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The Chromosome 18 Clinical Resource Center
Jannine D Cody1,2, Minire Hasi-Zogaj1, Patricia Heard1
1Department of Pediatrics, Chromosome 18 Clinical Research Center, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Insights
A new virtual resource center offers proactive management for chromosome 18 abnormalities, improving care for rare genetic conditions. This resource synthesizes complex genomic data into accessible guides for clinicians.
Area of Science:
- Genetics and genomics
- Clinical medicine
- Rare diseases
Background:
- Children with rare chromosome abnormalities often receive reactive, symptomatic care.
- Genomic-informed medicine enables proactive management based on specific genetic changes.
- Physicians face challenges accessing and integrating diverse, complex genomic data for clinical use.
Purpose of the Study:
- To develop a pediatrician-friendly virtual resource center for managing chromosome 18 abnormalities.
- To provide proactive medical care and management strategies based on contemporary genomic data.
- To address the difficulty of accessing and utilizing emerging gene-specific data in clinical settings.
Main Methods:
- The Chromosome 18 Clinical Resource Center curated and synthesized clinical data.
- Data were collected from a database of over 26 years of natural history and medical information.
- Over 650 individuals with chromosome 18 abnormalities contributed to the database.
Main Results:
- A virtual resource center with management guides and video presentations was created.
- This resource is the first edition of collated data to optimize care for children with chromosome 18 abnormalities.
- Guides are specifically designed to assist clinicians in patient management.
Conclusions:
- The chromosome 18 data and guides serve as a model for managing rare chromosome abnormalities.
- This approach can be applied to the over 1,300 individuals born annually in the US with rare chromosome abnormalities.
- The resource facilitates proactive, data-driven care for rare genetic conditions.
Background:
The Chromosome 18 Clinical Research Center has created a pediatrician-friendly virtual resource center for managing patients with chromosome 18 abnormalities. To date, children with rare chromosome abnormalities have been cared for either symptomatically or palliatively as a reaction to the presenting medical problems. As we enter an era of genomic-informed medicine, we can provide children, even those with individually unique chromosome abnormalities, with proactive medical care and management based on the most contemporary data on their specific genomic change. It is problematic for practicing physicians to obtain and use the emerging data on specific genes because this information is derived from diverse sources (e.g., animal studies, case reports, in vitro explorations) and is often published in sources that are not easily accessible in the clinical setting.
Methods:
The Chromosome 18 Clinical Resource Center remedies this challenging problem by curating and synthesizing the data with clinical implications. The data are collected from our database of over 26 years of natural history and medical data from over 650 individuals with chromosome 18 abnormalities.
Results:
The resulting management guides and video presentations are a first edition of this collated data specifically oriented to guide clinicians toward the optimization of care for each child.
Conclusion:
The chromosome 18 data and guides also serve as models for an approach to the management of any individual with a rare chromosome abnormality of which there are over 1,300 born every year in the US alone.
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