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de la Natividad Palomares M, Barrachina-Bonet L, García-Villodre L, Guardiola-Vilarroig S, Zurriaga Llorens Ó, Cavero-Carbonell C. [Prevalencia de la Telangiectasia Hemorrágica Hereditaria: estudio de base poblacional en la Comunitat Valenciana (España).]. Rev Esp Salud Publica 2023; 97:e202311096. [PMID: 37970896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 09/20/2023] [Indexed: 11/19/2023] Open
Abstract
OBJECTIVE The Hereditary Haemorrhagic Telangiectasia (HHT) is a low prevalence disease which presents heterogeneous signs and symptoms and just few population-based epidemiological studies are available. The aims of this paper were to describe the sociodemographic characteristics of people affected by HHT in the Valencian Region (VR), to determine its prevalence and mortality rate, and to analyse the sources of recruitment and verification tests used by the Rare Diseases Information System of the VR (SIER-CV). METHODS Cross-sectional observational epidemiological study of HHT prevalent cases between 2010-2019 in SIER-CV was performed. The distribution of sociodemographic and clinical characteristics were determined, the prevalence and mortality rates, and the sources of recruitment and verification tests used by SIER-CV were analysed. Statistical analysis was performed using Stata (version 16.1) and Microsoft Excel Office. RESULTS During 2010-2019, two hundred cases were identified, 55.5% were female. The mean ages were: 56.8 years at recruitment and 50.9 years at diagnosis. 48.4% of cases were diagnosed between thirty-six/sixty-four years of age. 25.5% died, with a mean age of 76.6 years, identifying statistically significant differences above the age of 64. The prevalence was 39.6/1,000,000 inhabitants and the crude mortality rate was 10.1/1,000,000 inhabitants. 95.5% of cases were recruited from the Hospital discharges database and the most frequent verification test was the clinical basis (45.7%). CONCLUSIONS The increasing trend in prevalence coincides with a better knowledge of HHT, which favours its detection, and also with dying at older ages. To describe the situation of HHT in the VR facilitates its health management and contributes to the establishment of the relevant health policies for the HHT. The need to promote genetic diagnosis and to incorporate the Primary Care Clinical History as a source of recruitment in the population-based registries has been shown.
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Affiliation(s)
- Miriam de la Natividad Palomares
- Unidad Mixta de Investigación en Enfermedades Raras; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana-Universitat de València (FISABIO-UVEG). Valencia. España
| | - Laia Barrachina-Bonet
- Unidad Mixta de Investigación en Enfermedades Raras; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana-Universitat de València (FISABIO-UVEG). Valencia. España
| | - Laura García-Villodre
- Unidad Mixta de Investigación en Enfermedades Raras; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana-Universitat de València (FISABIO-UVEG). Valencia. España
| | - Sandra Guardiola-Vilarroig
- Unidad Mixta de Investigación en Enfermedades Raras; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana-Universitat de València (FISABIO-UVEG). Valencia. España
- Dirección General de Salud Pública y Adicciones; Conselleria de Sanitat; Comunitat Valenciana. Valencia. España
| | - Óscar Zurriaga Llorens
- Unidad Mixta de Investigación en Enfermedades Raras; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana-Universitat de València (FISABIO-UVEG). Valencia. España
- Dirección General de Salud Pública y Adicciones; Conselleria de Sanitat; Comunitat Valenciana. Valencia. España
- CIBER de Epidemiología y Salud Pública; Instituto de Salud Carlos III. Madrid. España
- Departamento de Medicina Preventiva y Salud Pública; Ciencias de la Alimentación, Toxicología y Medicina Legal; Universitat de València. Valencia. España
| | - Clara Cavero-Carbonell
- Unidad Mixta de Investigación en Enfermedades Raras; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana-Universitat de València (FISABIO-UVEG). Valencia. España
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Páramo-Rodríguez L, Moreno-Marro S, Guardiola-Vilarroig S, Zurriaga O, Cavero-Carbonell C. [Huntington disease in the Valencian Region]. Rev Neurol 2023; 76:343-350. [PMID: 37231547 PMCID: PMC10478134 DOI: 10.33588/rn.7611.2022088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Indexed: 05/27/2023]
Abstract
INTRODUCTION Huntington disease (HD) is a rare neurodegenerative disorder of the central nervous system characterized by unwanted choreatic movements, behavioral and psychiatric disturbances and dementia. OBJECTIVE Describe the geographical, age and sex distribution of HD in the Valencia Region (VR) and determine its prevalence and mortality. MATERIALS AND METHODS Cross-sectional study for the period 2010-2018. Confirmed cases of HD were identified through the Rare Disease Information System of the VR. Sociodemographic characteristics were described, and the prevalence and mortality rate were obtained. RESULTS 225 cases were identified, 50.2% women. 52.0% lived in the province of Alicante. 68.9% were verified by their clinical diagnosis. The median age at diagnosis was 54.1 years, 54.7 years in men and 53.0 years in women. The prevalence in 2018 was 1.97/100,000 inhabitants (95%; CI: 0.39-2.37), showing a no significant increasing trend, overall and by sex. 49.8% died, 51.8% men. The median age at death was 62.7 years, being lower in men than in women. The mortality rate in 2018 was 0.32/100,000 inhabitants (95%; CI: 0.32-2.28), with no statistically significant differences. CONCLUSIONS The prevalence obtained was within the range estimated by Orphanet (1-9/100,000). A difference between sexes was observed in the diagnosis age. Men are the group with the highest mortality and the earliest age of death. It is a disease with high mortality with an average of 6.5 years between diagnosis and death.
