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Table 1 Questionnaire summary

From: A quantitative and qualitative analysis of patient group narratives suggests common biopsychosocial red flags of undiagnosed rare disease

Question topic

Question

Type of question

Rare disease perspective

Which patient group are you representing?

Free text

From what perspective is your interest in rare diseases?

Categorical

What is your particular disease of interest?

Free text

Does this disease belong to a larger group of diseases? If so, which?

Free text

Physical and psychosocial manifestations and presentation of disease

What primary medical specialty does this disease fall under?

Categorical and free text

Which parts of the body or body systems are affected by this disease?

Categorical and free text

Do patients with this disease have a typical physical appearance or visual clues to an underlying disease?

Categorical and free text

Do people with this disease often have dental problems in childhood?

Categorical and free text

Do patients with this disease lose skills or abilities they had once learnt? This is sometimes called 'regression'

Categorical

Do patients with this disease have difficulties at school? (in the period from starting education to diagnosis)

Categorical and free text

When does this disease present? This means when does the average patient have signs or symptoms that lead to them seeking medical help?

Categorical

If you could choose three features of this disease that could be red flags for diagnosis, what would they be?

Free text

Does this rare disease cause an unusual presentation of a more common disease? e.g. Type 2 diabetes in children (Alström disease) or heart attacks in young people with no risk factors (SCAD). If yes, please give an example

Categorical and free text

Patient interactions with healthcare providers

On average, how many specialists do patients with this disease see while working towards a diagnosis? Including physiotherapy, OT, dietetics, optometry, speech & language therapy and audiology

Numerical

On average, how long does a patient with this disease have to wait for diagnosis?

Categorical

Do patients with this disease often get misdiagnosed before receiving the correct diagnosis? Please give any common misdiagnoses given for this rare disease

Categorical and free text

Family history

Does this rare disease have a known pattern of genetic inheritance e.g. autosomal recessive/dominant or X-linked? Or do patients with this disease often have family members (close or extended) with the same disease?

Categorical and free text

Do patients with this disease have a history or recurrent miscarriage, still birth, SIDs or unexpected complications in pregnancy in their family?

Categorical

Additional information

If you would like to elaborate on any of the above questions, please feel free to do so here

Free text

Contact information

I would like to receive information on the following:

• Updates on the results on the Red Flags of Rare Disease survey

• Follow-up questions about my answers to this survey

• Further information about Medics4RareDiseases (you will be added to the M4RD mailing list)

• None of the above

Categorical

Please provide us with your name

Free text

Please provide us with your email address

Free text

  1. Abbreviations: M4RD Medics4RareDiseases, OT Occupational therapy, SCAD Spontaneous coronary artery dissection, SIDS Sudden infant death syndrome