The promise of patient-initiated research

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Brian Loew, CEO of Inspire, and patient advocate Katherine Leon presented at a June 2013 conference, #140YOU, on the topic of rare diseases and social networks. Katherine, internationally known for her "SCAD Ladies" advocacy, described how she and other women with a rare heart condition, spontaneous coronary artery dissection, self-organized on an Inspire online support community and fueled new research by the Mayo Clinic.

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The promise ofpatient-initiated research

Brian Loew @brianloewbrian@inspire.com

#140YOU

June 2013

Katherine Leon @katherinekleonkatherine@scadresearch.org

A story about...

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Search

Discovery

Self-organization

Empowerment

• Chutzpah

• Enlightenment

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

What is Spontaneous Coronary Artery Dissection?

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Source: Mayo Clinic

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

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Search

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

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Discovery

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

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Discovery

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

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Discovery

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

Searching online for answers

From: <name>@aol.com [mailto:<name>@aol.com]Sent: Wednesday, May 19, 2004 10:01 PMTo: KAKLeon@verizon.netSubject: Re: postpartum dissection

Katherine,  

I am glad to hear that your test results were good.  Melissa has talked to several women that have had this same problem.  I  have the e-mail address of a few of them.  I will give your name and e-mail address to them so that you all can talk.  I don't think you will mind will you?  I will also send you the e-mail addresses I have.  I know how important it is to be able to talk to each other.  Maybe Melissa will have her computer up and working in a week or two.

Good Luck, <name>Lubbock, TX

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

And still searching

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

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Making connections

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

Growth of SCAD members

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Katherine Leon makes concrete connections with others with SCAD

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

Growth of SCAD members

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Laura Haywood-Cory posts “All the SCAD Ladies”

Katherine Leon makes concrete connections with others with SCAD

WomenHeart partners with Inspire

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

A researcher heeds the call

13Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

Growth of SCAD members

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Laura Haywood-Cory posts “All the SCAD Ladies”

Katherine Leon makes concrete connections with others with SCAD

Dr. Sharonne Hayes launches pilot research

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

15Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

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Initial findingsFrom Mayo Clinic Proceedings

September, 2011

CONCLUSION 

Our pilot demonstrates successful social

networking-enabled research participant

engagement and recruitment among members

of an international disease-specific online

community and outlines a novel methodology

to obtain retrospective and prospective data

from persons with uncommon, poorly

understood conditions. Our pilot serves as a

model as we develop a more extensive,

much-needed retrospective and prospective

study of SCAD. This process of recruiting

research trial participants with self-identified

conditions from social networking Internet

sites represents a mechanism to develop a

novel “multicenter disease registry” that could

be replicated to study and propel medical

advances in other uncommon conditions that

may not otherwise be subjects of active

investigation.

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

Growth of SCAD members

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Laura Haywood-Cory posts “All the SCAD Ladies”

Katherine Leon makes concrete connections with others with SCAD

Dr. Sharonne Hayes launches pilot research

Initial Mayo findings published

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

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The future

Sharonne Hayes, MD, Mayo Clinic

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

In conclusion

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Value is created by patients like Katherine -- not (only) through ‘traditional’ channels.

Many patients want to contribute to research, but patients need better pathways to access researchers.

Technology matters a great deal.

Technology doesn’t matter at all.

Brian Loew @brianloewbrian@inspire.com

Katherine Leon @katherinekleonkatherine@scadresearch.org

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