Original article
Vol. 149 No. 0102 (2019)
The Swiss Primary Ciliary Dyskinesia registry: objectives, methods and first results
- Myrofora Goutaki
- Marc O. Eich
- Florian S. Halbeisen
- Juerg Barben
- Carmen Casaulta
- Christian Clarenbach
- Gaudenz Hafen
- Philipp Latzin
- Nicolas Regamey
- Romain Lazor
- Stefan Tschanz
- Maura Zanolari
- Elisabeth Maurer
- Claudia E. Kuehni
- for the Swiss PCD Registry (CH-PCD) Working Group
-
Cite this as:
-
Swiss Med Wkly. 2019;149:w20004
-
Published
-
13.01.2019
Summary
Primary ciliary dyskinesia (PCD) is a rare, hereditary, multiorgan disease caused by defects in the structure and function of motile cilia. It results in a wide range of clinical manifestations, most commonly in the upper and lower airways. Central data collection in national and international registries is essential to studying the epidemiology of rare diseases and filling in gaps in knowledge of diseases such as PCD. For this reason, the Swiss Primary Ciliary Dyskinesia Registry (CH-PCD) was founded in 2013 as a collaborative project between epidemiologists and adult and paediatric pulmonologists. We describe the objectives and methodology of the CH-PCD, present initial results, and give an overview of current and ongoing projects.
The registry records patients of any age, suffering from PCD, who are treated and resident in Switzerland. It collects information from patients identified through physicians, diagnostic facilities and patient organisations. The registry dataset contains data on diagnostic evaluations, lung function, microbiology and imaging, symptoms, treatments and hospitalisations.
By May 2018, CH-PCD has contacted 566 physicians of different specialties and identified 134 patients with PCD. At present, this number represents an overall 1 in 63,000 prevalence of people diagnosed with PCD in Switzerland. Prevalence differs by age and region; it is highest in children and adults younger than 30 years, and in Espace Mittelland. The median age of patients in the registry is 25 years (range 5–73), and 41 patients have a definite PCD diagnosis based on recent international guidelines. Data from CH-PCD are contributed to international collaborative studies and the registry facilitates patient identification for nested studies.
CH-PCD has proven to be a valuable research tool that already has highlighted weaknesses in PCD clinical practice in Switzerland.
Trial registration number
NCT03606200
References
- Lucas JS, Walker WT, Kuehni CE, Lazor R. Primary Ciliary Dyskinesia. In: Courdier J-F, editor Orphan Lung diseases European Respiratory Monograph 2011:201-17.
- Behan LB, Carroll M, Evans HJ, Goutaki M, Harris A, Hogg C, et al. PICADAR- a screening tool for primary ciliary dyskinesia. Eur Respir J. 2016;47(4):1103–12
- Davis SD, Ferkol TW, Rosenfeld M, Lee HS, Dell SD, Sagel SD, et al. Clinical features of childhood primary ciliary dyskinesia by genotype and ultrastructural phenotype. Am J Respir Crit Care Med. 2015;191(3):316–24. doi:.https://doi.org/10.1164/rccm.201409-1672OC
- Frija-Masson J, Bassinet L, Honoré I, Dufeu N, Housset B, Coste A, et al. Clinical characteristics, functional respiratory decline and follow-up in adult patients with primary ciliary dyskinesia. Thorax. 2017;72(2):154–60. doi:.https://doi.org/10.1136/thoraxjnl-2015-207891
- Shah A, Shoemark A, MacNeill SJ, Bhaludin B, Rogers A, Bilton D, et al. A longitudinal study characterising a large adult primary ciliary dyskinesia population. Eur Respir J. 2016;48(2):441–50. doi:.https://doi.org/10.1183/13993003.00209-2016
- Shapiro AJ, Davis SD, Ferkol T, Dell SD, Rosenfeld M, Olivier KN, et al.; Genetic Disorders of Mucociliary Clearance Consortium. Laterality defects other than situs inversus totalis in primary ciliary dyskinesia: insights into situs ambiguus and heterotaxy. Chest. 2014;146(5):1176–86. doi:.https://doi.org/10.1378/chest.13-1704
