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Defining and characterising a toolkit for the development of a successful European registry for rare liver diseases: a model for building a rare disease registry

Marinos Pericleous, Claire Kelly, Michael Schilsky, Anil Dhawan and Aftab Ala
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DOI: https://doi.org/10.7861/clinmed.2021-0725
Clin Med June 2022
Marinos Pericleous
ARoyal Surrey NHS Foundation Trust, Guildford, UK, and postgraduate researcher, University of Surrey, Guildford, UK
Roles: consultant gastroenterologist, hepatologist and general physician
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Claire Kelly
BUniversity of Surrey, Guildford
Roles: clinical research fellow
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Michael Schilsky
CYale—New Haven Transplantation Center, Yale University, New Haven, USA
Roles: professor of medicine and medical director of adult liver transplant
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Anil Dhawan
DKing's College Hospital NHS Foundation Trust, London, UK
Roles: director of research and innovation and director of the Paediatric Liver GI and Nutrition Centre and MowatLabs
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Aftab Ala
EInstitute of Liver Studies, Kings College Hospital NHS Foundation Trust, London, UK, Faculty of Health and Medical Sciences (FHMS), University of Surrey and professional director of research, development and Innovation Royal Surrey NHS Foundation Trust, Guildford, UK.
Roles: professor of hepatology, consultant hepatologist
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Abstract

Introduction A rare disease is defined by the European Health Commission as a disorder affecting less than 5/10,000 of the population. There are at least 20 rare liver diseases (RLDs) seen frequently in the adult and paediatric liver clinic, signifying that the hepatology community can be influential in developing such patient databases for registering patients with rare hepatic conditions. The aim of this review was, first, to identify registries for RLDs in Europe, and, second, to design a universal blueprint for the development of a registry for RLD by using lessons learnt from the European registries that have already been established.

Methods We searched PubMed, Google Scholar and clinicaltrials.gov using the MESH terms ‘registries’, ‘database management systems’, ‘database’ and the non-MESH terms ‘database$’, ‘registry’, ‘repository’ and ‘repositories’. We only included studies in English from countries/consortia of the European Union (EU). Our literature search was performed in 2020.

Results We identified 37 registries for RLDs in Europe. Using information from the design of these registries we designed a blueprint for the development of a patient registry for an RLD consisting of a theoretical, technical and maintenance phase.

Discussion It is believed that rare diseases may affect as much as 6–8% of the EU population across its 28 member states. Here we have provided a toolkit for designing a registry for an RLD. Our article will complement the efforts of loco-regional, national and international groups seeking to establish robust systems for data collection and analysis for orphan liver diseases.

KEYWORDS:
  • patient registries
  • rare liver diseases
  • © Royal College of Physicians 2022. All rights reserved.
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Defining and characterising a toolkit for the development of a successful European registry for rare liver diseases: a model for building a rare disease registry
Marinos Pericleous, Claire Kelly, Michael Schilsky, Anil Dhawan, Aftab Ala
Clinical Medicine Jun 2022, clinmed.2021-0725; DOI: 10.7861/clinmed.2021-0725

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Defining and characterising a toolkit for the development of a successful European registry for rare liver diseases: a model for building a rare disease registry
Marinos Pericleous, Claire Kelly, Michael Schilsky, Anil Dhawan, Aftab Ala
Clinical Medicine Jun 2022, clinmed.2021-0725; DOI: 10.7861/clinmed.2021-0725
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