Adult North Star Network (ANSN): Consensus Guideline For The Standard Of Care Of Adults With Duchenne Muscular Dystrophy

Author:

Quinlivan R.1,Messer B.2,Murphy P.3,Astin R.1,Mukherjee R.4,Khan J.1,Emmanuel A.1,Wong S.C.5,Kulshresha R.6,Willis T.6,Pattni J.1,Willis D.7,Morgan A.8,Savvatis K.19,Keen R.10,Bourke J.2,Marini Bettolo C.2,Hewamadduma C.11,

Affiliation:

1. MRC Centre for Neuromuscular Disease, UCL Institute of Neurology, National Hospital for Neurology and Neurosurgery, London, UK

2. Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle, UK

3. Lane Fox Unit, Guy’s and St Thomas’ Foundation Trust, London, UK

4. Heart of England NHS Foundation Trust, Birmingham, UK

5. University of Glasgow, Royal Hospital for Children, Glasgow, UK

6. Robert Jones and Agnes Hunt Foundation NHS Trust, Oswestry, UK

7. Shrewsbury and Telford NHS Trust, Shropshire, UK

8. South West Neuromuscular Operational Delivery Network, Bristol, UK

9. St Bartholomew’s Hospital and Royal London NHS Trust, London UK

10. Royal National Orthopaedic Hospital, Stanmore, UK

11. Academic Neurology Department, Sheffield Teaching Hospitals Foundation Trust and Sheffield Institute for Translational Neurosciences (SITRAN), University of Sheffield, Sheffield, UK

Abstract

There are growing numbers of adults with Duchenne Muscular Dystrophy living well into their fourth decade. These patients have complex medical needs that to date have not been addressed in the International standards of care. We sought to create a consensus based standard of care through a series of multi-disciplinary workshops with specialists from a wide range of clinical areas: Neurology, Cardiology, Respiratory Medicine, Gastroenterology, Endocrinology, Palliative Care Medicine, Rehabilitation, Renal, Anaesthetics and Clinical Psychology. Detailed reports of evidence reviewed and the consensus building process were produced following each workshop and condensed into this final document which was approved by all members of the Adult North Star Network including service users. The aim of this document is to provide a framework to improve clinical services and multi-disciplinary care for adults living with Duchenne Muscular Dystrophy.

Publisher

IOS Press

Subject

Clinical Neurology,Neurology

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