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Prioritization of research engaged with rare disease stakeholders: a systematic review and thematic analysis

 Soho Yoon  ;  Minjee Lee  ;  Hoi-In Jung  ;  M Mahmud Khan  ;  So-Yoon Kim  ;  Hannah Kim  ;  Sophia Wasti 
 ORPHANET JOURNAL OF RARE DISEASES, Vol.18(1) : 363, 2023-11 
Journal Title
Issue Date
Delivery of Health Care* ; Humans ; Rare Diseases*
Caregivers ; Healthcare professionals ; Patients ; Policy ; Political support ; Public funding ; Rare diseases ; Stakeholders ; Survey
Background: Although rare diseases (RD) are increasingly becoming a priority for healthcare activities and services around the world, developing research policy for investigating RD in public settings proves challenging due to the limited nature of existing evidence. Rare conditions require the involvement of a wide range of stakeholders in order to promote general awareness and garner political support. Consequently, it is critically important to identify trends in the various types of research focusing on rare disease stakeholders, including the specific topics or issues to be included in surveys and studies focused on RD stakeholders. This systematic review and thematic analysis analyses the existing literature based on RD surveys, including the stakeholders involved, and proposes potential research priorities and initiatives for policy-making related to RD. Methods: Articles were downloaded and analyzed from across five electronic databases (PubMed, EMBASE, Cochrane Central, Web of Science, and CINHAL) and 115 studies were included. Results: Across 115 studies, the main research participants were patients and/or caregivers (n = 77, 67.0%), health professionals (n = 18, 15.7%), and the public (n = 7, 6.1%). The studies discussed RDs in general (n = 46, 40.0%), endocrine, nutritional, and metabolic diseases (n = 20, 17.4%) and other RDs. Experiences with RD were examined by more than half of the selected studies (n = 74, 64.3%), followed by the opinions of stakeholders (n = 24, 20.9%). Most of the studies used surveys in order to collect relevant data (n = 114, 99.1%). Additionally, the majority of the studies were conducted in high-income countries (n = 92, 80.0%) and rarely in middle and low-income countries (n = 12, 13.8%). Conclusion: Stakeholder research on RD reveals that there are significant instances of unmet needs and various challenges faced by the medical system in dealing with RDs. Furthermore, public awareness and support is critical to ensuring political feasibility of increasing national-level investments for RDs and development of medical products and treatment. © 2023, The Author(s).
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1. College of Medicine (의과대학) > Dept. of Medical Humanities and Social Sciences (인문사회의학교실) > 1. Journal Papers
Yonsei Authors
Kim, So Yoon(김소윤) ORCID logo https://orcid.org/0000-0001-7015-357X
Kim, Han Nah(김한나)
Jung, Hoi In(정회인) ORCID logo https://orcid.org/0000-0002-1978-6926
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