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Supply of Normal Human Immunoglobulins (NHIg) has been in steady tension for almost 15 years in the world. The scarcity of raw material, manufacturing time by industries, and increase consumptions are some of the causes. These phenomena has been accentuated for two years in the context of pandemic.
Faced these difficulties, the french National Medication Security Agency (ANSM) , in collaboration with health professionals and patients associations concerned, established a hierarchy of indications of NHIg to prioritize NHIg for patients without therapeutic alternative (2013 and 2019). Its use is sometimes complex, particularly in the indications where the use of NHIg must combine clinico-biological criteria and/or previous treatment lines.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients treated with NHIg | Patients treated for one of the following indications :
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NHIg prescription | Other | Analysis of NHIg prescription |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with clinical and biological information in the medical record |
| At inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| Adequacy rate between NHIg indications noted in patients files and ANSM prioritization criteria |
|
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Inclusion Criteria:
Exclusion Criteria:
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Patients treated with NHIg for one of the following 3 indications between 01/10/2021 and 31/12/2021: TIP, CDIP and SID
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Laure Deville, Dr | Contact | +33142494292 | laure.deville@aphp.fr | |
| Jérôme Lambert, Dr | Contact | +33142499742 | jerome.lambert@u-paris.fr |
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| At inclusion |
| Number of patients prescribed treatment out of hierarchy | Description of the criteria out of hierarchy, justifying the prescription of NHIg in these 3 authorized indications | At inclusion |