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      The EPIRARE proposal of a set of indicators and common data elements for the European platform for rare disease registration

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          Abstract

          Background

          The European Union acknowledges the relevance of registries as key instruments for developing rare disease (RD) clinical research, improving patient care and health service (HS) planning and funded the EPIRARE project to improve standardization and data comparability among patient registries and to support new registries and data collections.

          Methods

          A reference list of patient registry-based indicators has been prepared building on the work of previous EU projects and on the platform stakeholders’ information needs resulting from the EPIRARE surveys and consultations. The variables necessary to compute these indicators have been analysed for their scope and use and then organized in data domains.

          Results

          The reference indicators span from disease surveillance, to socio-economic burden, HS monitoring, research and product development, policy equity and effectiveness. The variables necessary to compute these reference indicators have been selected and, with the exception of more sophisticated indicators for research and clinical care quality, they can be collected as data elements common (CDE) to all rare diseases. They have been organized in data domains characterized by their contents and main goal and a limited set of mandatory data elements has been defined, which allows case notification independently of the physician or the health service.

          Conclusions

          The definition of a set of CDE for the European platform for RD patient registration is the first step in the promotion of the use of common tools for the collection of comparable data. The proposed organization of the CDE contributes to the completeness of case ascertainment, with the possible involvement of patients and patient associations in the registration process.

          Electronic supplementary material

          The online version of this article (doi:10.1186/2049-3258-72-35) contains supplementary material, which is available to authorized users.

          Related collections

          Most cited references8

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          Using global unique identifiers to link autism collections.

          To propose a centralized method for generating global unique identifiers to link collections of research data and specimens. The work is a collaboration between the Simons Foundation Autism Research Initiative and the National Database for Autism Research. The system is implemented as a web service: an investigator inputs identifying information about a participant into a client application and sends encrypted information to a server application, which returns a generated global unique identifier. The authors evaluated the system using a volume test of one million simulated individuals and a field test on 2000 families (over 8000 individual participants) in an autism study. Inverse probability of hash codes; rate of false identity of two individuals; rate of false split of single individual; percentage of subjects for which identifying information could be collected; percentage of hash codes generated successfully. Large-volume simulation generated no false splits or false identity. Field testing in the Simons Foundation Autism Research Initiative Simplex Collection produced identifiers for 96% of children in the study and 77% of parents. On average, four out of five hash codes per subject were generated perfectly (only one perfect hash is required for subsequent matching). The system must achieve balance among the competing goals of distinguishing individuals, collecting accurate information for matching, and protecting confidentiality. Considerable effort is required to obtain approval from institutional review boards, obtain consent from participants, and to achieve compliance from sites during a multicenter study. Generic unique identifiers have the potential to link collections of research data, augment the amount and types of data available for individuals, support detection of overlap between collections, and facilitate replication of research findings.
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            Registries for Evaluating Patient Outcomes: A User’s Guide

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              The current situation and needs of rare disease registries in Europe.

              Registries are considered key instruments for developing rare disease (RD) clinical research, enhancing patient care and health planning, and improving social, economic and quality-of-life outcomes. Indeed, it is usually the case that no single institution, and in many cases no single country, has sufficient data to provide results that can be applied broadly to clinical and translational research. However, the fragmentation and heterogeneity of the registries, which are often the result of spontaneous initiatives, limit the general applicability of their observations. An inquiry has been carried out by the EPIRARE, a European Union (EU)-funded project ('Building Consensus and Synergies for the EU Registration of Rare Disease Patients') aiming at paving the way to the creation of a European Platform for RD Registries, by means of an on-line questionnaire among European RD registries on their main activities and needs, the way they deal with methodological, technical and regulatory issues and the way they find resources to carry on their activities. In spite of the heterogeneity of the European registries, some elements of relevance for an action to improve the situation of patient registries in the EU are apparent. The needs more frequently indicated by registry holders were financial support, motivation of data providers, data quality assessment, improvement of communication and visibility, and extension of collaborations. Moreover, the registry holders were in favor of a common EU platform providing services for RD registries. It appears that the current situation of the European registries provides the transition towards a more uniform, higher quality and better coordinated approach. © 2013 S. Karger AG, Basel.
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                Author and article information

                Contributors
                domenica.taruscio@iss.it
                emanuelamollo@gmail.com
                sabina.gainotti@iss.it
                mposada@isciii.es
                fabriepi@ifc.cnr.it
                cnmr.eu@iss.it
                Journal
                Arch Public Health
                Arch Public Health
                Archives of Public Health
                BioMed Central (London )
                0778-7367
                2049-3258
                13 October 2014
                13 October 2014
                2014
                : 72
                : 1
                : 35
                Affiliations
                [ ]National Centre for Rare Diseases, National Institute of Health, Rome, Italy
                [ ]Institute of Rare Diseases Research (Instituto de Investigación de Enfermedades Raras - IIER), Instituto de Salud Carlos III (Instituto de Salud Carlos III - ISCIII), Madrid, Spain
                [ ]RDR and Consortium for Biomedical Research in Rare Diseases (Centro de Investigación Biomédica en Red de Enfermedades Raras -CIBERER), Madrid, Spain
                [ ]Institute of Clinical Physiology, National Council of Research, Pisa, Italy
                Article
                5051
                10.1186/2049-3258-72-35
                4210567
                25352985
                f642bce7-1e3f-4541-af6f-42c41ed0ea67
                © Taruscio et al.; licensee BioMed Central Ltd. 2014

                This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 29 April 2014
                : 29 August 2014
                Categories
                Methodology
                Custom metadata
                © The Author(s) 2014

                Public health
                registries,common data elements,european platform,rare diseases,patient registration,epirare

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