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Affiliation(s)
- L Páramo-Rodríguez
- Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, Valencia, España
| | - S Moreno-Marro
- Universitat de València, 46071 Valencia, España
- Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, Valencia, España
| | - S Guardiola-Vilarroig
- Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, Valencia, España
- Conselleria de Sanitat de la Comunitat Valenciana, Valencia, España
| | - O Zurriaga
- Universitat de València, 46071 Valencia, España
- Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, Valencia, España
- CIBER Epidemiología y Salud Pública. Instituto de Salud Carlos III, Madrid, España
| | - C Cavero-Carbonell
- Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, Valencia, España
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Páramo-Rodríguez L, Cavero-Carbonell C, Guardiola-Vilarroig S, López-Maside A, González Sanjuán ME, Zurriaga Ó. [Diagnostic delay in rare diseases: between fear and resilience]. Gac Sanit 2022; 37:102272. [PMID: 36542890 DOI: 10.1016/j.gaceta.2022.102272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 10/03/2022] [Accepted: 10/04/2022] [Indexed: 12/23/2022]
Abstract
OBJECTIVE To describe the impact of diagnosis delay in rare diseases and analyze psychosocial needs related to this delay in patients. METHOD The qualitative approach has been used by conducting online group interviews with patients and family members in the Valencian Region (Spain) and a content analysis has been carried out. Two categories were differentiated: with diagnostic delay of 1 year or more and without diagnostic delay. Five interviews were conducted with a total of 25 participants. RESULTS The content analysis showed unequal aspects vs. common aspects, in persons with or without diagnostic delay. People with delay expressed the need to feel supported in order to live with continuous uncertainty. People without delay verbalized the importance of adequate communication between patients and professionals. The problems by the COVID-19 were common in both groups; the participants expressed that they did not feel unattended in their disease by the health services. CONCLUSIONS High resilience and coping capacity has been identified in people with rare disease, regardless of whether they have suffered diagnostic delay or not. The professional psychosocial support during the diagnostic process of these rare diseases is essential.
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Affiliation(s)
- Lucía Páramo-Rodríguez
- Unidad Mixta de Investigación en Enfermedades Raras, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana-Universitat de València (FISABIO-UVEG), Valencia, España
| | - Clara Cavero-Carbonell
- Unidad Mixta de Investigación en Enfermedades Raras, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana-Universitat de València (FISABIO-UVEG), Valencia, España.
| | | | - Aurora López-Maside
- Dirección General de Salud Pública y Adicciones, Generalitat Valenciana, Valencia, España
| | | | - Óscar Zurriaga
- Unidad Mixta de Investigación en Enfermedades Raras, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana-Universitat de València (FISABIO-UVEG), Valencia, España; Dirección General de Salud Pública y Adicciones, Generalitat Valenciana, Valencia, España; Departamento de Medicina Preventiva y Salud Pública, Ciencias de la Alimentación, Toxicología y Medicina Legal, Universitat de València, Valencia, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España
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4
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Gimenez-Lozano C, Páramo-Rodríguez L, Cavero-Carbonell C, Corpas-Burgos F, López-Maside A, Guardiola-Vilarroig S, Zurriaga O. Rare Diseases: Needs and Impact for Patients and Families: A Cross-Sectional Study in the Valencian Region, Spain. Int J Environ Res Public Health 2022; 19:ijerph191610366. [PMID: 36012000 PMCID: PMC9408677 DOI: 10.3390/ijerph191610366] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 08/15/2022] [Accepted: 08/16/2022] [Indexed: 06/12/2023]
Abstract
Families with rare diseases (RDs) have unmet needs that are often overlooked by health professionals. Describing these needs and the impact of the disease could improve their medical care. A total of 163 surveys were obtained from patients visiting primary care centres in the Valencian Region (Spain), during 2015-2017, with a confirmed or suspected diagnosis of RD. Of the 84.7% with a confirmed diagnosis, 50.4% had a diagnostic delay exceeding one year, and it was more prevalent among adults (62.2%). Families with paediatric patients were in a worse economic situation, with lower incomes and higher monthly disease-related expenses (€300 on average). These expenses were incurred by 66.5% of families and were mainly for medication (40.3%). Among them, 58.5% reported not being able to afford adjuvant therapies. The disease had an impact on 73.1% of families, especially on their routine and emotional state. Expenses, needs, and impacts were more frequent among families of patients with a history of hospitalisation or deterioration. Patients with delayed diagnosis had a higher consumption of drugs prior to diagnosis. People affected by RDs in the Valencian Region need therapies to improve their autonomy and emotional state. Health professionals should be aware of these needs.
