Hereditary Angioedema

Objectives

Understand the current discourse on Hereditary Angioedema (HAE) on social media.

More specifically:

  1. Identify the main themes related to challenges for Hereditary Angioedema in online conversations among rural patients and racial-ethnic minorities. 
  2. Determine the level of concern regarding challenges for Hereditary Angioedema patients based on search data.

Methodology

1
Extraction of Online Discourse

We extracted around 40,560 search data points, 300 tweets and 1000 Reddit posts and 200 Tiktok videos within the geography of the US from July 2021 to June 2023, using curated keywords and hashtags.

2
Machine Learning & Human Interpretation 

Using unsupervised machine learning, our proprietary in-house AI clustered linguistically related inputs into concept clusters. Our team of analysts then interpreted these clusters, teasing out nuanced discourses on the topic. 

3
Sizing

The discourse were then sized through search - based on our curated keywords. Search data was obtained within a 2-year time period (March 2021 to February 2023).

4
Final Reporting

Finally, from studying the discourses, we picked apart key themes and attitudes, combined data points with other relevant information surfaced during our research,  and synthesized the findings into this report.

Patient Discourse

Skepticism Towards Hcps

Mistrust towards HCPs arises from conflicting information, dismissive attitudes, and perceived lack of knowledge.

Healthcare Access In Rural Areas

Rural areas pose significant challenges for individuals with HAE in accessing proper care and resources.

Concerns About Hae Misdiagnosis

Misdiagnosis compounds uncertainty and discomfort for patients, especially for those with minority and ethnic backgrounds.

Financial Struggles Of Hae Patients

The high costs of medications and treatments for HAE create significant financial burdens for patients.

Poor Medical Care System

Patients with HAE express frustration and disheartenment with the US healthcare system.

Clinical Trial Efficacy

Promising outcomes from the NTLA-2002 clinical trial for HAE treatment have sparked excitement among patients.

HCP Discourse

Patient Discourse Analysis

Patient Discourse Overview

According to our search data, healthcare access in rural areas has emerged as a dominant topic, accounting for 20% of total volume and exhibiting a growth rate of 26% over the last two years. The concern about misdiagnosis also garners significant attention, with a growth rate of 20%. This highlights the need for improved diagnostic accuracy and patient advocacy to address this pressing issue.

Additionally, an emerging topic is the poor healthcare system, which has seen a growth rate of 14%. This suggests an increasing focus on identifying and addressing systemic issues within the healthcare system to improve overall quality and patient outcomes.

1

Revealing skepticism towards healthcare providers

Patients have expressed a notable sense of skepticism towards healthcare providers, citing instances where conflicting information and dismissive attitudes have eroded their trust. One patient shared their confusion after undergoing an allergy test that yielded negative results, despite a documented history of positive tests and ongoing symptoms. Another patient questioned the doctor's assertion regarding the absence of HAE in their case, prompting them to contemplate seeking a second opinion. Concerns regarding the adjustment to medication and the desire for a doctor who can empathize with their unique experiences further underscored the prevailing lack of trust.

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2

Unveiling the obstacles in HAE care for rural communities

Rural areas often face significant challenges in providing proper care and resources for individuals with HAE. The lack of access to specialized hospitals or medical facilities that carry necessary medications like Berinert can severely impact the ability of patients to seek appropriate treatment while on vacation or in emergency situations. Moreover, the reliance on electronic or phone-based systems for prescription and medication delivery can introduce additional obstacles and delays in receiving necessary treatments.

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Diagnosis challenges (1) - Unmasking delays and misdiagnoses of HAE among patients

Misdiagnosis presents a significant challenge for patients. Given the rarity of HAE and its diverse symptomatology, healthcare professionals may encounter difficulties in accurately identifying the condition, leading to delayed or inaccurate diagnoses. Patients endure prolonged uncertainty, experiencing ongoing symptoms without a clear understanding of their underlying condition. This not only induces physical discomfort but also takes a toll on their emotional well-being, generating anxiety and a sense of helplessness. Moreover, misdiagnosis can result in the implementation of inappropriate or ineffective treatments.

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Diagnosis challenges (2) - Racial-ethnic minorities reported cases of misdiagnosis and dismissiveness

Delays and misdiagnosis are common in HAE, and racial and ethnic minorities face similar challenges. Disparities in healthcare can lead to unequal treatment and inadequate care. People of color sometimes face dismissive attitudes and a lack of attention towards their symptoms and concerns. This systemic bias increases their vulnerability to misdiagnosis or delayed diagnosis, preventing them from receiving timely and appropriate interventions. Furthermore, these individuals may not receive the quality care they deserve, encountering doctors with poor manners or a lack of cultural sensitivity.

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5

Navigating financial hurdles in HAE treatment

HAE patients often require expensive medications and treatments to manage their condition effectively. The financial burden associated with these therapies can be immense, leaving individuals struggling to afford the necessary treatments. Insurance coverage and formulary changes can further complicate the situation, resulting in unexpected copays or denials of coverage for previously covered medications. The high costs of medications like icatibant and Firazyr can create significant barriers to access, forcing patients to navigate complex healthcare systems and financial hardships. These cost concerns can limit the ability of individuals with HAE to maintain consistent preventative care.

