NIGRiR · International cooperation

European Reference Networks (ERN)

The National Institute of Geriatrics, Rheumatology and Rehabilitation in Warsaw participates in the ERN ReCONNET and ERN RITA. Cooperation among European centres improves access to specialist expertise in the diagnosis and treatment of rare and complex diseases.

Knowledge sharing, clinical collaboration, research and education.
“Knowledge travels, not the patient.”

Areas of cooperation

Two European Reference Networks at NIGRiR

ERN ReCONNET · full member

Rare and complex connective tissue and musculoskeletal diseases

The network brings together expert centres, clinicians, researchers and patient representatives. It supports multidisciplinary consultations, care standards, registries and education. NIGRiR also serves as the Polish ERN ReCONNET National Hub.

ERN RITA · member centre

Rare disorders of the immune system

Collaboration in primary immunodeficiencies, autoinflammatory and autoimmune diseases. NIGRiR’s profile within this network includes paediatric rheumatology.

National coordination and clinical expertise

The role of NIGRiR in ERN ReCONNET

ERN ReCONNET National Hub – Poland

National Hub – Poland

As the National Hub, NIGRiR connects the European network with the Polish healthcare system. It fosters cooperation among healthcare professionals, patient organisations and national institutions, and disseminates information on ERN tools, expert consultations, registries and educational activities.

Representative: Professor Marzena Olesińska, MD, PhD
Deputy representative: Maria Maślińska, MD, PhD, Associate Professor at NIGRiR

International Disease Group

Mixed connective tissue disease (MCTD)

NIGRiR co-coordinates the MCTD Disease Group within ERN ReCONNET. The co-coordinators are Marzena Olesińska and Benjamin Chaigne. The group develops collaborative research and educational initiatives, including early recognition, assessment of irreversible damage and patient participation in research.

Network structure · ERN ReCONNET

An expert network organised into ten Disease Groups

The network brings together Disease Groups and cross-cutting Working Groups focusing on education, registries, research, quality of care and patient partnership.

23 European countries54 full members9 affiliated partners10 Disease Groups

Diseases covered by the network

Antiphospholipid syndrome (APS)
Ehlers–Danlos syndromes (EDS)
Idiopathic inflammatory myopathies (IIM)
IgG4-related disease (IgG4-RD)
Mixed connective tissue disease (MCTD)
Relapsing polychondritis (RP)
Sjögren’s disease (SjD)
Systemic lupus erythematosus (SLE)
Systemic sclerosis (SSc)
Undifferentiated connective tissue disease (UCTD)

How is the network organised?

Disease Groups — develop disease-specific knowledge and initiatives, with active involvement of patient representatives.

Working Groups — education and training; registries and e-health; research and quality of care; patient partnership; and young professionals (ERN ReCONNET Young).

National Hubs — represent and promote the network nationally and support the integration of its activities into healthcare systems.

ERN ReCONNET structure and activities ↗
ERN ReCONNET projects and tools

From expert consultation to better care pathways

01

CPMS 2.0 — European expert consultations

Clinical Patient Management System is a secure platform for discussing complex patient cases among multidisciplinary expert teams across countries. Its updated version facilitates collaboration among centres, including invited specialists.

About CPMS 2.0 ↗
02

TogethERN ReCONNET — registries

A European registry infrastructure for harmonising data collection on rare connective tissue diseases. Common data standards support analyses of disease course, manifestations and care outcomes, as well as multicentre research.

About registries ↗
03

Red Flags — early recognition

Development of warning signs to help recognise a possible rare disease earlier and refer patients to the appropriate specialist in a timely manner. The network is advancing initiatives for different disease groups, including MCTD.

Clinical tools ↗
04

RarERN Path — patient care pathways

Development of care pathway models for people with rare diseases, taking account of multidisciplinary input, collaboration between centres and the patient perspective. One area of work concerns systemic sclerosis.

RarERN Path project ↗
05

Transition of Care — continuity of care

Developing standards for the transition from paediatric to adult care, including team competencies, cooperation among specialists, decision-support tools and quality indicators.

Transition of Care Task Force ↗
06

Clinical guidelines and quality of care

Collaborative clinical guidance, reviews of guidelines, decision-support tools and exchange of good organisational practices. This work involves experts and patient representatives.

Guidelines and tools ↗
NIGRiR activities in the MCTD Disease GroupResearch on the assessment of irreversible disease damage

Expert work on an instrument for assessing irreversible organ damage in mixed connective tissue disease has been undertaken in Warsaw, with international specialists and patient representatives.

NIGRiR news ↗
Practical information

What does ERN cooperation mean for patients?

01 · Treating physician

In a complex diagnostic or treatment situation, a patient may discuss the need for an expert consultation with their treating physician.

02 · Case assessment

The medical team assesses whether a consultation within the European network is appropriate and possible under the applicable procedures.

03 · Expert consultation

An authorised centre may use CPMS in accordance with data protection requirements and the necessary patient consent.

ERNs primarily enable knowledge sharing among healthcare centres. Patients do not register for CPMS themselves; access to regular NIGRiR healthcare services follows the Institute’s standard procedures.
Patient partnership · ePAG

Patients help shape the network’s activities

Representatives of European patient organisations (European Patient Advocacy Groups, ePAG) participate in Disease Groups, webinars, educational materials and quality-of-care initiatives. Contributors to the MCTD group include Magdalena Ciupera and Vera Guimarães.

Meet the patient representatives ↗
Does an ERN consultation require travelling abroad?

Usually not. Experts from different countries may discuss a case remotely. Any cross-border treatment is subject to separate rules.

Education and knowledge dissemination

Training, webinars and exchange of expertise

ERN ReCONNET provides educational activities for physicians, other healthcare professionals and patient representatives through webinars, courses, scientific meetings and exchanges among centres. Some resources are available online free of charge.

Selected learning opportunities

Course on rare connective tissue diseases: disease-specific modules drawing on expert knowledge and patient perspectives.

Exchange programme: short educational placements at network centres, supporting the exchange of good practices.

Transition of Care training: preparing teams to ensure continuity between paediatric and adult healthcare.

Read and download

Resources for patients and healthcare professionals

ERN ReCONNET — information in Polish (PDF) ↗A concise introduction to the network, the diseases covered and expert consultations. This PDF is in Polish.
Information for patients ↗Educational resources, including patient-friendly explanations of guidelines.
Clinical guidelines and tools ↗Resources supporting clinical practice and decision-making.
Patient partnership in the network ↗European patient advocates and organisations.
Contact

ERN ReCONNET National Hub – Poland

National Institute of Geriatrics, Rheumatology and Rehabilitation
1 Spartańska Street, 02-637 Warsaw, Poland

Official contact address for the Polish National Hub.

Representative: Professor Marzena Olesińska, MD, PhD
marzena.olesinska@spartanska.pl

Deputy representative: Maria Maślińska, MD, PhD, Associate Professor at NIGRiR
maria.maslinska@spartanska.pl

Information about ERN RITA: NIGRiR centre profile ↗