GROWing Up With Rare GENEtic Syndromes

  • STATUS
    Recruiting
  • End date
    Jan 1, 2030
  • participants needed
    600
  • sponsor
    dr. Laura C. G. de Graaff-Herder
Updated on 19 February 2024
congenital diseases
premature
intellectual disability
genetic disorder
rare diseases
congenital disorders
pediatric
congenital disorder

Summary

Introduction Rare complex syndromes Patients with complex genetic syndromes, by definition, have combined medical problems affecting multiple organ systems, and intellectual disability is often part of the syndrome. During childhood, patients with rare genetic syndromes receive multidisciplinary and specialized medical care; they usually receive medical care from 3-4 medical specialists.

Increased life expectancy Although many genetic syndromes used to cause premature death, improvement of medical care has improved life expectancy. More and more patients are now reaching adult age, and the complexity of the syndrome persists into adulthood. However, until recently, multidisciplinary care was not available for adults with rare genetic syndromes. Ideally, active and well-coordinated health management is provided to prevent, detect, and treat comorbidities that are part of the syndrome. However, after transition from pediatric to adult medical care, patients and their parents often report fragmented poor quality care instead of adequate and integrated health management. Therefore, pediatricians express the urgent need for adequate, multidisciplinary adult follow up of their pediatric patients with rare genetic syndromes.

Medical guidelines for adults not exist and the literature on health problems in these adults is scarce. Although there is a clear explanation for the absence of adult guidelines (i.e. the fact that in the past patients with rare genetic syndromes often died before reaching adult age), there is an urgent need for an overview of medical issues at adult age, for 'best practice' and, if possible, for medical guidelines.

The aim of this study is to get an overview of medical needs of adults with rare genetic syndromes, including:

  1. comorbidities
  2. medical and their impact on quality of life
  3. medication use
  4. the need for adaption of medication dose according to each syndrome

Methods and Results This is a retrospective file study. Analysis will be performed using SPSS version 23 and R version 3.6.0.

Details
Condition Prader-Willi Syndrome, Noonan Syndrome, Male Pseudohermaphroditism, Tuberous Sclerosis, Neurofibromatosis, Neurofibromatosis, Hermaphroditism, Rett Syndrome, Cornelia De Lange Syndrome, Kallmann's Syndrome, CHARGE Syndrome, CONNECTIVE TISSUE DISEASE, dermatomyositis (connective tissue disease), Congenital adrenal hyperplasia, Congenital adrenal hyperplasia, Hypogonadism, Hypogonadism, Klinefelter's Syndrome, Congenital Heart Defect, Congenital Heart Disease, NF1 gene, Williams Syndrome, Hereditary Neoplastic Syndrome, hereditary cancer syndromes, Bardet-Biedl Syndrome, Obesity, Obesity, DiGeorge Syndrome, Turner's Syndrome, Saethre-Chotzen Syndrome, 22q11 Deletion Syndrome, Congenital Heart Disease, dermatomyositis (connective tissue disease), hereditary cancer syndromes, PWS-like Syndrome, Silver Russel Syndrome, Congenital Hypopituitarism, XXXX Syndrome (Tetra-X Syndrome), Albright Hereditaire Osteodystrofie, 17p- Deletiesyndrome, POLR3A Mutatie, Ohdo Syndrome, Jacobsen Syndrome / 11 q Syndrome, Myrhe Syndrome, 1q25-32 Deletie, Allan-Herndon-Dudley Syndrome, Rare Bone Disorders
Age 18-100 years
Treatment Retrospective file studies
Clinical Study IdentifierNCT04463316
Sponsordr. Laura C. G. de Graaff-Herder
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Patients with rare syndromes or rare congenital diseases visiting the multidisciplinary outpatient clinic for patients with rare diseases at the department of endocrinology, internal medicine, Erasmus Medical Center

Exclusion Criteria

None
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