Autonoma de Mexico, Juriquilla, Queretaro, Mexico.
Dineshani HettiarachchiDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Oleg KvlividzeGeorgian Foundation for Genetic and Rare Diseases (GeRaD), School of Medicine, New Vision University, Tbilisi, Georgia.
Guida LandoureFaculté de Médecine et d'Odontostomatologie, l'Université des Sciences, des Techniques et des Technologies de Bamako, Bamako, Mali.
Prince MakayReference Center for Rare and Undiagnosed Diseases, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Béla MeleghDepartment of Medical Genetics, School of Medicine, University of Pécs, Pécs, Hungary.
Ugur OzbekACURARE-Rare and Undiagnosed Diseases Center, Acibadem University, Istanbul, Türkiye.
Ratna Dua PuriInstitute of Medical Genetics and Genomics, Sir Ganga Ram Hospital, New Delhi, India.
Vanessa I RomeroSchool of Medicine, Universidad San Francisco de Quito, Quito, Ecuador.
Vinod ScariaCSIR Institute of Genomics and Integrative Biology, New Delhi, India.
Saumya S JamuarGenetics Service, Department of Pediatrics, KK Women's and Children's Hospital and Pediatric ACP, Duke-NUS Medical School, Singapore, Singapore.
Vorasuk ShotelersukCenter of Excellence for Medical Genomics, Department of Pediatrics, Faculty of Medicine, King Chulalongkorn Memorial Hospital and Chulalongkorn University, Bangkok, Thailand.
William A GahlNational Institutes of Health, National Human Genome Research Institute, Bethesda, MD, United States.
Samuel A WiafeRare Disease Ghana Initiative, Accra, Ghana.
Olaf BodamerDivision of Genetics and Genomics, Harvard Medical School, Boston Children's Hospital, Boston, MA, United States.
Manuel PosadaRare Diseases Research Institute (IIER), SpainUDP, Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
Domenica TaruscioNational Center for Rare Diseases, Undiagnosed Rare Diseases Interdepartmental Unit, Istituto Superiore di Sanità, Rome, Italy.
Istituto Superiore di Sanità · ITAcıbadem University · TRNational Institutes of Health · USUniversity of Colombo · LKUniversity of Kinshasa · CDBoston Children's Hospital · USCOMSATS University Islamabad · PKGhana Health Service · GHInstitute of Genomics and Integrative Biology · INInstituto de Salud Carlos III · ESKing Chulalongkorn Memorial Hospital · THKK Women's and Children's Hospital · SGOspedale San Giovanni Bosco · ITPerth Children's HospitalSir Ganga Ram Hospital · INUniversidade Federal do Rio Grande do Sul · BRUniversidad Nacional Autónoma de México · MXUniversidad San Francisco de Quito · ECUniversité des Sciences, des Techniques et des Technologies de Bamako · MLUniversity of Pecs · HU

Funding

Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SCOTT Loren POMEROY, MUSTAFA SAHIN · 2021 to 2026
$9.4M
NICHD NIH HHS P50 HD105351
6 · The paper itself

Abstract

Background: Patients, families, the healthcare system, and society as a whole are all significantly impacted by rare diseases (RDs). According to various classifications, there are currently up to 9,000 different rare diseases that have been recognized, and new diseases are discovered every month. Although very few people are affected by each uncommon disease individually, millions of people are thought to be impacted globally when all these conditions are considered. Therefore, RDs represent an important public health concern. Although crucial for clinical care, early and correct diagnosis is still difficult to achieve in many nations, especially those with low and middle incomes. Consequently, a sizeable amount of the overall burden of RD is attributable to undiagnosed RD (URD). Existing barriers and policy aspects impacting the care of patients with RD and URD remain to be investigated. Methods: To identify unmet needs and opportunities for patients with URD, the Developing Nations Working Group of the Undiagnosed Diseases Network International (DNWG-UDNI) conducted a survey among its members, who were from 20 different nations. The survey used a mix of multiple choice and dedicated open questions covering a variety of topics. To explore reported needs and analyze them in relation to national healthcare economical aspects, publicly available data on (a) World Bank ranking; (b) Current health expenditure Results: This study provides an in-depth evaluation of the unmet needs for 20 countries: low-income (3), middle-income (10), and high-income (7). When analyzing reported unmet needs, almost all countries ( Conclusion: We found that policy characteristics varied greatly with the type of health system and country. No overall pattern in terms of referral for unmet needs when separating countries by main economic or health indicators were observed. Our findings highlight the importance of identifying actionable points (e.g., implemented orphan drug acts or registries where not available) in order to improve the care and diagnosis of RDs and URDs on a global scale.

Indexed as

Undiagnosed DiseasesDelivery of Health CareGlobal HealthHealth ExpendituresHumansInfant, NewbornRare Diseasesdeveloping nationsGPDrare diseasessurveyundiagnosed diseases

Identifiers

PMID37822540
PMCPMC10562568
OpenAlexW4387048991

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.