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A multidisciplinary approach and consensus statement to establish standards of care for Angelman syndrome

Authors :
Jessica Duis
Mark Nespeca
Jane Summers
Lynne Bird
Karen G.C.B. Bindels‐de Heus
M. J. Valstar
Marie‐Claire Y. Wit
C. Navis
Maartje ten Hooven‐Radstaake
Bianca M. Iperen‐Kolk
Susan Ernst
Melina Dendrinos
Terry Katz
Gloria Diaz‐Medina
Akshat Katyayan
Srishti Nangia
Ronald Thibert
Daniel Glaze
Christopher Keary
Karine Pelc
Nicole Simon
Anjali Sadhwani
Helen Heussler
Anne Wheeler
Caroline Woeber
Margaret DeRamus
Amy Thomas
Emily Kertcher
Lauren DeValk
Kristen Kalemeris
Kara Arps
Carol Baym
Nicole Harris
John P. Gorham
Brenda L. Bohnsack
Reid C. Chambers
Sarah Harris
Henry G. Chambers
Katherine Okoniewski
Elizabeth R. Jalazo
Allyson Berent
Carlos A. Bacino
Charles Williams
Anne Anderson
Source :
Molecular geneticsgenomic medicine. 10(3)
Publication Year :
2021

Abstract

Background: Angelman syndrome (AS) is a rare neurogenetic disorder present in approximately 1/12,000 individuals and characterized by developmental delay, cognitive impairment, motor dysfunction, seizures, gastrointestinal concerns, and abnormal electroencephalographic background. AS is caused by absent expression of the paternally imprinted gene UBE3A in the central nervous system. Disparities in the management of AS are a major problem in preparing for precision therapies and occur even in patients with access to experts and recognized clinics. AS patients receive care based on collective provider experience due to limited evidence-based literature. We present a consensus statement and comprehensive literature review that proposes a standard of care practices for the management of AS at a critical time when therapeutics to alter the natural history of the disease are on the horizon. Methods: We compiled the key recognized clinical features of AS based on consensus from a team of specialists managing patients with AS. Working groups were established to address each focus area with committees comprised of providers who manage >5 individuals. Committees developed management guidelines for their area of expertise. These were compiled into a final document to provide a framework for standardizing management. Evidence from the medical literature was also comprehensively reviewed. Results: Areas covered by working groups in the consensus document include genetics, developmental medicine, psychology, general health concerns, neurology (including movement disorders), sleep, psychiatry, orthopedics, ophthalmology, communication, early intervention and therapies, and caregiver health. Working groups created frameworks, including flowcharts and tables, to help with quick access for providers. Data from the literature were incorporated to ensure providers had review of experiential versus evidence-based care guidelines. Conclusion: Standards of care in the management of AS are keys to ensure optimal care at a critical time when new disease-modifying therapies are emerging. This document is a framework for providers of all familiarity levels.

Details

ISSN :
23249269
Volume :
10
Issue :
3
Database :
OpenAIRE
Journal :
Molecular geneticsgenomic medicine
Accession number :
edsair.doi.dedup.....f9928973a20c7e642e2e28733eb49752