- Goutaki M, Meier AB, Halbeisen FS, Lucas JS, Dell SD, Maurer E, et al. Clinical manifestations in primary ciliary dyskinesia: systematic review and meta-analysis. Eur Respir J. 2016;48(4):1081–95. doi:.https://doi.org/10.1183/13993003.00736-2016
- Höben IM, Hjeij R, Olbrich H, Dougherty GW, Nöthe-Menchen T, Aprea I, et al. Mutations in C11orf70 Cause Primary Ciliary Dyskinesia with Randomization of Left/Right Body Asymmetry Due to Defects of Outer and Inner Dynein Arms. Am J Hum Genet. 2018;102(5):973–84. doi:.https://doi.org/10.1016/j.ajhg.2018.03.025
- Shapiro AJ, Davis SD, Polineni D, Manion M, Rosenfeld M, Dell SD, et al.; American Thoracic Society Assembly on Pediatrics. Diagnosis of Primary Ciliary Dyskinesia. An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med. 2018;197(12):e24–39. doi:.https://doi.org/10.1164/rccm.201805-0819ST
- Lucas JS, Barbato A, Collins SA, Goutaki M, Behan L, Caudri D, et al. European Respiratory Society guidelines for the diagnosis of primary ciliary dyskinesia. Eur Respir J. 2017;49(1):1601090. doi:.https://doi.org/10.1183/13993003.01090-2016
- Strippoli MP, Frischer T, Barbato A, Snijders D, Maurer E, Lucas JS, et al.; ERS Task Force onPrimary Ciliary Dyskinesia in Children. Management of primary ciliary dyskinesia in European children: recommendations and clinical practice. Eur Respir J. 2012;39(6):1482–91. doi:.https://doi.org/10.1183/09031936.00073911
- Werner C, Lablans M, Ataian M, Raidt J, Wallmeier J, Große-Onnebrink J, et al. An international registry for primary ciliary dyskinesia. Eur Respir J. 2016;47(3):849–59. doi:.https://doi.org/10.1183/13993003.00776-2015
- Goutaki M, Maurer E, Halbeisen FS, Amirav I, Barbato A, Behan L, et al.; PCD Italian Consortium; Swiss PCD Group; French Reference Centre for Rare Lung Diseases; Genetic Disorders of Mucociliary Clearance Consortium. The international primary ciliary dyskinesia cohort (iPCD Cohort): methods and first results. Eur Respir J. 2017;49(1):1601181. doi:.https://doi.org/10.1183/13993003.01181-2016
- Barbato A, Frischer T, Kuehni CE, Snijders D, Azevedo I, Baktai G, et al. Primary ciliary dyskinesia: a consensus statement on diagnostic and treatment approaches in children. Eur Respir J. 2009;34(6):1264–76. doi:.https://doi.org/10.1183/09031936.00176608
- Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81. doi:.https://doi.org/10.1016/j.jbi.2008.08.010
- Halbeisen F, Hogg C, Alanin MC, Bukowy-Bieryllo Z, Dasi F, Duncan J, et al. Proceedings of the 2nd BEAT-PCD conference and 3rd PCD training school: part 1. BMC Proc. 2018;12(S2, Suppl 2):1. doi:.https://doi.org/10.1186/s12919-018-0098-9
- Rubbo B, Behan L, Dehlink E, Goutaki M, Hogg C, Kouis P, et al.; BEAT-PCD. Proceedings of the COST action BM1407 inaugural conference BEAT-PCD: translational research in primary ciliary dyskinesia - bench, bedside, and population perspectives. BMC Proc. 2016;10(S9, Suppl 9):66. doi:.https://doi.org/10.1186/s12919-016-0067-0
- Kuehni CE, Lucas JS. Diagnosis of primary ciliary dyskinesia: summary of the ERS Task Force report. Breathe (Sheff). 2017;13(3):166–78. doi:.https://doi.org/10.1183/20734735.008517
- Goutaki M, Halbeisen FS, Spycher BD, Maurer E, Belle F, Amirav I, et al.; PCD Israeli Consortium; Swiss PCD Group; French Reference Centre for Rare Lung Diseases. Growth and nutritional status, and their association with lung function: a study from the international Primary Ciliary Dyskinesia Cohort. Eur Respir J. 2017;50(6):1701659. doi:.https://doi.org/10.1183/13993003.01659-2017
- Halbeisen FS, Goutaki M, Spycher BD, Amirav I, Behan L, Boon M, et al. Lung function in patients with primary ciliary dyskinesia: an iPCD Cohort study. Eur Respir J. 2018;52(2):1801040. doi:.https://doi.org/10.1183/13993003.01040-2018
- Nyilas S, Schlegtendal A, Singer F, Goutaki M, Kuehni CE, Casaulta C, et al. Alternative inert gas washout outcomes in patients with primary ciliary dyskinesia. Eur Respir J. 2017;49(1):1600466. doi:.https://doi.org/10.1183/13993003.00466-2016