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Affiliation(s)
- Cristina Gimenez-Lozano
- Preventive Medicine and Public Health, Hospital Universitario Doctor Peset, 46017 Valencia, Spain
| | - Lucía Páramo-Rodríguez
- Rare Diseases Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, 46020 Valencia, Spain
| | - Clara Cavero-Carbonell
- Rare Diseases Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, 46020 Valencia, Spain
| | - Francisca Corpas-Burgos
- Economic, Demographic and Social Statistics Service, Valencian Institute of Statistics, Valencian Region, 46020 Valencia, Spain
| | - Aurora López-Maside
- Directorate General for Public Health and Addictions, Regional Ministry of Health, Valencian Region, 46020 Valencia, Spain
| | - Sandra Guardiola-Vilarroig
- Directorate General for Public Health and Addictions, Regional Ministry of Health, Valencian Region, 46020 Valencia, Spain
| | - Oscar Zurriaga
- Rare Diseases Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, 46020 Valencia, Spain
- Directorate General for Public Health and Addictions, Regional Ministry of Health, Valencian Region, 46020 Valencia, Spain
- Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, University of Valencia, 46010 Valencia, Spain
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5
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Vicente E, Ardanaz E, Ramalle-Gómara E, Echevarría LJ, Mira MP, Chalco-Orrego JP, Benito C, Guardiola-Vilarroig S, Mallol C, Guinaldo JM, Carrillo P, Cáffaro M, Compés ML, Caro MN, Alonso V, Soler P. [Surveillance of rare diseases in Spain: Spanish Registry of Rare Diseases (ReeR).]. Rev Esp Salud Publica 2021; 95:e202111186. [PMID: 34725319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 08/03/2021] [Indexed: 06/13/2023] Open
Abstract
Traditionally, epidemiological surveillance has focused on infectious diseases, but the concept of Public Health surveillance, introduced in Spain with the Law 33/2011, is broader and includes chronic diseases. Health strategies for these diseases need epidemiological information to improve understanding of socio-health needs and to facilitate the efficient management of resources. The European Union defines rare diseases (RD) as those that, being life-threatening or chronically debilitating, have a prevalence of less than 5 cases per 10,000 inhabitants. The RD Strategy of the National Health System, approved in 2009 and updated in 2014, recommends the development of regional registries of rare diseases (RAER), in addition to a national registry. The REpIER and Spain-RDR projects of the Institute of Health Carlos III (ISCIII) promoted the creation and regulation of 94% of the RAER. After more than 10 years of initiatives and work to improve the knowledge of RD's epidemiology in Spain, it was possible to implement the Spanish Registry of Rare Diseases (ReeR) in 2015, becoming one of the first population surveillance systems for chronic diseases of state scope. The ReeR procedures manual is the result of consensus between the RAER, the Ministry of Health, the ISCIII and the patient associations. The participatory methodology used for the implementation and launching of ReeR is considered an added value. The information system implemented will allow improving knowledge about the prevalence and distribution of RD in Spain.
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Affiliation(s)
- Esther Vicente
- Sección del Observatorio de la Salud Comunitaria. Instituto de Salud Pública y Laboral de Navarra. Instituto de Investigación Sanitaria de Navarra (IdiSNA). Pamplona. España
- Departamento de Ciencias de la Salud. Universidad Pública de Navarra. IdiSNA. Pamplona. España
| | - Eva Ardanaz
- Sección del Observatorio de la Salud Comunitaria. Instituto de Salud Pública y Laboral de Navarra. Instituto de Investigación Sanitaria de Navarra (IdiSNA). Pamplona. España
- CIBER de Epidemiología y Salud Pública (CIBERESP). España
| | | | - Luis J Echevarría
- Departamento de Salud del Gobierno Vasco. Dirección de Planificación, Ordenación y Evaluación Sanitarias. Vitoria-Gasteiz. España
| | - M Pilar Mira
- Servicio de Planificación y Financiación Sanitaria. Consejería de Salud de la Región de Murcia. Murcia. España
| | - Juan Pablo Chalco-Orrego
- Dirección General de Salud Pública. Consejería de Sanidad de la Comunidad de Madrid. Madrid. España
| | - Consuelo Benito
- Servizo de Atención Hospitalaria. Servizo Galego de Saúde. Santiago de Compostela. España
| | - Sandra Guardiola-Vilarroig
- Servicio de Estudios Epidemiológicos y Estadísticas Sanitarias. Conselleria de Sanitat Universal i Salut Pública. Generalitat Valenciana. Valencia. España
| | - Cristina Mallol
- Servei Català de la Salut (CatSalut). Departament de Salut. Generalitat de Catalunya. Barcelona. España
| | - José Manuel Guinaldo
- Servicio de Información de Salud Pública. Consejería de Sanidad de Castilla y León. Valladolid. España
| | - Patricia Carrillo
- Servicio de Sistemas de Información. Servicio Canario de la Salud. Santa Cruz de Tenerife. España
| | - Mercedes Cáffaro
- Servicio de Epidemiología. Dirección General de Salud Pública y Participación de las Illes Balears. Palma de Mallorca. España
| | - M Luisa Compés
- Dirección General de Asistencia Sanitaria. Departamento de Sanidad de Aragón. Zaragoza. España
| | - M Nieves Caro
- Servicio Andaluz de Salud - Consejería de Salud y Familias de la Junta de Andalucía. Sevilla. España
| | - Verónica Alonso
- Instituto de Investigación de Enfermedades Raras. Instituto de Salud Carlos III. Madrid. España
- CIBER de Enfermedades Raras (CIBERER). España
| | - Pilar Soler
- Subdirección General de Calidad Asistencial e Innovación. Ministerio de Sanidad. Madrid. España
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Cavero-Carbonell C, Barrachina-Bonet L, García-Villodre L, Páramo-Rodríguez L, Guardiola-Vilarroig S, Zurriaga O. Folic acid supplementation in the Congenital Anomalies population-based registry in a Spanish Region. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The Congenital Anomalies (CA) population-based registry of Valencian Region (RPACCV) has identified 11376 cases, live births (LB) and stillbirths (SB), between 2007-2018 with at least 1 major CA, diagnosed prenatally or up to 1 year old. The Folic acid supplementation (FAS) during the pregnancy is also registered.
Aim
To identify differences in sociodemographic and clinical characteristics and in CA presentation, in cases from RPACCV according to prenatal FAS.
Methods
A cross-sectional study was performed using the RPACCV to identify exposure to FAS (yes/no) in pregnancies with a born (LB and SB) with CA between 2007-2018. Pregnancies with unknown exposure were excluded. Percentages and their 95% confidence intervals (95%CI) of the sociodemographic and clinical characteristics of the cases were determined and compared according to pregnant exposure to FAS. Frequency and its 95%CI of the different CA groups were identified by exposure.
