Evidence map›Paper›PMID 38876765›Full record

ArticleThe Lancet. Global health2024

Global health for rare diseases through primary care.

Gareth Baynam, Adam L Hartman, Mary Catherine V Letinturier, Matt Bolz-Johnson, Prescilla Carrion, Alice Chen Grady, Xinran Dong, Marc Dooms, Lauren Dreyer, Holm Graessner and 9 more

Abstract read
In one paragraph

Article in The Lancet. Global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–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

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
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  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
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  12. Review
  13. Article
  14. Article
  15. GEN-KnowRD: Reframing AI for Rare Disease Recognition.medRxiv : the preprint server for health sciences · 2026
    Article
  16. Article
  17. Observational
  18. Article
  19. Mapping the rare disease stakeholders in India.PLOS global public health · 2026
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Gareth BaynamRare Care Centre, Perth Children's Hospital and Western Australian Register of Developmental Anomalies, King Edward Memorial Hospital, Perth, WA, Australia. Electronic address: gareth.baynam@health.wa.gov.au.
Adam L HartmanNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA.
Mary Catherine V LetinturierIRDiRC Scientific Secretariat, French National Institute of Health and Medical Research, Paris, France.
Matt Bolz-JohnsonEURORDIS-Rare Diseases Europe, Fondation Universitaire, Brussels, Belgium.
Prescilla CarrionUniversity of British Columbia, Vancouver, BC, Canada.
Alice Chen GradyNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, MD, United States.
Xinran DongChildren's Hospital of Fudan University, Shanghai, China.
Marc DoomsUniversity Hospitals Leuven, Leuven, Belgium.
Lauren DreyerGenetic Services Western Australia, King Edward Memorial Hospital, Perth, WA, Australia.
Holm GraessnerCentre for Rare Diseases, Institute for Medical Genetics and Applied Genomics, University Hospital Tübingen, Tübingen, Germany.
Alicia GranadosGlobal Medical Affairs Rare Diseases, Sanofi, Barcelona, Spain.
Tudor GrozaRare Care Centre, Perth Children's Hospital and Western Australian Register of Developmental Anomalies, King Edward Memorial Hospital, Perth, WA, Australia; European Bioinformatics Institute, European Molecular Biology Laboratory, Hinxton, UK.
Elisa HouwinkDepartment of Family Medicine, Mayo Clinic, Rochester, MN, USA.
Saumya Shekhar JamuarKK Women's and Children's Hospital, SingHealth Duke-NUS Institute of Precision Medicine, Singapore.
Tania Vasquez-LoarteRare Disease G2MC, Department of Pediatrics, Wyckoff Heights Medical Center, New York, NY, USA.
Biruté TumieneVilnius University Faculty of Medicine, Institute of Biomedical Sciences, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
Samuel Agyei WiafeRare Disease Ghana Initiative, Accra, Ghana.
Heidi Bjornson-PennellChan Zuckerberg Initiative, Redwood City, CA, USA.
Stephen GroftNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, MD, USA.

Funding

Intramural NIH HHS Z99 TR999999
6 · The paper itself

Abstract

Rare diseases affect over 300 million people worldwide and are gaining recognition as a global health priority. Their inclusion in the UN Sustainable Development Goals, the UN Resolution on Addressing the Challenges of Persons Living with a Rare Disease, and the anticipated WHO Global Network for Rare Diseases and WHO Resolution on Rare Diseases, which is yet to be announced, emphasise their significance. People with rare diseases often face unmet health needs, including access to screening, diagnosis, therapy, and comprehensive health care. These challenges highlight the need for awareness and targeted interventions, including comprehensive education, especially in primary care. The majority of rare disease research, clinical services, and health systems are addressed with specialist care. WHO Member States have committed to focusing on primary health care in both universal health coverage and health-related Sustainable Development Goals. Recognising this opportunity, the International Rare Diseases Research Consortium (IRDiRC) assembled a global, multistakeholder task force to identify key barriers and opportunities for empowering primary health-care providers in addressing rare disease challenges.

Indexed as

Global HealthPrimary Health CareRare DiseasesHealth PolicyHealth Services AccessibilityHumansWorld Health Organization

Identifiers

PMID38876765
PMCPMC13271179

What OpenQuestion holds

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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.