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A multi-source approach to determine SMA incidence and research ready population
Ingrid E C Verhaart1, Agata Robertson1, Rebecca Leary1
1John Walton Muscular Dystrophy Research Centre, Institute of Genetic Medicine, Newcastle University, Central Parkway, Newcastle upon Tyne, NE1 3BZ, UK.
Epidemiological data on spinal muscular atrophy (SMA) in Europe reveals an incidence of 1 in 3900-16,000 live births. Many SMA patients are not connected to specialist care, limiting research and treatment access.
Area of Science:
- Neurology
- Genetics
- Epidemiology
Background:
- Spinal muscular atrophy (SMA) is a genetic neuromuscular disorder characterized by motor neuron degeneration and progressive muscle weakness, caused by SMN1 gene deletion.
- Existing epidemiological data for SMA is limited, often outdated, and geographically restricted.
- Accurate incidence and patient population data are crucial for understanding disease burden and facilitating clinical research.
Purpose of the Study:
- To determine the incidence of genetically confirmed spinal muscular atrophy (SMA) in Europe.
- To estimate the number of SMA patients accessible for clinical trials and observational studies.
- To identify potential gaps in healthcare access for SMA patients.
Main Methods:
- Utilized data from genetic laboratories across Europe (2011-2015).
- Integrated information from the TREAT-NMD Global SMA Patient Registry and the Care and Trial Sites Registry (CTSR).
- Analyzed genetic diagnoses and patient registry data to estimate incidence and patient accessibility.
Main Results:
- Over 4653 genetically diagnosed SMA patients were identified in Europe between 2011 and 2015.
- Estimated European SMA incidence ranges from 1 in 3900 to 1 in 16,000 live births.
- Patient numbers in registries were lower than expected, with most registered patients having SMA type II and residing in Europe.
Conclusions:
- Significant disparities exist in patient participation across national registries, indicating varying healthcare access.
- A substantial number of SMA patients may not be engaged with specialist healthcare services.
- This lack of engagement potentially limits patient access to crucial research opportunities and optimal care for spinal muscular atrophy.
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