Results
14.1% of pregnancies (1602) were exposed to FAS and 10.4% (1182) were not, 75.5% were excluded. Statistically significant differences weren't found for sociodemographic and clinical characteristics according to exposure. In children of women exposed 1777 CA were identified and 2019 CA in those unexposed. Statistically significant differences were found in these CA groups (shown as % in the exposed/% in the unexposed): Heart defects (7.1%/52.7%), Respiratory (0.2%/1.2%), Digestive (2.3%/5.3%), Genital (2.5%/4.8%), Urinary (3.9%/9.3%), Limb (6.8%/9.4%), Oro-facial clefts (25.4%/2.8%), Eyes, Ears, Face and Neck (3.8%/1.2%).
Conclusions
Several studies identified that FAS prevents from some CA. The fact that in only 25% of pregnant women there is information about FAS, highlight the difficulties of its registration in the clinical documentation. However, with the available information, it was identified that children of unexposed pregnant women presented more CA and from groups with a higher impact on morbidity and mortality.
Key messages
In Spain, Folic acid supplementation doesn’t require a prescription and, as its use is customary prior and during pregnancy, it doesn’t seem to be considered as significant drug exposure in pregnancy. Differences between pregnancies exposed and unexposed to folic acid supplementation were found regarding the number of congenital anomalies presented in their children and its severity.
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Affiliation(s)
| | | | | | | | - S Guardiola-Vilarroig
- Public Health Regional Health Administration, Generalitat Valenciana, Valencia, Spain
| | - O Zurriaga
- Rare Diseases Research Unit, FISABIO, Valencia, Spain
- Public Health Regional Health Administration, Generalitat Valenciana, Valencia, Spain
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Cavero Carbonell C, Páramo-Rodríguez L, Moreno-Marro S, Barrachina-Bonet L, De la Natividad M, Guardiola-Vilarroig S, Zurriaga O. Portrait of Hungtinton’s Disease in the Valencian Region: a cross-sectional study. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Huntington Disease (HD) is a rare neurodegenerative disorder of the central nervous system characterized by involuntary choreic movements and behavioural/psychiatric disorders, which compromises the quality of life.
Objective
To identify the distribution of HD by sex, age and province in the Valencian Region (VR) and to determine its prevalence and mortality rate.
Methods
A cross-sectional epidemiological study was performed. HD's cases between 2010-2018 were identified from the Rare Disease Information System of the VR by selecting codes 333.4 (ICD9) and G10 (ICD10). A descriptive analysis was performed by country of birth, province of residence and sex. Median ages at diagnosis and at death, with interquartile range (IQR), and prevalence and mortality rate, with 95% confidence intervals (95%CI), were obtained.
Results
225 cases were identified: 50.2% women, 52.0% residents in the southernmost province, 92.9% born in Spain and 68.9% confirmed by clinical manifestations. Median age at diagnosis was 54.1 years (IQR:41.1-66.1): 54.7 (IQR:41.2-66.1) in men and 53.0 (IQR:40.5-65.8) in women. Prevalence in 2018 was 2.0/100000 inhabitants (95%CI:0.4-2.4), being higher in women [2.2 (95%CI:0.3-2.8)] than in men [1.8 (95%CI:0.3-2.3)]. Even an increasing trend was observed, significant differences weren't found. 49.8% of cases died during the study, being 51.8% men. The median age at death was 62.7 years (IQR:51.1-74.2), 61.1 (IQR:48.7-72.5) in men and 66.6 (IQR:53.3-76.8) in women. The mortality rate in 2018 in both sexes was 0.3/100000 inhabitants (95%CI:0.3-2.3), significant differences weren't found.
Conclusions
Most of confirmations at registry level were based on clinical manifestations, reinforcing that HD has a characteristic pattern of symptoms although most are unspecific. The slight difference between sexes in the median age of diagnosis was significantly increased in the age of death, with men being the group with the highest mortality and an earlier death.
Key messages
In the Valencian Region of Spain, men with Huntington Disease have a higher mortality rate and a lower median age at death (5.5 years earlier) than women. There is a pattern of symptoms which is characteristic of Huntington Disease, although most of them are unspecific.
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Affiliation(s)
| | | | | | | | | | - S Guardiola-Vilarroig
- Public Health Regional Health Administration, Generalitat Valenciana, Valencia, Spain
| | - O Zurriaga
- Rare Diseases Research Unit, FISABIO, Valencia, Spain
- Public Health Regional Health Administration, Generalitat Valenciana, Valencia, Spain
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Rico J, Echevarría-González de Garibay LJ, García-López M, Guardiola-Vilarroig S, Maceda-Roldán LA, Zurriaga Ó, Cavero-Carbonell C. The interoperability between the Spanish version of the International Classification of Diseases and ORPHAcodes: towards better identification of rare diseases. Orphanet J Rare Dis 2021; 16:121. [PMID: 33750434 PMCID: PMC7941896 DOI: 10.1186/s13023-021-01763-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Accepted: 02/25/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Rare diseases present a wide spectrum of clinical manifestations and severity levels and are often poorly known and underrepresented, making them difficult to classify. Diagnoses are usually coded using the International Classification of Diseases (ICD), with its different versions. In Spain, the ICD-10-ES (stem from the ICD-10-CM-Clinical Modification) is used throughout the National Healthcare System since 2016, indistinctively including rare diseases that often lack a specific code. Orphanet aims to provide high-quality resources on rare diseases. The goal was to interrelate the Orphanet classification with the ICD-10-ES in order to engage a tool to track rare diseases diagnosis and characterize the improvement space for the identification of rare diseases patients in the Spanish Healthcare System. METHODS 5775 disorder level ORPHAcodes were mapped to ICD-10-ES codes by comparing the descriptors associated in both classifications. ORPHAcodes were then clustered based on their assigned ICD-10-ES chapter and the redundancy of each individual ICD-10-ES code was calculated by counting the ORPHAcodes they mapped to. Three groups were established: Group 1 (1 ORPHAcode per ICD-10-ES), Group 2 (between 2-49 ORPHAcodes per ICD-10-ES) and Group 3 (≥ 50 ORPHAcodes per ICD-10-ES). RESULTS Equivalences to 1700 ICD-10-ES codes were established for 5664 ORPHAcodes. The ORPHAcodes distribution within the ICD-10-ES showed an aggregation in the "Q" (> 40%), "G" (> 14%), and "E" (12%) chapters. The availability of ICD-10-ES codes to map ORPHAcodes reached its lowest at the "G" and "Q" chapters with less than 0.2 ICD-10-ES codes available per ORPHAcode. Global ICD-10-ES codes redundancy analysis revealed that only 1055 of the equivalences pertain to group 1. Group 2 contained 3358 equivalences with 634 ICD-10-ES codes while 1322 equivalences were group 3 (11 ICD-10-ES). Within ICD-10-ES chapters, "G" and "Q" contained over 30% and 45% of their own equivalences in the highest redundancy level (group 3) respectively, but under 10% one to one equivalences each (group 1). CONCLUSIONS ICD-10-ES codes have not enough specificity to identify rare diseases. Direct mapping between ICD and ORPHAcodes or the integration of ORPHAcodes at the healthcare system for diagnoses codification would enable better detection and epidemiological analysis of rare diseases.
