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- W3215163550 abstract "<b>Background:</b> Service delivery models vary between and within countries, yet the extent and determinants of different approaches to deliver care for patients with primary ciliary dyskinesia (PCD) in the last 12 years have not been assessed. This is particularly important in rare diseases due to geographical barriers and need for specialised equipment and personnel. <b>Methods:</b> We used a mixed-methods approach. We conducted interviews with PCD experts between 2016-2018. Transcripts were coded using thematic analysis. Based on themes identified from the interviews, we developed a survey to quantify similarities and differences between models. This was circulated to healthcare professionals involved in care for PCD patients in 2019. Results were compared to a similar survey conducted in 2009. <b>Results:</b> Fifteen PCD experts were interviewed and 56 experts from 31 countries completed the survey (88% response rate). Availability of diagnostic testing has increased in the last ten years. All centres had either transmission electron microscopy or genetic testing available, the two confirmatory tests according to ERS diagnostic guidelines. However, geographical region and size of PCD centres influenced choice of management strategy, with larger centres prioritising effective and less expensive therapies such as airway clearance, nasal rinsing and hypertonic saline. Prophylactic antibiotics were often prescribed in large centres (69% vs 38% in small centres). <b>Conclusions:</b> The variability of management strategies highlight the need for evidence-based management guidelines for PCD. Our findings can inform the establishment of new centres, improve service in existing centres, and set a wider agenda for rare diseases." @default.
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- W3215163550 date "2021-09-05" @default.
- W3215163550 modified "2023-09-27" @default.
- W3215163550 title "Service delivery models for primary ciliary dyskinesia, an international comparison" @default.
- W3215163550 doi "https://doi.org/10.1183/13993003.congress-2021.pa3461" @default.
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