We considered a subset of items taken from the core data set that is common to all diseases in the ESID database: disease, year of birth, year of death, sex, status, current place of living, consanguinity, familial case, date of clinical diagnosis, date of genetic diagnosis, selleck kinase inhibitor date of onset and genetic cause. The onset of disease was defined as the date of first severe infection or characteristic manifestation of the respective PID. The date of clinical diagnosis was defined as the date when the patient was diagnosed based on clinical features and laboratory values. The date of genetic diagnosis was defined as the date when the genetic diagnosis was confirmed.
We also describe some basic items on therapy, which are current status of therapy, drug group, route of administration and transplant information. For each of the core countries, we calculated the minimum prevalence of PID in the current total population for all PID taken together and for single PID separately. Furthermore, we calculated incidence rates for these countries. As we are dealing with inborn diseases, we defined incidence not based
on the time when the disease presented itself, but on the date of birth. Using this definition, the incidence rate tells us how many people born in a given year presented with a PID later on in their life. We report the incidence rate per 100 000 live births for 4-year time-spans from 1963 to 2010 to increase readability. Population and live birth numbers Alectinib were taken from Eurostat (http://epp.eurostat.ec.europa.eu). We analysed the age structure within the main disease categories by forming four age groups that are based on the quartiles of the total age distribution. We furthermore calculated the age distribution (frequencies) among male and female living patients. We analysed the time between the onset of the disease and the correct diagnosis, N-acetylglucosamine-1-phosphate transferase also known as the ‘diagnostic delay’. We examined the development of the diagnostic delay between 1987 and 2010 for the core diseases for the total population and separately for the core countries. Date of diagnosis
was taken to be either ‘date of clinical diagnosis’ or ‘date of genetic diagnosis’, depending upon which came first. Missing values in ‘year of diagnosis’ (7%) and ‘year of onset’ (15%) were seen to be missing completely at random, and in order to not lose any power the respective values were reconstructed by using the median of diagnostic delay from the complete case data set. As month and day values for onset and diagnosis were distributed uniformly among the complete cases, respective missing values were substituted by randomly drawn values from corresponding uniform distributions. Patients were furthermore grouped according to the year of diagnosis and then aggregated into 4-year groups to improve the readability of the results.