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Affiliation(s)
- Juan Rico
- Rare Diseases Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valencia Region, Valencia, Spain
| | - Luis Javier Echevarría-González de Garibay
- Directorate for Healthcare Planning, Organization and Evaluation, Registries and Health Information Unit, Ministry of Health of the Basque Government, Vitoria-Gasteiz, Spain
| | - María García-López
- Rare Diseases Registry, Public Health Office, Castilla and León Government, Valladolid, Spain
| | - Sandra Guardiola-Vilarroig
- Rare Diseases Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valencia Region, Valencia, Spain.,Public Health Regional Health Administration (DG Salud Publica y Adicciones), Generalitat Valenciana, Valencia, Spain
| | | | - Óscar Zurriaga
- Rare Diseases Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valencia Region, Valencia, Spain.,Public Health Regional Health Administration (DG Salud Publica y Adicciones), Generalitat Valenciana, Valencia, Spain.,Public Health and Preventive Medicine Department, University of Valencia, Valencia, Spain
| | - Clara Cavero-Carbonell
- Rare Diseases Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valencia Region, Valencia, Spain.
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9
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Cavero-Carbonell C, García-Villodre L, Barrachina-Bonet L, Moreno-Marro S, Páramo-Rodríguez L, Guardiola-Vilarroig S, Zurriaga-Llorens Ó. [Epidemiological surveillance of congenital heart defects: the Tetralogy of Fallot in the Valencian Region, 2007-2017.]. Rev Esp Salud Publica 2021; 95:e202101019. [PMID: 33511968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 01/04/2021] [Indexed: 06/12/2023] Open
Abstract
OBJECTIVE Tetralogy of Fallot is characterized by the presence of four congenital heart defects. Objective: to describe the temporal trend and distribution of Tetralogy of Fallot, in children under one year in the Valencian Region. METHODS Cases with Tetralogy of Fallot (code Q21.3 from the ICD10-British Paediatric Association) were selected from the Congenital Anomalies Population-based Registry between 2007-2017. Prevalence per 10,000 births with 95%CI was calculated, and a descriptive analysis of sociodemographic and clinical variables was made. RESULTS 165 cases were identified (43.6% male, 30.9% female and 25.5% unknown). The overall prevalence was 3.1/10,000 births (95%CI:2.6-3.6), being 2015 and 2017 the years with the highest (4.3/10,000 births and 4.7/10,000 births respectively) and 2011 with the lowest (1.8/10,000 births). 72.1% were live births, 24.8% Termination of Pregnancy for Fetal Anomaly (TOPFA) and 3.0% stillbirths. The prevalence in live births was 2.2/10,000 births (95%CI:1.8-2.7) and in TOPFA it was 0.8/10,000 births (95%CI:0.5-1.0), identifying an increasing trend along the period in the last one. 10.1% of live births died during the first year of life and 55.8% were diagnosed prenatally. Mothers younger than 20 years had the highest prevalence (4.8/10,000 births). CONCLUSIONS The prevalence obtained in the Valencian Region was slightly lower than EUROCAT's but coincides with that of the registries that are closer geographically, and in all of them it is noted that their increasing trend specifically affects cases ending in TOPFA.
