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  1. Article ; Online: The PID Life Index

    Leire Solís / Julia Nordin / Johan Prevot / Nizar Mahlaoui / Silvia Sánchez-Ramón / Adli Ali / Elodie Cassignol / John W. Seymour / Martine Pergent

    Orphanet Journal of Rare Diseases, Vol 17, Iss 1, Pp 1-

    an interactive tool to measure the status of the PID healthcare environment in any given country

    2022  Volume 8

    Abstract: Abstract Background The “Primary Immunodeficiencies (PIDs) principles of care” were published in 2014 as the gold standard for care of patients with PIDs, setting a common goal for stakeholders to ensure that patients with PID have access to appropriate ... ...

    Abstract Abstract Background The “Primary Immunodeficiencies (PIDs) principles of care” were published in 2014 as the gold standard for care of patients with PIDs, setting a common goal for stakeholders to ensure that patients with PID have access to appropriate care and good quality of life. Since then, IPOPI (the International Patient Organisation for Primary Immunodeficiencies), has been working with national PID patient organisations as well as collaborating with scientific and medical institutions and experts to bring these principles closer to the day-to-day life of individuals with PIDs. Method The six PID Principles of Care were revised to consider advances in the field, as well as political developments that had occurred after their initial publication in 2014. Based on this revision the list was updated, and a new principle was added. The six established principles were: diagnosis, treatment, universal health coverage, specialised centres, national patient organisations and registries. Each principle was structured and measured through a series of criteria, and was given the same weight, as they have been considered to all be equally important. Specific weights were attributed to the criteria depending on their relevance and importance to quantify the principle. The index was translated into a survey for data collection: initially involving data from selected countries for a pilot, followed by integration of data from IPOPI’s national member organisations and key countries. Results The PID Life Index was developed in 2020 to assess the status of the PID environment and the implementation of the 6 principles worldwide. The Index allows for benchmarking countries either according to a set of principles and criteria or based on the user’s preferences. This can be displayed in an interactive map or through a data visualisation system. Conclusion The PID Life Index has been developed successfully and has potential to become an important source of information for PID stakeholders, to increase awareness and ...
    Keywords Primary immunodeficiency ; PID principles of care ; PID life index ; Data aggregation ; Web-based resources ; Health care policy ; Medicine ; R
    Subject code 300
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Newborn screening as a fully integrated system to stimulate equity in neonatal screening in Europe

    Maurizio Scarpa / James R. Bonham / Carlo Dionisi-Vici / Johan Prevot / Martine Pergent / Isabelle Meyts / Nizar Mahlaoui / Peter C.J.I. Schielen

    The Lancet Regional Health. Europe, Vol 13, Iss , Pp 100311- (2022)

    2022  

    Keywords Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2022-02-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: It’s long-term, well it’s for life basically

    Georgina Jones / Eva Brown Hajdukova / Esmee Hanna / Rosie Duncan / Brendan Gough / Jane Hughes / Debbie Hughes / Fran Ashworth / Johan Prevot / Jose Drabwell / Leire Solis / Nizar Mahlaoui / Anna Shrimpton

    Qualitative Research in Medicine & Healthcare, Vol 4, Iss

    Understanding and exploring the burden of immunoglobulin treatment in patients with primary immunodeficiency disorders

    2021  Volume 3

    Abstract: This paper describes the burden of receiving immunoglobulin (Ig) treatment from the perspective of patients diagnosed with a Primary Immunodeficiency (PID). Thirty semi-structured interviews with patients receiving intravenous (n=21) and subcutaneous ... ...

    Abstract This paper describes the burden of receiving immunoglobulin (Ig) treatment from the perspective of patients diagnosed with a Primary Immunodeficiency (PID). Thirty semi-structured interviews with patients receiving intravenous (n=21) and subcutaneous immunoglobulin (n=9) therapy, either at home or in hospital were undertaken. Underpinned by a phenomenological theoretical framework, and using a qualitative, inductive thematic approach to prioritise patients’ concerns, we identified that Ig treatment requires considerable effort by the patient, particularly in relation to the amount of time, organization and planning that is needed. They also face numerous physical, social, relationship, emotional, role functioning, travelling, and financial challenges in their effort to undergo and maintain their infusions and care for their health. Some qualitative differences in treatment burden were noted between home and hospital settings which contributed to non-adherence to those regimes. Immunoglobulin treatment burden is complex and influenced by therapeutic mode and setting and the personal circumstances of the patient. As choice over treatment method appears to be mainly informed by lifestyle needs, PID patients may benefit from more information about these potential Ig lifestyle influences when selecting which form of treatment to take together with their health professional.
    Keywords Primary immunodeficiency ; immunoglobulin treatment ; qualitative research ; thematic analysis ; Medicine (General) ; R5-920
    Subject code 360
    Language English
    Publishing date 2021-02-01T00:00:00Z
    Publisher PAGEPress Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Excess mortality and hospitalizations in transitional-age youths with a long-term disease

