Orphanet Journal of Rare Diseases (Jul 2023)

Digital health and Clinical Patient Management System (CPMS) platform utility for data sharing of neuromuscular patients: the Italian EURO-NMD experience

  • Fernanda Fortunato,
  • Francesca Bianchi,
  • Giulia Ricci,
  • Francesca Torri,
  • Francesca Gualandi,
  • Marcella Neri,
  • Marianna Farnè,
  • Fabio Giannini,
  • Alessandro Malandrini,
  • Nila Volpi,
  • Diego Lopergolo,
  • Vincenzo Silani,
  • Nicola Ticozzi,
  • Federico Verde,
  • Davide Pareyson,
  • Silvia Fenu,
  • Silvia Bonanno,
  • Vincenzo Nigro,
  • Cristina Peduto,
  • Paola D’Ambrosio,
  • Roberta Zeuli,
  • Mariateresa Zanobio,
  • Esther Picillo,
  • Serenella Servidei,
  • Guido Primiano,
  • Cristina Sancricca,
  • Monica Sciacco,
  • Roberta Brusa,
  • Massimiliano Filosto,
  • Stefano Cotti Piccinelli,
  • Elena Pegoraro,
  • Tiziana Mongini,
  • Luca Solero,
  • Giulio Gadaleta,
  • Chiara Brusa,
  • Carlo Minetti,
  • Claudio Bruno,
  • Chiara Panicucci,
  • Valeria A. Sansone,
  • Christian Lunetta,
  • Alice Zanolini,
  • Antonio Toscano,
  • Alessia Pugliese,
  • Giulia Nicocia,
  • Enrico Bertini,
  • Michela Catteruccia,
  • Daria Diodato,
  • Antonio Atalaia,
  • Teresinha Evangelista,
  • Gabriele Siciliano,
  • Alessandra Ferlini

DOI
https://doi.org/10.1186/s13023-023-02776-5
Journal volume & issue
Vol. 18, no. 1
pp. 1 – 7

Abstract

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Abstract Background The development of e-health technologies for teleconsultation and exchange of knowledge is one of the core purposes of European Reference Networks (ERNs), including the ERN EURO-NMD for rare neuromuscular diseases. Within ERNs, the Clinical Patient Management System (CPMS) is a web-based platform that seeks to boost active collaboration within and across the network, implementing data sharing. Through CPMS, it is possible to both discuss patient cases and to make patients’ data available for registries and databases in a secure way. In this view, CPMS may be considered a sort of a temporary storage for patients’ data and an effective tool for data sharing; it facilitates specialists’ consultation since rare diseases (RDs) require multidisciplinary skills, specific, and outstanding clinical experience. Following European Union (EU) recommendation, and to promote the use of CPMS platform among EURO-NMD members, a twelve-month pilot project was set up to train the 15 Italian Health Care Providers (HCPs). In this paper, we report the structure, methods, and results of the teaching course, showing that tailored, ERN-oriented, training can significantly enhance the profitable use of the CPMS. Results Throughout the training course, 45 professionals learned how to use the many features of the CPMS, eventually opening 98 panels of discussion—amounting to 82% of the total panels included in the EURO-NMD. Since clinical, genetic, diagnostic, and therapeutic data of patients can be securely stored within the platform, we also highlight the importance of this platform as an effective tool to discuss and share clinical cases, in order to ease both case solving and data storing. Conclusions In this paper, we discuss how similar course could help implementing the use of the platform, highlighting strengths and weaknesses of e-health for ERNs. The expected result is the creation of a “map” of neuromuscular patients across Europe that might be improved by a wider use of CPMS.

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