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6

Patient insights into the complexities of the healthcare process and system

Patients find themselves increasingly frustrated and disheartened when they encounter roadblocks and a lack of timely assistance in their healthcare journey. These sentiments are echoed in patient posts, revealing dissatisfaction with the healthcare process and system. Patients with HAE highlight issues such as delays in receiving medication, difficulties accessing necessary supplies, a lack of support during emergencies, and challenges in obtaining specialized care. Through these shared experiences, it becomes evident that improvements in communication, accessibility, and responsiveness within the healthcare system are necessary to effectively meet the needs of patients.

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7

Enthusiasm and positive outlook emerge from clinical trial for HAE treatment

Excitement arises as patients share their experiences and inquire about the progress of the NTLA-2002 clinical trial for HAE treatment. Patients from all backgrounds, including racial minorities, describe the treatment as a "cure" and express optimism about its efficacy. Early results from the trial show promising outcomes, with several patients experiencing significant reductions in HAE attacks and even complete attack-free periods. The high cost of the therapy raises questions about insurance coverage, but the potential breakthrough and long-term cost savings compared to existing treatments make it an exciting development in HAE care.

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HCP Discourse Analysis

1

Exploring LC-FAOD through informative video content

Healthcare professionals (HCPs) utilize the power of videos to explain LC-FAODs, including their symptoms, dietary requirements, and nutrition considerations. 

They provide valuable insights into treatment options, emphasizing the importance of adhering to a suitable diet and the potential use of specialized formulas or supplements. HCPs also discuss how to manage sick days, offering practical advice to individuals with LC-FAODs and their caregivers. Additionally, HCPs address potential complications associated with LC-FAODs and provide guidance on when it is necessary to seek medical attention or go to the hospital. 

Through their participation in video presentations, HCPs facilitate knowledge sharing, provide support, and foster a community that is dedicated to enhancing the understanding and management of LC-FAODs.

2

Unveiling discoveries and advancements in therapies for LC-FAOD 

Recent research in the field of LC-FAODs has brought forth exciting novelties and promising advancements. Through various channels such as scientific publications, conferences, and online platforms, HCPs disseminate valuable insights and research outcomes that drive progress in the field of medicine.

HCPs share their findings, such as the recognition of ceramides as mediators of VLCADD-induced heart failure. This breakthrough discovery has led to the exploration of interventions targeting ceramide levels to prevent or mitigate heart failure in VLCADD patients. Research into personalized treatment methods for newborns with fatty acid oxidation disorders is also showcased.

Through their active sharing of findings, HCPs foster collaboration, inspire further research, and contribute to evidence-based practices. 

3

Insights from healthcare professionals in navigating complications in LC-FAODs

Healthcare professionals (HCPs) address complications associated with Long-Chain Fatty Acid Oxidation Disorders (LC-FAODs), including cardiac complications in LCHADD and retinopathy.

Through informative videos, HCPs delve into the intricacies of LC-FAOD-associated cardiac complications, providing valuable insights into the underlying mechanisms, risk factors, and management strategies. They also shed light on retinopathy, a potential complication of LC-FAODs that affects the eyes, discussing the causes, symptoms, and available treatment options. 

By sharing their expertise in these videos, HCPs aim to raise awareness, offer guidance, and empower individuals and caregivers to recognize and effectively manage these complications, ultimately improving the overall care and well-being of individuals living with LC-FAODs.

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Summary

Key Points
Challenges
Implications & Needs

Lack of trust

Misdiagnosis and a lack of awareness about hereditary angioedema (HAE) in healthcare providers contribute to a lack of trust and frustration among patients. 

When patients' symptoms are misdiagnosed or misunderstood, it erodes their confidence in the healthcare system.

This can lead to skepticism, reluctance to seek medical care, and a breakdown in communication between patients and healthcare providers. 

  • Develop comprehensive educational materials about HAE and utilize telehealth platforms for remote expert guidance and support.
  • Introduce educational programs for healthcare professionals to increase awareness and knowledge about HAE, emphasizing cultural competency and sensitivity training to address biases and promote equitable care.

Poor healthcare system

Limited access to healthcare facilities, particularly in underserved communities, results in delayed or inadequate HAE diagnosis and treatment. 

Fragmented care, lack of coordination among healthcare providers, and inefficient referral processes impede timely and comprehensive care delivery. 

High healthcare costs, insurance barriers, and financial constraints prevent individuals from accessing necessary HAE treatments and follow-up care.

  • Establish specialized HAE clinics with experienced providers, provide patients a comprehensive list of HAE experts and resources, and equip them with copay insurance information and support.
  • Enhance care coordination and accessibility for HAE patients by supporting healthcare providers in adopting digital tools and implementing nurse-to-home services.

Clinical trial engagement

The patient's need for more information and updates about clinical trials in HAE is evident. Addressing these challenges can foster informed patient participation, enhance transparency, and facilitate data-driven decision-making in HAE clinical trials.

  • Develop clear and accessible educational materials about ongoing clinical trials, and provide user-friendly platforms or dedicated websites outlining essential trial information.
  • Promote transparency in sharing clinical trial results and updates through online portals or patient support programs to foster trust and engagement among patients, while actively seeking patient feedback to ensure patient-centric approaches.