    Antoine Rachas / Philippe Tuppin / Laurence Meyer / Bruno Falissard / Albert Faye / Nizar Mahlaoui / Elise de La Rochebrochard / Marie Frank / Pierre Durieux / Josiane Warszawski

    PLoS ONE, Vol 13, Iss 3, p e

    A national population-based cohort study.

    2018  Volume 0193729

    Abstract: The number of adolescents with a severe chronic disease has increased in high-income countries due to improvements in the prognosis of childhood-onset chronic conditions. The transition from childhood to adulthood is a critical period that may be ... ...

    Abstract The number of adolescents with a severe chronic disease has increased in high-income countries due to improvements in the prognosis of childhood-onset chronic conditions. The transition from childhood to adulthood is a critical period that may be associated with increased mortality and morbidity. We aimed to estimate the prevalence of adolescents with a long-term disease (LTD) in France and assess their mortality and hospitalization risks relative to the general population.We extracted a population-based cohort from the French national health insurance database that included 61,119 subjects who reached 14 years of age between 2005 and 2014. LTDs are diagnosed by patients' physicians and then confirmed and registered by a physician of the national health insurance system. We assessed mortality and hospitalizations using data of patients who were between 14 and 21 years-old.Among 14-year-old adolescents, 3.30% (95% confidence interval: 3.16-3.44) had a LTD. Their mortality rate between the ages of 14 and 21 years was 20.9/10,000 person-years (13.7-32.1) versus 1.9 (1.5-2.5) for adolescents without a LTD. Mortality was higher in males than females in youths without a LTD, but not in those with a LTD. We found a similar pattern for the risk of hospitalization for an external cause. The five-year probability of hospitalization was 61.8% among youths with a LTD versus 42.7% for those without. The rate of planned hospitalizations sharply fell at 19 years-of-age among youths with a LTD, whereas the rate of unplanned hospitalizations remained stable.The 3% of youths with a LTD have ten-fold higher mortality than those without and a high risk of hospitalization. The decrease in the rate of planned hospitalizations at age 19 among youths with a LTD may indicate differences in medical practice after transfer to adult care or a break in medical care.
    Keywords Medicine ; R ; Science ; Q
    Language English
    Publishing date 2018-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Next generation phenotyping using narrative reports in a rare disease clinical data warehouse

    Nicolas Garcelon / Antoine Neuraz / Rémi Salomon / Nadia Bahi-Buisson / Jeanne Amiel / Capucine Picard / Nizar Mahlaoui / Vincent Benoit / Anita Burgun / Bastien Rance

    Orphanet Journal of Rare Diseases, Vol 13, Iss 1, Pp 1-

    2018  Volume 11

    Abstract: Abstract Background Secondary use of data collected in Electronic Health Records opens perspectives for increasing our knowledge of rare diseases. The clinical data warehouse (named Dr. Warehouse) at the Necker-Enfants Malades Children’s Hospital ... ...

    Abstract Abstract Background Secondary use of data collected in Electronic Health Records opens perspectives for increasing our knowledge of rare diseases. The clinical data warehouse (named Dr. Warehouse) at the Necker-Enfants Malades Children’s Hospital contains data collected during normal care for thousands of patients. Dr. Warehouse is oriented toward the exploration of clinical narratives. In this study, we present our method to find phenotypes associated with diseases of interest. Methods We leveraged the frequency and TF-IDF to explore the association between clinical phenotypes and rare diseases. We applied our method in six use cases: phenotypes associated with the Rett, Lowe, Silver Russell, Bardet-Biedl syndromes, DOCK8 deficiency and Activated PI3-kinase Delta Syndrome (APDS). We asked domain experts to evaluate the relevance of the top-50 (for frequency and TF-IDF) phenotypes identified by Dr. Warehouse and computed the average precision and mean average precision. Results Experts concluded that between 16 and 39 phenotypes could be considered as relevant in the top-50 phenotypes ranked by descending frequency discovered by Dr. Warehouse (resp. between 11 and 41 for TF-IDF). Average precision ranges from 0.55 to 0.91 for frequency and 0.52 to 0.95 for TF-IDF. Mean average precision was 0.79. Our study suggests that phenotypes identified in clinical narratives stored in Electronic Health Record can provide rare disease specialists with candidate phenotypes that can be used in addition to the literature. Conclusions Clinical Data Warehouses can be used to perform Next Generation Phenotyping, especially in the context of rare diseases. We have developed a method to detect phenotypes associated with a group of patients using medical concepts extracted from free-text clinical narratives.
    Keywords Data warehouse ; Next generation phenotyping ; Data mining ; Rare diseases ; Natural language processing ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2018-05-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Correction

