Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management
| Autor: | Leanne M Ward, David J. Birnkrant, Angela Blackwell, Shree Pandya, Paula R. Clemens, Susan D. Apkon, Katharine Bushby, Laura E. Case, David Brumbaugh, Stasia Hadjiyannakis, Jean Tomezsko, David R. Weber, Carla M. Bann, Kathryn R. Wagner, Natalie Street |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Neuromuscular disease Duchenne muscular dystrophy medicine.medical_treatment Neuromuscular Junction MEDLINE Endocrine System 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Humans Medicine Medical nutrition therapy Muscular dystrophy Disease management (health) Intensive care medicine Rehabilitation business.industry Disease Management medicine.disease Gastrointestinal Tract Muscular Dystrophy Duchenne 030104 developmental biology Nutrition Therapy Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | The Lancet Neurology. 17:251-267 |
| ISSN: | 1474-4422 |
| DOI: | 10.1016/s1474-4422(18)30024-3 |
| Popis: | Since the publication of the Duchenne muscular dystrophy (DMD) care considerations in 2010, multidisciplinary care of this severe, progressive neuromuscular disease has evolved. In conjunction with improved patient survival, a shift to more anticipatory diagnostic and therapeutic strategies has occurred, with a renewed focus on patient quality of life. In 2014, a steering committee of experts from a wide range of disciplines was established to update the 2010 DMD care considerations, with the goal of improving patient care. The new care considerations aim to address the needs of patients with prolonged survival, to provide guidance on advances in assessments and interventions, and to consider the implications of emerging genetic and molecular therapies for DMD. The committee identified 11 topics to be included in the update, eight of which were addressed in the original care considerations. The three new topics are primary care and emergency management, endocrine management, and transitions of care across the lifespan. In part 1 of this three-part update, we present care considerations for diagnosis of DMD and neuromuscular, rehabilitation, endocrine (growth, puberty, and adrenal insufficiency), and gastrointestinal (including nutrition and dysphagia) management. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|