- Halbeisen F, Goutaki M, Maurer E, Boon M, Casaulta C, Crowley S, et al. Evolution of Primary Ciliary Dyskinesia (PCD) diagnostic testing in Europe. Eur Respir J. 2017;50(suppl_61):PA1846. doi:10.1183/1393003.congress-2017.PA1846
- Behan L, Leigh MW, Dell SD, Dunn Galvin A, Quittner AL, Lucas JS. Validation of a health-related quality of life instrument for primary ciliary dyskinesia (QOL-PCD). Thorax. 2017;72(9):832–9. doi:.https://doi.org/10.1136/thoraxjnl-2016-209356
- Dell SD, Leigh MW, Lucas JS, Ferkol TW, Knowles MR, Alpern A, et al. Primary Ciliary Dyskinesia: First Health-related Quality-of-Life Measures for Pediatric Patients. Ann Am Thorac Soc. 2016;13(10):1726–35. doi:.https://doi.org/10.1513/AnnalsATS.201603-198OC
- Lucas JS, Behan L, Dunn Galvin A, Alpern A, Morris AM, Carroll MP, et al. A quality-of-life measure for adults with primary ciliary dyskinesia: QOL-PCD. Eur Respir J. 2015;46(2):375–83. doi:.https://doi.org/10.1183/09031936.00216214
- Kobbernagel HE, Buchvald FF, Haarman EG, Casaulta C, Collins SA, Hogg C, et al. Study protocol, rationale and recruitment in a European multi-centre randomized controlled trial to determine the efficacy and safety of azithromycin maintenance therapy for 6 months in primary ciliary dyskinesia. BMC Pulm Med. 2016;16(1):104. doi:.https://doi.org/10.1186/s12890-016-0261-x
- Vanaken GJ, Bassinet L, Boon M, Mani R, Honoré I, Papon JF, et al. Infertility in an adult cohort with primary ciliary dyskinesia: phenotype-gene association. Eur Respir J. 2017;50(5):1700314. doi:.https://doi.org/10.1183/13993003.00314-2017
- Lucas JS, Chetcuti P, Copeland F, Hogg C, Kenny T, Moya E, et al. Overcoming challenges in the management of primary ciliary dyskinesia: the UK model. Paediatr Respir Rev. 2014;15(2):142–5.
- Kuehni CE, Frischer T, Strippoli MP, Maurer E, Bush A, Nielsen KG, et al.; ERS Task Force on Primary Ciliary Dyskinesia in Children. Factors influencing age at diagnosis of primary ciliary dyskinesia in European children. Eur Respir J. 2010;36(6):1248–58. doi:.https://doi.org/10.1183/09031936.00001010
- Kuehni CE, Goutaki M, Carroll M, Lucas JS. Primary ciliary dyskinesia: the patients grow up. Eur Respir J. 2016;48(2):297–300. doi:.https://doi.org/10.1183/13993003.01098-2016
- Halbeisen F, Goutaki M, Maurer E, Boon M, Casaulta C, Clement A, et al. Lung function in patients with primary ciliary dyskinesia (PCD): A multinational study. Eur Respir J. 2015;46(suppl_59):OA3480. doi:10.1183/13993003.congress-2015.OA3480
- Braegger C, Jenni O, Konrad D, Molinari L. Neue Wachstumskurven für die Schweiz. Paediatrica. 2011;22:9–11.
- Quanjer PH, Stanojevic S, Cole TJ, Baur X, Hall GL, Culver BH, et al.; ERS Global Lung Function Initiative. Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations. Eur Respir J. 2012;40(6):1324–43. doi:.https://doi.org/10.1183/09031936.00080312
- a Goutaki M, Halbeisen FS, Spycher BD, Maurer E, Belle F, Amirav I, et al.; PCD Israeli Consortium; Swiss PCD Group; French Reference Centre for Rare Lung Diseases. Growth and nutritional status, and their association with lung function: a study from the international Primary Ciliary Dyskinesia Cohort. Eur Respir J. 2017;50(6):1701659. doi:.https://doi.org/10.1183/13993003.01659-2017
- a Halbeisen FS, Goutaki M, Spycher BD, Amirav I, Behan L, Boon M, et al. Lung function in patients with primary ciliary dyskinesia: an iPCD Cohort study. Eur Respir J. 2018;52(2):1801040. doi:.https://doi.org/10.1183/13993003.01040-2018
- a Braegger C, Jenni O, Konrad D, Molinari L. Neue Wachstumskurven für die Schweiz. Paediatrica. 2011;22:9–11.
- a Quanjer PH, Stanojevic S, Cole TJ, Baur X, Hall GL, Culver BH, et al.; ERS Global Lung Function Initiative. Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations. Eur Respir J. 2012;40(6):1324–43. doi:.https://doi.org/10.1183/09031936.00080312