    Antoine Rachas / Philippe Tuppin / Laurence Meyer / Bruno Falissard / Albert Faye / Nizar Mahlaoui / Elise de La Rochebrochard / Marie Frank / Pierre Durieux / Josiane Warszawski

    PLoS ONE, Vol 13, Iss 4, p e

    Excess mortality and hospitalizations in transitional-age youths with a long-term disease: A national population-based cohort study.

    2018  Volume 0195926

    Abstract: This corrects the article DOI:10.1371/journal.pone.0193729.]. ...

    Abstract [This corrects the article DOI:10.1371/journal.pone.0193729.].
    Keywords Medicine ; R ; Science ; Q
    Language English
    Publishing date 2018-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Variant of X-Linked Chronic Granulomatous Disease Revealed by a Severe Burkholderia cepacia Invasive Infection in an Infant

    Jean-Laurent Casanova / Jacinta Bustamante / Capucine Picard / Stéphane Blanche / Marjorie Hubeau / Nizar Mahlaoui / Carolina Prando / Lizbeth Blancas Galicia / Saul Oswaldo Lugo Reyes

    Case Reports in Immunology, Vol

    2013  Volume 2013

    Keywords Immunologic diseases. Allergy ; RC581-607 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Allergy and Immunology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2013-01-01T00:00:00Z
    Publisher Hindawi Publishing Corporation
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article: Ribosomal Protein SA Haploinsufficiency in Humans with Isolated Congenital Asplenia

    Bolze, Alexandre / Alessandro Plebani / Andrew J. Pollard / Anne Puel / Anthony P. Williams / Avinash Abhyankar / Bridget Turner / Capucine Picard / Catherine Gaud / Daniel Orbach / Etienne Patin / Jean-Francois Emile / Jean-Laurent Casanova / Jean-Louis Stephan / Laurent Abel / Lennart Hammarstrom / Licia Selleri / Lluis Quintana-Murci / Mary Ellen Conley /
    Michael Duddridge / Minji Byun / Nikolaus Trede / Nizar Mahlaoui / Paul Sackstein / Pierre Frange / Ricardo Sorensen / Richard Baretto / Samuel Brebner / Saul N. Faust / Steven R. Ellis / Usha Kini / Yuval Itan

    Science. 2013 May 24, v. 340, no. 6135

    2013  

    Abstract: Spleen Knockout Explained Isolated congenital asplenia (ICA) is a rare disorder where patients are born without a spleen and are at increased risk of bacterial infection but have no other developmental abnormalities. Through sequence analysis of familial ...

    Abstract Spleen Knockout Explained Isolated congenital asplenia (ICA) is a rare disorder where patients are born without a spleen and are at increased risk of bacterial infection but have no other developmental abnormalities. Through sequence analysis of familial and sporadic cases, Bolze et al. (p. 976, published online 11 April) found that ICA patients carry mutations in the gene encoding ribosomal protein SA and as a result express about half the normal amount of this protein. The mechanism by which reduced expression of a housekeeping protein causes an organ-specific defect remains unclear.
    Keywords abnormal development ; bacterial infections ; disease incidence ; genes ; humans ; mutation ; patients ; ribosomal proteins ; risk ; sequence analysis ; spleen
    Language English
    Dates of publication 2013-0524
    Size p. 976-978.
    Publishing place American Association for the Advancement of Science
    Document type Article
    ZDB-ID 128410-1
    ISSN 1095-9203 ; 0036-8075
    ISSN (online) 1095-9203
    ISSN 0036-8075
    DOI 10.1126/science.1234864
    Database NAL-Catalogue (AGRICOLA)

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