Evidence map›Paper›PMID 37996938›Full record

ArticleOrphanet journal of rare diseases2023

Experiences of coordinated care for people in the UK affected by rare diseases: cross-sectional survey of patients, carers, and healthcare professionals.

Holly Walton, Pei Li Ng, Amy Simpson, Lara Bloom, Lyn S Chitty, Naomi J Fulop, Amy Hunter, Jennifer Jones, Joe Kai, Larissa Kerecuk and 7 more

Open access · goldAbstract 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. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 10 citations in OpenAlex.

  1. Artificial Intelligence Competencies and Educational Needs Among ERNICA Members: Results of a Multinational Survey.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2026
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  4. Patient passports for rare diseases: results of a pilot study.European journal of human genetics : EJHG · 2026
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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

17 authors at 7 institutions in 2 countries.

Holly WaltonDepartment of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK. holly.walton@ucl.ac.uk.ORCID 0000-0002-8746-059X
Pei Li NgDepartment of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK.ORCID 0000-0001-8411-220X
Amy SimpsonDepartment of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK.ORCID 0000-0001-7880-4218
Lara BloomThe Ehlers-Danlos Society and Academic Affiliate Professor of Practice in Patient Engagement and Global Collaboration (Penn State College of Medicine), Hershey, USA.ORCID 0000-0002-6168-8094
Lyn S ChittyNorth Thames Genomic Laboratory Hub, Great Ormond Street NHS Foundation Trust, London, UK.ORCID 0000-0002-4857-7138
Naomi J FulopDepartment of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK.ORCID 0000-0001-5306-6140
Amy HunterGenetic Alliance UK, Creative Works, 7 Blackhorse Lane, London, E17 6DS, UK.ORCID 0000-0001-5076-8761
Jennifer JonesGenetic Alliance UK, Creative Works, 7 Blackhorse Lane, London, E17 6DS, UK.ORCID 0000-0001-6936-6092
Joe KaiDivision of Primary Care, Centre for Academic Primary Care, NIHR School for Primary Care Research, University of Nottingham, Floors 13-15, Tower Building, University Park, Nottingham, NG7 2RD, UK.ORCID 0000-0001-9040-9384
Larissa KerecukBirmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.ORCID 0000-0001-5003-3183
Maria KokocinskaBirmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.ORCID 0000-0001-7262-1314
Kerry Leeson-BeeversAlstrom Syndrome UK, 4 St Kitts Close, Torquay, TQ2 7GD, Devon, UK.ORCID 0000-0001-8826-5086
Sharon ParkesBirmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.ORCID 0000-0002-9817-1160
Angus I G RamsayDepartment of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK.ORCID 0000-0002-4446-6916
Alastair SutcliffeUCL and Great Ormond Street Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.ORCID 0000-0001-8542-6155
Christine TaylorDepartment of Applied Health Research, University College London, Gower Street, London, WC1E 6BT, UK.ORCID 0000-0003-0120-0365
Stephen MorrisPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID 0000-0002-5828-3563
University College London · GBBirmingham Women’s and Children’s NHS Foundation Trust · GBGenetic Alliance UK (United Kingdom) · GBGreat Ormond Street Hospital · GBEhlers-Danlos Society · USUniversity of Cambridge · GBUniversity of Nottingham · GB

Funding

Health Services and Delivery Research Programme 16/116/82
6 · The paper itself

Abstract

backgroundPoorly coordinated care can have major impacts on patients and families affected by rare conditions, with negative physical health, psychosocial and financial consequences. This study aimed to understand how care is coordinated for rare diseases in the United Kingdom.

methodsWe undertook a national survey in the UK involving 760 adults affected by rare diseases, 446 parents/carers of people affected by rare diseases, and 251 healthcare professionals who care for people affected by rare diseases.

resultsFindings suggested that a wide range of patients, parents and carers do not have coordinated care. For example, few participants reported having a care coordinator (12% patients, 14% parents/carers), attending a specialist centre (32% patients, 33% parents/carers) or having a care plan (10% patients, 44% parents/carers). A very small number of patients (2%) and parents/carers (5%) had access to all three-a care coordinator, specialist centre and care plan. Fifty four percent of patients and 33% of parents/carers reported access to none of these. On the other hand, a higher proportion of healthcare professionals reported that families with rare conditions had access to care coordinators (35%), specialist centres (60%) and care plans (40%).

conclusionsCare for families with rare conditions is generally not well coordinated in the UK, with findings indicating limited access to care coordinators, specialist centres and care plans. Better understanding of these issues can inform how care coordination might be improved and embrace the needs and preferences of patients and families affected by rare conditions.

Indexed as

CaregiversRare DiseasesAdultCross-Sectional StudiesDelivery of Health CareHumansUnited KingdomCare coordinationCare coordinatorCare planRare conditionsRare diseasesSpecialist centreSurvey

Identifiers

PMID37996938
PMCPMC10668407
OpenAlexW4388940940

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.