澳大利亚罕见病注册和数据库的现状:一个范围审查
Rasa Ruseckaite1, Chethana Mudunna2, Marisa Caruso2
1Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, 3004, Australia. rasa.ruseckaite@monash.edu.
Orphanet journal of rare diseases
|July 27, 2023
概括
澳大利亚需要对罕见病登记处 (RDRs) 采取协调的国家方法,以改善数据收集和患者的治疗结果. 这次审查发现现有的RDR存在显著的异质性,突出了差距和增强的机会.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 罕见疾病 (RDs) 影响全球超过4亿人,需要对数据管理采取结构化的方法.
- 澳大利亚政府的罕见病国家战略行动计划强调协调数据收集和利用,包括注册表.
- 罕见疾病登记册 (RDR) 对流行病学,质量改善,研究和临床试验基础设施至关重要.
研究的目的:
- 为了对澳大利亚罕见病注册表 (RDRs) 进行范围审查.
- 描述澳大利亚RDRs的资金,数据收集和对患者结果的影响.
- 通过国家协调,确定改善RDR的差距和机会.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,CINAHL,PsychINFO,Google Scholar) 和灰色文学中进行文献搜索.
- 包括论文,政府报告,临床试验和会议摘要.
- 不包括非RD或非英语文章;评估捕获的患者特征,治疗和生活质量数据.
主要成果:
- 确定了74个RDR:19个全球 (澳大利亚参与),24个仅澳大利亚,10个澳大利亚/新西兰,5个基于司法管辖区.
- 还确定了16个总体注册表和13个罕见癌症特定注册表.
- 在澳大利亚RDR中观察到数据收集,范围和质量的显著异质性.
结论:
- 澳大利亚RDR的现状揭示了关键的差距和需要改进的领域.
- 为了优化RDR,国家协调和增加投资至关重要.
- 增强的RDR可以显著改善患者的治疗结果和罕见疾病的研究能力.
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