1. Initiating an undiagnosed diseases program in the Western Australian public health system
- Author
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Baynam, G, Broley, S, Bauskis, A, Pachter, N, McKenzie, F, Townshend, S, Slee, J, Kiraly-Borri, C, Vasudevan, A, Hawkins, A, Schofield, L, Helmholz, P, Palmer, R, Kung, S, Walker, CE, Molster, C, Lewis, B, Mina, K, Beilby, J, Pathak, G, Poulton, C, Groza, T, Zankl, A, Roscioli, T, Dinger, ME, Mattick, JS, Gahl, W, Groft, S, Tifft, C, Taruscio, D, Lasko, P, Kosaki, K, Wilhelm, H, Melegh, B, Carapetis, J, Jana, S, Chaney, G, Johns, A, Owen, PW, Daly, F, Weeramanthri, T, Dawkins, H, Goldblatt, J, Baynam, G, Broley, S, Bauskis, A, Pachter, N, McKenzie, F, Townshend, S, Slee, J, Kiraly-Borri, C, Vasudevan, A, Hawkins, A, Schofield, L, Helmholz, P, Palmer, R, Kung, S, Walker, CE, Molster, C, Lewis, B, Mina, K, Beilby, J, Pathak, G, Poulton, C, Groza, T, Zankl, A, Roscioli, T, Dinger, ME, Mattick, JS, Gahl, W, Groft, S, Tifft, C, Taruscio, D, Lasko, P, Kosaki, K, Wilhelm, H, Melegh, B, Carapetis, J, Jana, S, Chaney, G, Johns, A, Owen, PW, Daly, F, Weeramanthri, T, Dawkins, H, and Goldblatt, J
- Abstract
© 2017 The Author(s). Background: New approaches are required to address the needs of complex undiagnosed diseases patients. These approaches include clinical genomic diagnostic pipelines, utilizing intra- and multi-disciplinary platforms, as well as specialty-specific genomic clinics. Both are advancing diagnostic rates. However, complementary cross-disciplinary approaches are also critical to address those patients with multisystem disorders who traverse the bounds of multiple specialties and remain undiagnosed despite existing intra-specialty and genomic-focused approaches. The diagnostic possibilities of undiagnosed diseases include genetic and non-genetic conditions. The focus on genetic diseases addresses some of these disorders, however a cross-disciplinary approach is needed that also simultaneously addresses other disorder types. Herein, we describe the initiation and summary outcomes of a public health system approach for complex undiagnosed patients- the Undiagnosed Diseases Program-Western Australia (UDP-WA). Results: Briefly the UDP-WA is: i) one of a complementary suite of approaches that is being delivered within health service, and with community engagement, to address the needs of those with severe undiagnosed diseases; ii) delivered within a public health system to support equitable access to health care, including for those from remote and regional areas; iii) providing diagnoses and improved patient care; iv) delivering a platform for in-service and real time genomic and phenomic education for clinicians that traverses a diverse range of specialties; v) retaining and recapturing clinical expertise; vi) supporting the education of junior and more senior medical staff; vii) designed to integrate with clinical translational research; and viii) is supporting greater connectedness for patients, families and medical staff. Conclusion: The UDP-WA has been initiated in the public health system to complement existing clinical genomic approaches; it has be
- Published
- 2017