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000283018 1001_ $$0P:(DE-2719)9001510$$aGrobe-Einsler, Marcus$$b0$$eFirst author
000283018 245__ $$aPatient-reported, psychosocial and health economic outcomes in mild to moderate Friedreich's ataxia: baseline results of the PROFA study
000283018 260__ $$a[Amsterdam]$$bElsevier$$c2026
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000283018 500__ $$aFunding: European Joint Programme on Rare Diseases (EJP RD).
000283018 520__ $$aBackground: Friedreich ataxia (FA) is the most common autosomal recessive ataxia. Little attention has been paid to FA's impact on patient-reported, psychosocial, and health-economic outcomes. This study aimed to report these outcomes across FA's disability stages 1–5. Methods: We assessed patients in Germany, France, and Austria as part of the PROFA study, a European multicenter observational study. The protocol included a study center visit followed by a remote mobile assessment capturing ataxia severity (SARA), daily living deficits (FARS-ADL), cognitive and affective impairments (CCAS), health-related quality of life (HRQoL: PROM-Ataxia short-form, EQ-5D-5L), mental well-being (WEMWBS), communication disabilities (COMATAX), and healthcare and informal care utilization. FARS disability stages were used to demonstrate outcomes with effect size measures (Eta-Squared, Cramér's V). Multivariate regression models evaluated associations between z-standardized outcomes and disability stages. Findings: One hundred one patients (mean [SD]: age 35.0 [11.5]; GAA-repeat size 657 [299]; 50.5% women) were included. Activities of daily living, HRQoL, communication disabilities, and informal care utilization worsened significantly across disability stages with moderate to high effect sizes. Cognitive-affective impairments and mental well-being showed significant associations with small effect sizes. Twenty-three patients (33.3%) received formal care, while 40 (58.0%) received informal care (mean 12.2 h/week). Omaveloxolone was used by 33 patients (32.7%). Annual healthcare costs excluding Omaveloxolone were €13,620 (payer) and €32,679 (societal perspective, including informal care and productivity losses). Interpretation: The results emphasize the multidimensional patient, societal, and economic burden of FA and the need for comprehensive care addressing physical, mental, and psychosocial health.
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000283018 7001_ $$00000-0002-8597-9937$$aBorel, Stéphanie$$b1
000283018 7001_ $$0P:(DE-2719)9002138$$aBuchholz, Maresa$$b2$$udzne
000283018 7001_ $$aSayah, Sabrina$$b3
000283018 7001_ $$aHilab, Rania$$b4
000283018 7001_ $$aPierron, Lucie$$b5
000283018 7001_ $$0P:(DE-2719)9003158$$aIskandar, Audrey$$b6$$udzne
000283018 7001_ $$aHumphries, Brittany$$b7
000283018 7001_ $$aEwenczyk, Claire$$b8
000283018 7001_ $$aHeinzmann, Anna$$b9
000283018 7001_ $$aAtencio, Mariana$$b10
000283018 7001_ $$0P:(DE-2719)9003101$$aFeldmann, Katrin$$b11$$udzne
000283018 7001_ $$0P:(DE-2719)9002174$$aMaas, Vivian$$b12$$udzne
000283018 7001_ $$0P:(DE-2719)2811327$$aFaber, Jennifer$$b13$$udzne
000283018 7001_ $$aBoesch, Sylvia$$b14
000283018 7001_ $$aIndelicato, Elisabetta$$b15
000283018 7001_ $$00000-0002-9730-9228$$aReetz, Kathrin$$b16
000283018 7001_ $$aSchulz, Jörg B.$$b17
000283018 7001_ $$0P:(DE-2719)9003293$$aBischoff, Almut T.$$b18$$udzne
000283018 7001_ $$0P:(DE-2719)2810704$$aKlopstock, Thomas$$b19$$udzne
000283018 7001_ $$0P:(DE-2719)2810795$$aSchöls, Ludger$$b20$$udzne
000283018 7001_ $$aMinnerop, Martina$$b21
000283018 7001_ $$aTimmann, Dagmar$$b22
000283018 7001_ $$aDavies, Elin H.$$b23
000283018 7001_ $$0P:(DE-2719)2810314$$aKlockgether, Thomas$$b24$$udzne
000283018 7001_ $$aDurr, Alexandra$$b25
000283018 7001_ $$aXie, Feng$$b26
000283018 7001_ $$0P:(DE-2719)2810763$$aMichalowsky, Bernhard$$b27$$eLast author$$udzne
000283018 773__ $$0PERI:(DE-600)3055963-7$$a10.1016/j.lanepe.2025.101552$$gVol. 61, p. 101552 -$$p101552$$tThe lancet / Regional health. Europe$$v61$$x2666-7762$$y2026
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