Molecular Genetics and Metabolism Reports (Jun 2023)

Impact of COVID19 pandemic on patients with rare diseases in Spain, with a special focus on inherited metabolic diseases

  • M. Mar Rovira-Remisa,
  • Mónica Moreira,
  • Paula Sol Ventura,
  • Pablo Gonzalez-Alvarez,
  • Núria Mestres,
  • Fredzzia Graterol Torres,
  • Clara Joaquín,
  • Agustí Rodríguez-Palmero Seuma,
  • Maria del Mar Martínez-Colls,
  • Ana Roche,
  • Salvador Ibáñez-Micó,
  • Eduardo López-Laso,
  • María Jesús Méndez-Hernández,
  • Marta Murillo,
  • Laura Monlleó-Neila,
  • Elena Maqueda-Castellote,
  • Mireia del Toro Riera,
  • Ana Felipe-Rucián,
  • Maria Giralt-López,
  • Elisenda Cortès-Saladelafont

Journal volume & issue
Vol. 35
p. 100962

Abstract

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Introduction: The Covid-19 pandemic soon became an international health emergency raising concern about its impact not only on physical health but also on quality of life and mental health. Rare diseases are chronically debilitating conditions with challenging patient care needs. We aimed to assess the quality of life and mental health of patients with rare diseases in Spain, with a special focus on inherited metabolic disorders (IMD). Methods: A prospective case-control study was designed, comparing 459 patients suffering from a rare disease (including 53 patients with IMD) and 446 healthy controls. Quality of life (QoL) and mental health were assessed using validated scales according to age: KINDL-R and the Pediatric Symptom Checklist (PSC) for children and the WhoQoL-Bref questionnaire, GAD and PHQ-9 in adults. Results: First, children and adults (but not adolescents) with IMD showed greater psychological effects than controls (p = 0.022, p = 0.026 respectively). Second, when comparing QoL, only adult patients with IMD showed worse score than controls (66/100 vs 74,6/100 respectively, p = 0.017). Finally, IMD had better quality of life than other rare neurological and genetic diseases (p = 0.008) or other rare diseases (p < 0.001 respectively) but similar alteration of the mental status. Conclusions: Our data show that the pandemic had a negative impact on mental health that is more evident in the group of patients with IMD. Young age would behave as a protective factor on the perception of QoL. Furthermore, patients with IMD show a better QoL than other rare diseases.

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