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Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management.

Publication ,  Journal Article
Birnkrant, DJ; Bushby, K; Bann, CM; Apkon, SD; Blackwell, A; Brumbaugh, D; Case, LE; Clemens, PR; Hadjiyannakis, S; Pandya, S; Street, N ...
Published in: Lancet Neurol
March 2018

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.

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Published In

Lancet Neurol

DOI

EISSN

1474-4465

Publication Date

March 2018

Volume

17

Issue

3

Start / End Page

251 / 267

Location

England

Related Subject Headings

  • Nutrition Therapy
  • Neuromuscular Junction
  • Neurology & Neurosurgery
  • Muscular Dystrophy, Duchenne
  • Humans
  • Gastrointestinal Tract
  • Endocrine System
  • Disease Management
  • 3209 Neurosciences
  • 3202 Clinical sciences
 

Citation

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Birnkrant, D. J., Bushby, K., Bann, C. M., Apkon, S. D., Blackwell, A., Brumbaugh, D., … DMD Care Considerations Working Group. (2018). Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management. Lancet Neurol, 17(3), 251–267. https://doi.org/10.1016/S1474-4422(18)30024-3
Birnkrant, David J., Katharine Bushby, Carla M. Bann, Susan D. Apkon, Angela Blackwell, David Brumbaugh, Laura E. Case, et al. “Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management.Lancet Neurol 17, no. 3 (March 2018): 251–67. https://doi.org/10.1016/S1474-4422(18)30024-3.
Birnkrant DJ, Bushby K, Bann CM, Apkon SD, Blackwell A, Brumbaugh D, et al. Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management. Lancet Neurol. 2018 Mar;17(3):251–67.
Birnkrant, David J., et al. “Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management.Lancet Neurol, vol. 17, no. 3, Mar. 2018, pp. 251–67. Pubmed, doi:10.1016/S1474-4422(18)30024-3.
Birnkrant DJ, Bushby K, Bann CM, Apkon SD, Blackwell A, Brumbaugh D, Case LE, Clemens PR, Hadjiyannakis S, Pandya S, Street N, Tomezsko J, Wagner KR, Ward LM, Weber DR, DMD Care Considerations Working Group. Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management. Lancet Neurol. 2018 Mar;17(3):251–267.
Journal cover image

Published In

Lancet Neurol

DOI

EISSN

1474-4465

Publication Date

March 2018

Volume

17

Issue

3

Start / End Page

251 / 267

Location

England

Related Subject Headings

  • Nutrition Therapy
  • Neuromuscular Junction
  • Neurology & Neurosurgery
  • Muscular Dystrophy, Duchenne
  • Humans
  • Gastrointestinal Tract
  • Endocrine System
  • Disease Management
  • 3209 Neurosciences
  • 3202 Clinical sciences