Exploring the burdens of women living with Fabry disease in Japan: A patient survey of 62 respondents

The challenges encountered by women living with Fabry disease in Japan are not well understood. This study aimed to elucidate the experiences of women with Fabry disease and their support networks from both female and male perspectives. A 22-question survey was conducted among patients with Fabry di...

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Main Authors: Masahisa Kobayashi, Ikuko Kaku, Nanae Goto, Mio Tsuchiya, Norio Sakai
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Molecular Genetics and Metabolism Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214426925000461
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author Masahisa Kobayashi
Ikuko Kaku
Nanae Goto
Mio Tsuchiya
Norio Sakai
author_facet Masahisa Kobayashi
Ikuko Kaku
Nanae Goto
Mio Tsuchiya
Norio Sakai
author_sort Masahisa Kobayashi
collection DOAJ
description The challenges encountered by women living with Fabry disease in Japan are not well understood. This study aimed to elucidate the experiences of women with Fabry disease and their support networks from both female and male perspectives. A 22-question survey was conducted among patients with Fabry disease and their caregivers (≥18 years) in Japan between August and October 2023. Sixty-two recipients completed the questionnaire (11.5 % response rate); 47 (75.8 %) were female and the mean age was 52.4 years. Overall, 51 respondents (82.3 %) identified as patients, 2 (3.2 %) as caregivers, 6 (9.7 %) as both a patient and caregiver, and 3 (4.8 %) as “other”. In total, 43 respondents (69.4 %) were women with Fabry disease. Among life events surveyed, Fabry disease had the greatest impact for women during family planning. The most commonly reported concerns for women were inheritance of Fabry disease and impact on children, the main reasons for which were prejudice, stigma, and sense of guilt associated with inheritance. In all, 28.1 % of respondents felt family and colleagues understood women's challenges with Fabry disease, while 37.9 % believed their primary care physicians and 48.3 % felt their specialist physicians understood these challenges; 26.3 % thought women received tailored care, and 75.9 % felt the condition affects mental health. Women with Fabry disease in Japan face substantial emotional burdens and lack support from their community and physicians. Healthcare professionals can play a pivotal role by offering genetic counseling and developing support programs to alleviate mental burdens and provide education about the disease and family planning implications.
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spelling doaj-art-7af14568f5874e1ca3060d18fa3abc9b2025-08-20T02:07:34ZengElsevierMolecular Genetics and Metabolism Reports2214-42692025-06-014310123110.1016/j.ymgmr.2025.101231Exploring the burdens of women living with Fabry disease in Japan: A patient survey of 62 respondentsMasahisa Kobayashi0Ikuko Kaku1Nanae Goto2Mio Tsuchiya3Norio Sakai4Department of Pediatrics, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-ku, Tokyo 105-8461, Japan; Corresponding author.Japan Fabry Disease Patients and Family Association (JFA), 305 Shuwa Shinsakamachi Residence, 8-5-9 Akasaka, Minato-ku, Tokyo 107-0052, JapanPatient & Professional Advocacy, Amicus Therapeutics K.K., Shin Marunouchi Center Building 19F, 1-6-2 Marunouchi Chiyoda-ku, Tokyo 100-0005, JapanPatient & Professional Advocacy, Amicus Therapeutics K.K., Shin Marunouchi Center Building 19F, 1-6-2 Marunouchi Chiyoda-ku, Tokyo 100-0005, JapanCenter for Promoting Treatment of Intractable Diseases, ISEIKAI International General Hospital, Osaka 530-0052, JapanThe challenges encountered by women living with Fabry disease in Japan are not well understood. This study aimed to elucidate the experiences of women with Fabry disease and their support networks from both female and male perspectives. A 22-question survey was conducted among patients with Fabry disease and their caregivers (≥18 years) in Japan between August and October 2023. Sixty-two recipients completed the questionnaire (11.5 % response rate); 47 (75.8 %) were female and the mean age was 52.4 years. Overall, 51 respondents (82.3 %) identified as patients, 2 (3.2 %) as caregivers, 6 (9.7 %) as both a patient and caregiver, and 3 (4.8 %) as “other”. In total, 43 respondents (69.4 %) were women with Fabry disease. Among life events surveyed, Fabry disease had the greatest impact for women during family planning. The most commonly reported concerns for women were inheritance of Fabry disease and impact on children, the main reasons for which were prejudice, stigma, and sense of guilt associated with inheritance. In all, 28.1 % of respondents felt family and colleagues understood women's challenges with Fabry disease, while 37.9 % believed their primary care physicians and 48.3 % felt their specialist physicians understood these challenges; 26.3 % thought women received tailored care, and 75.9 % felt the condition affects mental health. Women with Fabry disease in Japan face substantial emotional burdens and lack support from their community and physicians. Healthcare professionals can play a pivotal role by offering genetic counseling and developing support programs to alleviate mental burdens and provide education about the disease and family planning implications.http://www.sciencedirect.com/science/article/pii/S2214426925000461Fabry diseaseWomenQuality of lifePatient surveyJapanMental burden
spellingShingle Masahisa Kobayashi
Ikuko Kaku
Nanae Goto
Mio Tsuchiya
Norio Sakai
Exploring the burdens of women living with Fabry disease in Japan: A patient survey of 62 respondents
Molecular Genetics and Metabolism Reports
Fabry disease
Women
Quality of life
Patient survey
Japan
Mental burden
title Exploring the burdens of women living with Fabry disease in Japan: A patient survey of 62 respondents
title_full Exploring the burdens of women living with Fabry disease in Japan: A patient survey of 62 respondents
title_fullStr Exploring the burdens of women living with Fabry disease in Japan: A patient survey of 62 respondents
title_full_unstemmed Exploring the burdens of women living with Fabry disease in Japan: A patient survey of 62 respondents
title_short Exploring the burdens of women living with Fabry disease in Japan: A patient survey of 62 respondents
title_sort exploring the burdens of women living with fabry disease in japan a patient survey of 62 respondents
topic Fabry disease
Women
Quality of life
Patient survey
Japan
Mental burden
url http://www.sciencedirect.com/science/article/pii/S2214426925000461
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