Australian guidelines for the management of children with achondroplasia

Author:

Tofts Louise J12ORCID,Armstrong Jennifer A13,Broley Stephanie45,Carroll Theresa6,Ireland Penelope J67,Koo Minna28,Langdon Katherine910,McGregor Lesley11,McKenzie Fiona412,Mehta Divyesh1314,Savarirayan Ravi1516,Tate Tracy2,Wesley Alison2ORCID,Zankl Andreas817,Jenner Maree18,Eyles Marta18,Pacey Verity18

Affiliation:

1. Department of Health Sciences Macquarie University Sydney New South Wales Australia

2. Kids Rehab The Children's Hospital at Westmead Sydney New South Wales Australia

3. Department of Orthopaedics The Children's Hospital at Westmead Sydney New South Wales Australia

4. Genetic Services of Western Australia King Edward Memorial Hospital Perth Western Australia Australia

5. Undiagnosed Diseases Program Perth Children's Hospital Perth Western Australia Australia

6. Queensland Paediatric Rehabilitation Service Queensland Children's Hospital Brisbane Queensland Australia

7. School of Health and Rehabilitation Sciences University of Queensland Brisbane Queensland Australia

8. The Children's Hospital at Westmead Clinical School University of Sydney Sydney New South Wales Australia

9. Kids Rehab WA Perth Children's Hospital Perth Western Australia Australia

10. Telethon Kids Institute Perth Western Australia Australia

11. Paediatric and Reproductive Genetics Unit Women's and Children's Hospital Adelaide Australia

12. School of Paediatrics and Child Health University of Western Australia Perth Western Australia Australia

13. Curtin University Perth Western Australia Australia

14. Child and Adolescent Health Services Perth Children's Hospital Perth Western Australia Australia

15. Skeletal Therapies Murdoch Children's Research Institute Melbourne Victoria Australia

16. University of Melbourne Melbourne Victoria Australia

17. Department of Clinical Genetics The Children's Hospital at Westmead Sydney New South Wales Australia

18. Medical Advisory Board Short Statured People of Australia Melbourne Victoria Australia

Abstract

Achondroplasia is the most common form of skeletal dysplasia. In addition to altered growth, children and young people with achondroplasia may experience medical complications, develop and function differently to others and require psychosocial support. International, European and American consensus guidelines have been developed for the management of achondroplasia. The Australian focused guidelines presented here are designed to complement those existing guidelines. They aim to provide core care recommendations for families and clinicians, consolidate key resources for the management of children with achondroplasia, facilitate communication between specialist, local teams and families and support delivery of high‐quality care regardless of setting and geographical location. The guidelines include a series of consensus statements, developed using a modified Delphi process. These statements are supported by the best available evidence assessed using the National Health and Medicine Research Council's criteria for Level of Evidence and their Grading of Recommendations Assessment, Development and Evaluation (GRADE). Additionally, age specific guides are presented that focus on the key domains of growth, medical, development, psychosocial and community. The guidelines are intended for use by health professionals and children and young people with achondroplasia and their families living in Australia.

Publisher

Wiley

Subject

Pediatrics, Perinatology and Child Health

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