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Affiliation(s)
| | | | | | - Sandra Moreno-Marro
- Unidad Mixta de Investigación en Enfermedades Raras, FISABIO-UVEG. Valencia. España
| | | | - Sandra Guardiola-Vilarroig
- Unidad Mixta de Investigación en Enfermedades Raras, FISABIO-UVEG. Valencia. España
- Dirección General de Salud Pública y Adicciones. Conselleria Sanitat Comunitat Valenciana. Valencia. España
| | - Óscar Zurriaga-Llorens
- Unidad Mixta de Investigación en Enfermedades Raras, FISABIO-UVEG. Valencia. España
- Dirección General de Salud Pública y Adicciones. Conselleria Sanitat Comunitat Valenciana. Valencia. España
- CIBER Epidemiología y Salud Pública. Instituto de Salud Carlos III. Madrid. España
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10
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Moreno-Marro S, Barrachina-Bonet L, Páramo-Rodríguez L, Alonso-Ferreira V, Guardiola-Vilarroig S, Vicente E, García-López M, Palomar-Rodríguez J, Zoni AC, Zurriaga Ó, Cavero-Carbonell C. [Wilson's disease in Spain: validation of sources of information used by the Rare Diseases Registries]. Gac Sanit 2020; 35:551-558. [PMID: 33010964 DOI: 10.1016/j.gaceta.2020.07.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 07/14/2020] [Accepted: 07/15/2020] [Indexed: 01/08/2023]
Abstract
OBJECTIVE To evaluate the sources of information used by the Regional Population-based Registries of Rare Diseases (RRD) for Wilson's Disease identification in Spain; to calculate its prevalence and mortality; and to describe the sociodemographic characteristics of those affected. METHOD Cross-sectional epidemiological study, period 2010-2015. Possible cases were identified by codes 275.1 (ICD-9-CM), E83.0 (ICD-10) and 905 (ORPHAcode) in: 15 participating RRD and the Rare Disease Patients Registry of the Carlos III Health Institute. The diagnoses were confirmed through a clinical documentation review. The positive predictive value (PPV) of the sources of information used by RRD and their combinations were obtained. The prevalence, mortality and the distribution of sociodemographic characteristics were calculated. RESULTS The Hospital Discharge Database (HDD) was the most used source by the RRD (PPV=39.4%), followed by the Orphan Drugs Registry (ODR) (PPV=81.9%). The Clinical History of Primary Care (PC) obtains PPV=55.9%. The combinations with highest PPV were the ODR with HDD (PPV=95.8%) and the ODR with PC (PPV=92.9%). 514 cases were confirmed, 57.2% men, with a median age of diagnosis of 21.3 years. The prevalence was 1.64/100,000 inhabitants in 2015 and mortality rate was 3.0%, being both higher in men. CONCLUSIONS Incorporation of ODR and PC into the RRD is recommended, as its combination and ODR with HDD could be used as an automatic validation criterion for Wilson's disease. The prevalence obtained was similar to that of countries close to Spain.
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Affiliation(s)
- Sandra Moreno-Marro
- Unidad Mixta de Investigación en Enfermedades Raras, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana- Universitat de València (FISABIO-UVEG), Valencia, España
| | - Laia Barrachina-Bonet
- Unidad Mixta de Investigación en Enfermedades Raras, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana- Universitat de València (FISABIO-UVEG), Valencia, España.
| | - Lucía Páramo-Rodríguez
- Unidad Mixta de Investigación en Enfermedades Raras, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana- Universitat de València (FISABIO-UVEG), Valencia, España
| | | | - Sandra Guardiola-Vilarroig
- Unidad Mixta de Investigación en Enfermedades Raras, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana- Universitat de València (FISABIO-UVEG), Valencia, España; Dirección General de Salud Pública y Adicciones, Conselleria de Sanitat, Comunitat Valenciana, Valencia, España
| | - Esther Vicente
- Sección del Observatorio de la Salud Comunitaria, Instituto de Salud Pública y Laboral de Navarra, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, España
| | - María García-López
- Servicio de Información de Salud Pública, Consejería de Sanidad, Junta de Castilla y León, Valladolid, España
| | - Joaquín Palomar-Rodríguez
- Servicio de Planificación y Financiación Sanitaria, Consejería de Salud, Región de Murcia, Murcia, España
| | - Ana Clara Zoni
- Servicio de Informes de Salud y Estudios, Dirección General de Salud Pública, Consejería de Sanidad de la Comunidad de Madrid, Madrid, España
| | - Óscar Zurriaga
- Unidad Mixta de Investigación en Enfermedades Raras, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana- Universitat de València (FISABIO-UVEG), Valencia, España; Dirección General de Salud Pública y Adicciones, Conselleria de Sanitat, Comunitat Valenciana, Valencia, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Departamento de Medicina Preventiva y Salud Pública, Ciencias de la Alimentación, Toxicología y Medicina Legal, Universitat de València, Valencia, España
| | - Clara Cavero-Carbonell
- Unidad Mixta de Investigación en Enfermedades Raras, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana- Universitat de València (FISABIO-UVEG), Valencia, España
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11
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Cavero Carbonell C, Barrachina-Bonet L, García-Villodre L, Moreno-Marro S, Páramo-Rodríguez L, Guardiola-Vilarroig S, Zurriaga O. Congenital Anomalies and assisted conception in the Population-based registry from a Spanish Region. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
The Congenital Anomalies (CA) population-based Registry of Valencian Region (RPAC-CV) has identified 12917 cases during 2007-2017, confirmed by clinical documentation. The Spanish Fertility Society (SEF) has identified a CA's prevalence per 10000 live births (LB) from assisted conception of 305.2 with a 95% confidence interval (CI) of 296.1-314.2 from 2013 to 2017.
Objective
to identify differences in sociodemographic and clinical characteristics between cases with CA according to the type of conception: natural (N) or assisted (A). To determine the CA's prevalence of LB in the RPAC-CV.
Methods
RPAC-CV cases since 2007 until 2017 were classified in N or A conception, and their sociodemographic and clinical characteristics were compared. Cases with no information about type of conception were excluded. The prevalence per 10000 LB with CI 95% in the RPAC-CV between 2013-2017 was calculated.
Results
Conception's information was available in 58.3% of the cases (90.4% N, 9.6% A). Differences were found in the following variables (values are shown by %N/%A) multiple pregnancy (6.5%/47.9%); birth before the 37th gestational week (24.5%/56.8%); weight at birth less than 2500 grams (24.6%/55.2%); dead before one week of age (4.4%/7.9%); mother older than 35 years (31.3%/64.2%). Statistically significant differences were found in the Nervous System CA group, being a higher proportion in A conception cases (12.5% (CI95%:9.8-15.2)) than in N (7.6% (CI95%:6.9-8.3)). The CA prevalence per 10000 LB in RPAC-CV was 194.1 (CI95%:188.3-199.9).
