Evidence map›Paper›PMID 37978388›Full record

ArticleOrphanet journal of rare diseases2023

Estimating mortality in rare diseases using a population-based registry, 2002 through 2019.

Monica Mazzucato, Laura Visonà Dalla Pozza, Cinzia Minichiello, Ema Toto, Andrea Vianello, Paola Facchin

Erratum issuedAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Monica MazzucatoRare Diseases Coordinating Centre, Veneto Region, Padua University Hospital, Padua, Italy. monica.mazzucato@regione.veneto.it.ORCID 0000-0001-6523-5458
Laura Visonà Dalla PozzaRare Diseases Coordinating Centre, Veneto Region, Padua University Hospital, Padua, Italy.
Cinzia MinichielloRare Diseases Coordinating Centre, Veneto Region, Padua University Hospital, Padua, Italy.
Ema TotoRare Diseases Coordinating Centre, Veneto Region, Padua University Hospital, Padua, Italy.
Andrea VianelloDepartment of Child and Maternal Health, Padua University Hospital, University of Padova, Padua, Italy.
Paola FacchinRare Diseases Coordinating Centre, Veneto Region, Padua University Hospital, Padua, Italy. paola.facchin@unipd.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRare diseases (RD) are a heterogeneous group of diseases, sharing aspects of complexity. Prognosis is variable, even in individuals with the same disease. Real-world data on RD as a whole are scarce. The aim of this study is to provide data on mortality and survival for a substantial group of RD deriving from a population-based registry, which covers the Veneto region in Italy (4.9 million inhabitants).

resultsDuring the study period, 3367 deaths occurred, mainly in males (53.9%), elderly patients (63.5%) and patients with diseases having a reported prevalence of 1-9/100000 (65.6%). When standardizing by age, the mortality ratio was higher in RD patients than in the general population, SMR = 1.93 (95% CI 1.84-2.11), with an observed gender difference, 2.01 (95% CI 1.88-2.29) in females and 1.86 (95% CI 1.73-2.10) in males. The lowest survival rates are experienced by patients with rare neurologic diseases, rare skin diseases and rare systemic or rheumatologic diseases, 58%, 68% and 81%, respectively, after a 15-year observation period. It should be noted that only 18% of patients diagnosed with motor neuron diseases were alive after 15 years from diagnosis.

conclusionsDespite progress in diagnosis, treatment and care in recent years, RD patients globally have higher mortality rates and reduced survival compared to the general population, with specific variations according to gender, age and disease group.

Indexed as

Rare DiseasesAgedFemaleHumansItalyMalePrevalenceRegistriesSurvival RateEpidemiologyMortalityORPHAcodesPublic healthRare diseasesSurvival

Identifiers

PMID37978388
PMCPMC10655462

What OpenQuestion holds

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Registered trials

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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.