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Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care.

Publication ,  Journal Article
Bushby, K; Finkel, R; Birnkrant, DJ; Case, LE; Clemens, PR; Cripe, L; Kaul, A; Kinnett, K; McDonald, C; Pandya, S; Poysky, J; Shapiro, F ...
Published in: Lancet Neurol
February 2010

Optimum management of Duchenne muscular dystrophy (DMD) requires a multidisciplinary approach that focuses on anticipatory and preventive measures as well as active interventions to address the primary and secondary aspects of the disorder. Implementing comprehensive management strategies can favourably alter the natural history of the disease and improve function, quality of life, and longevity. Standardised care can also facilitate planning for multicentre trials and help with the identification of areas in which care can be improved. Here, we present a comprehensive set of DMD care recommendations for management of rehabilitation, orthopaedic, respiratory, cardiovascular, gastroenterology/nutrition, and pain issues, as well as general surgical and emergency-room precautions. Together with part 1 of this Review, which focuses on diagnosis, pharmacological treatment, and psychosocial care, these recommendations allow diagnosis and management to occur in a coordinated multidisciplinary fashion.

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Published In

Lancet Neurol

DOI

EISSN

1474-4465

Publication Date

February 2010

Volume

9

Issue

2

Start / End Page

177 / 189

Location

England

Related Subject Headings

  • Treatment Outcome
  • Respiration Disorders
  • Quality of Life
  • Physical Therapy Specialty
  • Patient Care Team
  • Pain Management
  • Pain
  • Nutritional Requirements
  • Neurology & Neurosurgery
  • Muscular Dystrophy, Duchenne
 

Citation

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Bushby, K., Finkel, R., Birnkrant, D. J., Case, L. E., Clemens, P. R., Cripe, L., … DMD Care Considerations Working Group. (2010). Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care. Lancet Neurol, 9(2), 177–189. https://doi.org/10.1016/S1474-4422(09)70272-8
Bushby, Katharine, Richard Finkel, David J. Birnkrant, Laura E. Case, Paula R. Clemens, Linda Cripe, Ajay Kaul, et al. “Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care.Lancet Neurol 9, no. 2 (February 2010): 177–89. https://doi.org/10.1016/S1474-4422(09)70272-8.
Bushby K, Finkel R, Birnkrant DJ, Case LE, Clemens PR, Cripe L, et al. Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care. Lancet Neurol. 2010 Feb;9(2):177–89.
Bushby, Katharine, et al. “Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care.Lancet Neurol, vol. 9, no. 2, Feb. 2010, pp. 177–89. Pubmed, doi:10.1016/S1474-4422(09)70272-8.
Bushby K, Finkel R, Birnkrant DJ, Case LE, Clemens PR, Cripe L, Kaul A, Kinnett K, McDonald C, Pandya S, Poysky J, Shapiro F, Tomezsko J, Constantin C, DMD Care Considerations Working Group. Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care. Lancet Neurol. 2010 Feb;9(2):177–189.
Journal cover image

Published In

Lancet Neurol

DOI

EISSN

1474-4465

Publication Date

February 2010

Volume

9

Issue

2

Start / End Page

177 / 189

Location

England

Related Subject Headings

  • Treatment Outcome
  • Respiration Disorders
  • Quality of Life
  • Physical Therapy Specialty
  • Patient Care Team
  • Pain Management
  • Pain
  • Nutritional Requirements
  • Neurology & Neurosurgery
  • Muscular Dystrophy, Duchenne