Show simple item record Bladen CL Thompson R Jackson JM Garland C Wegel C Schreiber O Lusakowska A Jedrzejowska M Kostera-Pruszczyk A van der Pol L Wadman RI Gredal O Karaduman A Topaloglu H Yilmaz O Matyushenko V Rasic VM Kosac A Karcagi, Veronika Garami M Herczegfalvi, Ágnes Monges S Moresco A Chertkoff L Chamova T Guergueltcheva V Butoianu N Craiu D Korngut L Campbell C Haberlova J Strenkova J Alejandro M Jimenez A Ortiz GG Enriquez GV Rodrigues M Roxburgh R Dawkins H Youngs L Lahdetie J Angelkova N Saugier-Veber P Cuisset JM Bloetzer C Jeannet PY Klein A Nascimento A Tizzano E Salgado D Mercuri E Sejersen T Kirschner J Rafferty K Straub V Bushby K Verschuuren J Beroud C Lochmuller H 2016-11-17T15:05:37Z 2016-11-17T15:05:37Z 2014
dc.identifier 84893295727
dc.identifier.citation pagination=152-163; journalVolume=261; journalIssueNumber=1; journalTitle=JOURNAL OF NEUROLOGY;
dc.identifier.uri doi:10.1007/s00415-013-7154-1
dc.description.abstract Spinal muscular atrophy (SMA) is an autosomal recessive genetic disorder characterised by the degeneration of motor neurons and progressive muscle weakness. It is caused by homozygous deletions in the survival motor neuron gene on chromosome 5. SMA shows a wide range of clinical severity, with SMA type I patients often dying before 2 years of age, whereas type III patients experience less severe clinical manifestations and can have a normal life span. Here, we describe the design, setup and utilisation of the TREAT-NMD national SMA patient registries characterised by a small, but fully standardised set of registry items and by genetic confirmation in all patients. We analyse a selection of clinical items from the SMA registries in order to provide a snapshot of the clinical data stratified by SMA subtype, and compare these results with published recommendations on standards of care. Our study included 5,068 SMA patients in 25 countries. A total of 615 patients were ventilated, either invasively (178) or non-invasively (437), 439 received tube feeding and 455 had had scoliosis surgery. Some of these interventions were not available to patients in all countries, but differences were also noted among high-income countries with comparable wealth and health care systems. This study provides the basis for further research, such as quality of life in ventilated SMA patients, and will inform clinical trial planning.
dc.relation.ispartof urn:issn:0340-5354
dc.title Mapping the differences in care for 5,000 Spinal Muscular Atrophy patients, a survey of 24 national registries in North America, Australasia and Europe
dc.type Journal Article 2015-11-06T13:01:11Z
dc.language.rfc3066 en
dc.identifier.mtmt 2445592
dc.identifier.wos 000330962500017
dc.identifier.pubmed 24162038
dc.contributor.department SE/AOK/K/II. Sz. Gyermekgyógyászati Klinika
dc.contributor.institution Semmelweis Egyetem

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