Osteogenesis Imperfecta: A study of the patient journey in 13 European countries.


Journal

Orphanet journal of rare diseases
ISSN: 1750-1172
Titre abrégé: Orphanet J Rare Dis
Pays: England
ID NLM: 101266602

Informations de publication

Date de publication:
09 Sep 2024
Historique:
received: 02 04 2024
accepted: 29 08 2024
medline: 10 9 2024
pubmed: 10 9 2024
entrez: 9 9 2024
Statut: epublish

Résumé

Osteogenesis imperfecta (OI) is a heritable skeletal disorder and comprises various subtypes that differ in clinical presentation, with Type I considered the least severe and Types III/IV the most severe forms. The study aim was to understand the OI patient diagnostic and treatment journey across Europe. We conducted a qualitative, descriptive study to understand the OI patient journey. A selection of people with OI/their caregivers and clinicians involved in OI-patient care from across Europe were interviewed using a specially developed questionnaire. Between May 2022 and July 2022, 22 people with OI/caregivers and 22 clinicians (endocrinologists, orthopaedic surgeons, geneticists and metabolic specialists) from across Europe were interviewed. Our study showed various areas of concerns for the OI community. Timely diagnosis of OI is essential; misdiagnoses and a delay to treatment initiation are all too common. There are a lack of consensus guidelines regarding optimal treatments (including when bisphosphonate therapy should be initiated and the route of administration) and patient management throughout the duration of the patient's life. Adult OI patients do not have a medical home and are often managed by endocrinologists and rheumatologists. Adult care is often reactive based on the development of new symptoms. The psychosocial burden of OI impacts on the patient's quality of life. There is an urgent need for increased awareness about OI and its wide range of symptoms. In particular, there is a need for consensus guidelines outlining the optimum care throughout the duration of the OI patient's life.

Identifiants

pubmed: 39252130
doi: 10.1186/s13023-024-03345-0
pii: 10.1186/s13023-024-03345-0
doi:

Substances chimiques

Diphosphonates 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

331

Subventions

Organisme : Mereo BioPharma
ID : N/A

Informations de copyright

© 2024. The Author(s).

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Auteurs

Ingunn Westerheim (I)

Osteogenesis Imperfecta Federation Europe (OIFE), Schotelveldstraat 17, Heffen, 2801, Belgium. ingunn.westerheim@oife.org.

Valerie Cormier-Daire (V)

Reference Center for Skeletal Dysplasia, Paris Cité University, INSERM UMR 1163, Imagine Institute, Hôpital Necker-Enfants Malades, 149 rue de Sévres, Paris, 75015, France.

Scott Gilbert (S)

, Putnam Associates, 22-24 Torrington Place Fitzrovia, London, WC1E 7HJ, UK.

Sean O'Malley (S)

, Putnam Associates, 22-24 Torrington Place Fitzrovia, London, WC1E 7HJ, UK.

Richard Keen (R)

Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex, HA7 4LP, UK.

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