Conclusions
The CA's prevalence in the RPAC-CV was significantly lower compared to SEF's. Partially could be due to SEF includes minor CA and RPAC-CV not, although differences are overly high. Encourage the collection of the conception information in the clinical documentation will increase data quality in cases from assisted conception and allow having interesting information available for the development of health policies and research.
Key messages
CA’s prevalence, identified in a population-based registry from a Spanish region, was significantly lower than the one identified in assisted conception cases at national level for the same period. Analysing natural versus assisted conception, significant differences in cases’ characteristics have been identified in a CA’s population-based registry in Spain.
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Affiliation(s)
| | | | | | - S Moreno-Marro
- Rare Diseases Joint Research Unit, FISABIO-UVEG, Valencia, Spain
| | | | - S Guardiola-Vilarroig
- Rare Diseases Joint Research Unit, FISABIO-UVEG, Valencia, Spain
- Public Health Regional Health Administration, Generalitat Valenciana, Valencia, Spain
| | - O Zurriaga
- Rare Diseases Joint Research Unit, FISABIO-UVEG, Valencia, Spain
- Public Health Regional Health Administration, Generalitat Valenciana, Valencia, Spain
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12
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Cavero-Carbonell C, Rico J, Echevarría-González de Garibay LJ, García-López M, Guardiola-Vilarroig S, Maceda-Roldán LA, Zurriaga O. From ICD10 to ORPHAcodes: paving the way towards improved identification systems for rare diseases. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
The International Classification of Diseases 10th revision (ICD10) and its clinical modification (ICD10CM) are commonly used for the identification of diseases occurrence worldwide. In Spain, diagnoses are coded with its Spanish version (ICD10ES) since 2016 regardless of the prevalence of diseases. Rare diseases (RDs) are scrambled among common diseases in ICD10 and its derivatives and many RDs dońt have a specific ICD10 code, delaying a proper identification. Orphanet developed a classification system specific for RDs called ORPHAcode. This study aims to characterize whether ICD10ES mapping to ORPHAcodes improves RDs identification and which kind of disorders would benefit the most.
Methods
95% of the disorder level ORPHAcodes indexed at Orphanet was mapped to codes from 20 ICD10ES chapters by comparing the descriptors associated in both classifications. ORPHAcodes were then clustered based on their assigned ICD10ES chapter and the redundancy of each individual ICD10ES code was calculated by counting the ORPHAcodes they mapped to. 3 groups were established: Group 1 (1 ORPHAcode per ICD10ES), Group 2 (between 2-49 ORPHAcodes per ICD10ES) and Group 3 (≥50 ORPHAcodes per ICD10ES).
Results
5588 ORPHAcodes were correlated to 1677 ICD10ES codes. 1051 were group 1, 3261 group 2 (615 ICD10ES) and 1276 group 3 (11 ICD10ES). Most of the Orphacodes correlated to “Q” (>40%), “G” (>14%) and “E” (>12%) chapters of ICD10ES. Regarding specificity, “G” and “Q” were also the only chapters including group 3 ORPHAcodes, while less than 10% of the ORPHAcodes linked to these chapters were in group 1.
Conclusions
New and improved ICD10ES codes are required because just 20% of all ORPHAcodes studied were into group 1. Especial care should be put on the two majoritarian chapters, “Q:Congenital Anomalies” and “G:Nervous System”, that show the lowest specificity for RDs. Complementary use of ORPHAcodes would improve the identification and registry of RDs either.
Funded: Project RD-CODE
Key messages
The lack of a specific chapter for Rare Diseases in the InternationaI Classification of Diseases hinders their identification and therefore their study. Direct mapping between ICD10 and ORPHAcodes or the use of ORPHAcodes for diagnoses codification of Rare Diseases would enable better detection and epidemiological analysis.
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Affiliation(s)
| | - J Rico
- Rare Diseases Research Unit, FISABIO-UVEG, Valencia, Spain
| | | | - M García-López
- Rare Diseases Registry, Public Health Office, Regional Health Administration. Junta de Castilla y León, Valladolid, Spain
| | - S Guardiola-Vilarroig
- Rare Diseases Research Unit, FISABIO-UVEG, Valencia, Spain
- Public Health Regional Health Administration, Generalitat Valenciana, Valencia, Spain
| | - L A Maceda-Roldán
- Rare Diseases Information System, Murcia Regional Health Department, Consejería de Salud, Murcia, Spain
| | - O Zurriaga
- Rare Diseases Research Unit, FISABIO-UVEG, Valencia, Spain
- Public Health Regional Health Administration, Generalitat Valenciana, Valencia, Spain
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13
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Cavero Carbonell C, Barrachina Bonet L, Fernández Rojas T, Moreno Marro S, Páramo Rodríguez L, Guardiola-Vilarroig S, Zurriaga O. Tetralogy of Fallot in infants less than one year old in the Valencia Region (Spain). Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz186.624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Tetralogy of Fallot (TF) is a rare disease characterized by the presence of 4 congenital heart defects (CHD). Objective: to describe the temporal trend and distribution of the TF in the Valencia Region (VR), in less than one year old, during the period 2007-2016.
Methods
Live births, stillbirths and termination of pregnancy due to fetal anomaly (TOPFA) between 2007-2016 with TF (code Q21.3 of the ICD10-BPA) were selected from the Congenital Anomalies (CA) population-based Registry of VR. The cases were confirmed through the review of clinical documentation. The prevalence of 10000 births with 95% confidence intervals (95%CI) was calculated for the period and for each year, and a descriptive analysis of sociodemographic and clinical variables was made.
