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Updated: Dec 21, 2025

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Published on: August 20, 2019
[Understanding the diagnostic delay in rare diseases].
A C Deden1, M A Alma2,3, W A G Van Zelst-Stam4
1Radboudumc, afd. Genetica, Nijmegen en UMCG, afd. Genetica, Groningen.
Rare diseases affect 1 million people in the Netherlands, with patients facing long diagnostic journeys. This study maps rare disease diagnosis and offers recommendations to expedite the process.
Area of Science:
- Medical Science
- Public Health
Background:
- Rare diseases are defined in the EU as conditions affecting 5/10,000 people.
- An estimated 6000-8000 rare diseases exist, impacting 6-8% of the global population.
- In the Netherlands, approximately 1 million individuals are affected by a rare disease.
Purpose of the Study:
- To map the diagnostic journey for patients with rare diseases.
- To identify delays in the diagnosis of rare diseases.
- To propose recommendations for accelerating the diagnostic process.
Main Methods:
- Analysis of data from the research report 'Scherperzicht op diagnostischevertragingbijzeldzameaandoeningen'.
- Mapping the diagnostic pathways of patients with rare diseases.
- Statistical analysis of diagnostic timelines.
Main Results:
- Patients with rare diseases often experience prolonged and uncertain diagnostic journeys.
- The initial symptoms of 75% of rare diseases manifest in childhood.
- The study quantifies diagnostic delays within the rare disease population.
Conclusions:
- The diagnostic process for rare diseases requires significant improvement.
- Expediting diagnosis is crucial, especially given that most rare diseases present in childhood.
- Recommendations are provided to shorten the diagnostic odyssey for rare disease patients.
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