Evidence map›Paper›PMID 40468287›Full record

ArticleBMC health services research2025

The organizational dimension in rare and complex diseases care management: an application of RarERN Path

Sara Cannizzo, Vinciane Quoidbach, Leopoldo Trieste, Monika Benson, Antonio Federico, Alessandro Filla, Bernadette Sheehan Gilroy, Paola Giunti, Holm Graeßner, Julie Greenfield and 14 more

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
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

24 authors.

Sara CannizzoInstitute of Management, Scuola Superiore Sant'Anna, Piazza Martiri della Libertà 33, Pisa, 56127, Italy.
Vinciane QuoidbachEuropean Brain Council, Bruxelles, Belgium.
Leopoldo TriesteInstitute of Management, Scuola Superiore Sant'Anna, Piazza Martiri della Libertà 33, Pisa, 56127, Italy.
Monika Benson, Dystonia Europe, Bruxelles, Belgium.
Antonio FedericoDepartment of Medicine, Surgery and Neurosciences, Medical School, University of Siena, Siena, Italy.
Alessandro FillaDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University, Naples, Italy.
Bernadette Sheehan GilroyPKU Association of Ireland, Tralee, Ireland.
Paola GiuntiAtaxia Centre, Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, Queen Square House, Queen Square, London, WC1 N 3BG, UK.
Holm GraeßnerInstitute for Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Julie GreenfieldAtaxia UK, London, UK.
Tobias HagedornGerman PKU and Allied Disorders Patients Association DIG PKU, Hiddenhausen, Germany.
Alvaro HermidaUnit of Diagnosis and Treatment of Congenital Metabolic Diseases, Department of Internal Medicine, Santiago de Compostela University Clinical Hospital, Santiago de Compostela, Spain.
Barry HuntAtaxia UK, London, UK.
Anita MacDonaldDietetic Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, UK.
Francesca MorganteNeuromodulation and Motor Control Section, Neuroscience and Cell Biology Institute, City St George's, University of London, London, UK.
Wolfgang OertelEuropean Brain Council, Bruxelles, Belgium.
Gregory PastoresNational Centre for inherited Metabolic Disorders, Mater Misericordiae University Hospital, Dublin, Ireland.
Martje G PaulyDepartment of Neurology, University Hospital Schleswig Holstein Campus Lübeck, Lübeck, Germany.
Carola ReinhardInstitute for Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Maja ReljaUniversity of Zagreb Medical School and Croatian Academy of Medical Science, Zagreb, Croatia.
Eileen TreacyNational Centre for inherited Metabolic Disorders, Mater Misericordiae University Hospital, Dublin, Ireland.
Francjan Van SpronsenMetabolic Diseases in the Beatrix Children's Hospital of the University Medical Center of Groningen, Groningen, Netherlands.
Julie VallortigaraAtaxia Centre, Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, Queen Square House, Queen Square, London, WC1 N 3BG, UK.
Giuseppe TurchettiInstitute of Management, Scuola Superiore Sant'Anna, Piazza Martiri della Libertà 33, Pisa, 56127, Italy. g.turchetti@santannapisa.it.ORCID http://orcid.org/0000-0002-1877-5459

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

methodsThe organization of care profoundly impacts the variability in the quality of care provided to patients and the equity of access to care. The lack of coordination of care, of communication among healthcare providers, healthcare professionals, and patients, and the duplication of services provided to the patients represent some paradigmatic examples of organizational barriers to deliver high-quality patient-centered care and to promote equitable access to healthcare services. Patient care pathways (PCPs) are valuable tools for the (re)design and the (re)definition of the provision of healthcare services to patients. This work represents the first application of the RarERN Path

resultsThe application of some of the phases of RarERN Path

conclusionsThe PCPs proposed for progressive ataxias, dystonia, and PKU provide insight into the value of specialized centers in diagnosing and managing patients with rare and complex conditions and are the results of a co-designed optimized process integrating the good practices of the centers of excellence and expertise with the perspectives of the patients' representatives. This integrated approach allowed for the re-design and optimization of the organizational dimensions of the patient's care pathways.

Indexed as

AtaxiaCritical PathwaysDystoniaPhenylketonuriasRare DiseasesEuropeHumansPatient-Centered CareDystoniaEquity of careEuropean reference networksNeurological diseasesOrganization of carePatient care pathwaysPatient-centered carePhenylketonuriaProgressive ataxiaRare neurometabolic diseases

Identifiers

PMID40468287
PMCPMC12135423

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.