Results
146 cases were identified (45.2% male, 31.5% female and 23.3% unknown), 89.0% were simple pregnancies and 54.8% were diagnosed prenatally. The overall prevalence of TF was 3.0/10000 births (95%CI: 2.5-3.5), being 2015 the year with the highest prevalence (4.3/10000 births) and 2011 with the lowest (1.8/10000 births). These changes were mainly due to the increase and decrease in the number of TOPFA respectively. 74.7% were live births, 22.6% TOPFA and 2.7% stillbirths. The prevalence in live births was 2.2/10000 births (95%CI: 1.8-2.6) and in TOPFA it was 0.7/10000 births (95%CI: 0.4-0.9), identifying an increasing trend during the period in the last one. 11.0% of live births died during the first year of life. 45.9% of the cases had another CA associated with the TF, being CHD in 52.7% of cases. 66.4% of the mothers were over 30 years of age, being the most frequent those between 30-34 years (30.1%).
Conclusions
The prevalence obtained in the VR was lower than that of EUROCAT 3.5/10000 births (95%CI: 3.3-3.6) during the same period. EUROCAT has also identified the difference between the prevalence in live births (2.9 (95%CI: 2.8-3.0)) and TOPFA (0.5 (95%CI: 0.5-0.6)), and the increasing trend in the last one.
Key messages
The prevalence of Tetralogy of Fallot obtained in the VR was lower than that of EUROCAT (European network of population-based registries for the epidemiologic surveillance of congenital anomalies). EUROCAT has also identified the difference between the prevalence of Tetralogy of Fallot in live births and termination of pregnancy due to fetal anomaly, and the increasing trend in the last one.
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Affiliation(s)
- C Cavero Carbonell
- Rare Diseases Joint Research Unit. FISABIO-UVEG, FISABIO, Valencia, Spain
| | - L Barrachina Bonet
- Rare Diseases Joint Research Unit. FISABIO-UVEG, FISABIO, Valencia, Spain
| | - T Fernández Rojas
- Rare Diseases Joint Research Unit. FISABIO-UVEG, FISABIO, Valencia, Spain
| | - S Moreno Marro
- Rare Diseases Joint Research Unit. FISABIO-UVEG, FISABIO, Valencia, Spain
| | - L Páramo Rodríguez
- Rare Diseases Joint Research Unit. FISABIO-UVEG, FISABIO, Valencia, Spain
| | | | - O Zurriaga
- Rare Diseases Joint Research Unit. FISABIO-UVEG, FISABIO, Valencia, Spain
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14
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Canet-Chaqués I, Páramo-Rodríguez L, Gimeno-Martos S, Pérez-Riera C, Guardiola-Vilarroig S, Cavero-Carbonell C. The Osteogenesis Imperfecta in the Valencia Region (Spain), 2004-2014. Eur J Med Genet 2018. [DOI: 10.1016/j.ejmg.2018.06.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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15
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Gimeno-Martos S, Pérez-Riera C, Guardiola-Vilarroig S, Cavero-Carbonell C. [Epidemiology of Imperfect Osteogenesis: a Rare Disease in the Valencia Region.]. Rev Esp Salud Publica 2017; 91:e201711045. [PMID: 29182597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2017] [Accepted: 10/30/2017] [Indexed: 06/07/2023] Open
Abstract
OBJECTIVE Osteogenesis imperfecta (OI) is a rare connective tissue and bone disease that results in a bone fragility of varying severity. The objective was to determine and describe the OI in the Valencia Region (VR) during the period 2004 to 2014. METHODS From the Rare Diseases Information System of the VR (SIER-CV) patients from 2004 to 2014 with the codes of the International Classification of Diseases for the OI were identified: 756.51 from the 9th Revision-Clinical Modification and Q78.0 from the 10th Revision. The information was validated by reviewing clinical documentation (mainly electronic health records) and a descriptive analysis of the confirmed cases (diagnosis of OI in the clinical documentation) was performed. RESULTS 162 patients were identified with a code for OI. 145 of the 161 patients with available clinical documentation were confirmed as cases. The prevalence was 0.29 per 10.000 inhabitants. 93.1% were Spanish, 54.5% were women and they were treated in 25 different hospitals in the VR. The type of OI was known in the 26.4% of the cases and type I was the most common (9.7%). 6.2% of the patients died with an average death age of 60.8 years. 44.8% of patients received treatment with bisphosphonates and 10.4% had affected relatives. CONCLUSIONS The real situation of the OI in the VR has been established, which will allow a better planning in the health actions to improve the quality of life of the affected ones and their families.
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Affiliation(s)
- Silvia Gimeno-Martos
- Unidad Mixta de Investigación en Enfermedades Raras, FISABIO-UVEG, Valencia, España
| | - Carlos Pérez-Riera
- Unidad Mixta de Investigación en Enfermedades Raras, FISABIO-UVEG, Valencia, España
| | - Sandra Guardiola-Vilarroig
- Unidad Mixta de Investigación en Enfermedades Raras, FISABIO-UVEG, Valencia, España
- Dirección General de Salud Pública, Valencia, España
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16
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Pastor-García M, Gimeno-Martos S, Páramo-Rodríguez L, Guardiola-Vilarroig S, Sorlí JV, Zurriaga O, Cavero-Carbonell C. Congenital heart defects in the East of Spain. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx186.181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- M Pastor-García
- Foundation For The Promotion Of Health And Biomedical Research Of The Valencian Region (FISABIO), Valencia, Spain
| | - S Gimeno-Martos
- Foundation For The Promotion Of Health And Biomedical Research Of The Valencian Region (FISABIO), Valencia, Spain
| | - L Páramo-Rodríguez
- Foundation For The Promotion Of Health And Biomedical Research Of The Valencian Region (FISABIO), Valencia, Spain
| | | | - JV Sorlí
- University of Valencia, Valencia, Spain
| | - O Zurriaga
- Directorate General of Public Health, Valencia, Spain
| | - C Cavero-Carbonell
- Foundation For The Promotion Of Health And Biomedical Research Of The Valencian Region (FISABIO), Valencia, Spain
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