Evidence map›Paper›PMID 42538572›Full record

ArticleOrphanet journal of rare diseases2026

Management of patients with rare diseases in the Middle East: challenges & opportunities - insights from the Rare Advocacy Council.

Agnès Farrugia, Ahmed Bahey, Ahmad Tarawah, Arwa Al Yamani, Carla Abou Selwan, Dania Mohty, Denis Wolfs, Dorica Dan, Hafiz Mosa Ali Malhan, Johan De Graaf and 7 more

Abstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Agnès FarrugiaAssociation Française Contre L'Amylose, Marseille, France.
Ahmed BaheyQatar Friends Hemophilia Group (QFHG), Doha, Qatar.
Ahmad TarawahPediatric Hematology-Oncology, King Salman Medical City, Madinah, Saudi Arabia.
Arwa Al YamaniHematology/Oncology/BMT Deputy Chairman of Saudi and Thalassemia and Sickle Cell Anemia Society, Riyadh, Saudi Arabia.
Carla Abou SelwanScience PRO, Jal-el-dib, Lebanon. Carla.abouselwan@sciencepro.me.ORCID http://orcid.org/0000-0002-8140-8694
Dania MohtyKing Faisal Specialist Hospital, Riyadh, Saudi Arabia.
Denis WolfsAmyloidosis Association, Brussels, Belgium.
Dorica DanRomanian National Alliance for Rare Disease, Bucharest, Romania.
Hafiz Mosa Ali MalhanAdult Hematologist, Riyadh, Saudi Arabia.
Johan De GraafDutch Pituitary Foundation, Nijkerk, The Netherlands.
Stefan ŽivkovićNational Organization of Rare Diseases, Belgrade, Serbia.
Yasser WaliPediatric Hematology, College of Medicine and Health Sciences, Sultan Qaboos University, Board Member Omani Society of Hematology, Muscat, Oman.
Youmna OuraybiAna Fareed Health Consultancy for Patient Advocacy, Dubai, United Arab Emirates.
Zakareya Al KadhemBahrain Society for Sickle Cell Disease Patients Care, Manama, Bahrain.
Nafisa TawfiqUAE Rare Disease Society, Dubai, United Arab Emirates.
Lee DavelaarEmerging Markets, Global Policy & Public Affairs, Rare Diseases, Pfizer, Sydney, Australia.
Noha Mohamed Mahmoud AbdelbakyRegional Patient Advocacy - Middle East, Pfizer, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRare diseases affect a small percentage of the population but collectively impact millions worldwide. In the Middle East, the challenges are intensified by regional factors such as high rates of consanguinity, sociocultural stigma, limited diagnostic capacity, and inadequate healthcare infrastructure. These challenges often lead to delayed diagnoses, restricted access to treatment, and poor quality of life for affected individuals and their families.

methodsThe Rare Advocacy Council conducted two 1.5-hour virtual expert panels involving 14 regional and international stakeholders (5 clinicians, 4 patient advocates, and 5 international academic experts) to identify and prioritize the challenges of managing rare diseases in the Middle East region. Discussions were organized across four domains: disease recognition and diagnosis, the patient journey and continuum of care, access to timely diagnostics, and access to adequate treatment, followed by structured online voting (involving only clinicians and patient advocates; n = 9), discussions focused on prioritization, and a descriptive follow-up survey to identify the most critical barriers and propose actionable solutions.

resultsKey challenges identified included the lack of national disease registries, limited public awareness, underrepresentation of patient voices in decision-making, fragmented multidisciplinary care, and restricted access to diagnostics and advanced therapies. Top priorities included developing national registries, enhancing media-driven education, strengthening collaboration among care providers, and improving treatment accessibility through policy reforms.

conclusionsEffective management of rare diseases in the Middle East requires a coordinated, patient-centered approach. Strengthening health system infrastructure, investing in education, and aligning policy with patient needs are essential for sustainable improvement. Collaborative action among policymakers, healthcare providers, and advocacy groups can significantly advance care delivery and improve outcomes for individuals living with rare diseases.

Indexed as

Rare DiseasesHealth Services AccessibilityHumansMiddle EastPatient AdvocacyQuality of LifeDiagnosis and treatment accessHealthcare policyMiddle EastMultidisciplinary carePatient advocacyRare diseases

Identifiers

PMID42538572
PMCPMC13428422

What OpenQuestion holds

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LicenceCC BY
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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.