Patient-reported study of the impact of pediatric-onset myotonic dystrophy

Michael Hunter1, Anne-Berit Ekstrom2, Craig Campbell3

  • 1Department of Neurology, University of Utah School of Medicine, Salt Lake City, Utah.

Muscle & Nerve
|July 13, 2019
PubMed

Insights

Pediatric myotonic dystrophy type-1 (DM1) significantly impacts daily life, with hand and gastrointestinal issues being most common. Understanding these symptoms is crucial for improving patient care and quality of life.

Area of Science:

  • Neurology
  • Genetics
  • Pediatrics

Background:

  • The prevalence and impact of symptoms in pediatric myotonic dystrophy type-1 (DM1) are not well understood.
  • Pediatric-onset DM1 affects multiple body systems, leading to a range of debilitating symptoms.
  • Comprehensive understanding of symptom burden is essential for effective management.

Purpose of the Study:

  • To investigate the prevalence and impact of 20 themes associated with pediatric-onset DM1.
  • To compare patient and caregiver perspectives on symptom burden.
  • To identify key areas for intervention and support in pediatric DM1.

Main Methods:

  • A survey was administered to patients and caregivers in the United States, Canada, and Sweden.
  • Participants reported the prevalence and importance of 20 themes related to pediatric DM1.
  • Patient and caregiver survey responses were matched for comparative analysis.

Main Results:

  • The most prevalent symptoms included hand/finger problems (79%) and gastrointestinal issues (75%).
  • Urinary/bowel control and gastrointestinal problems had the greatest impact on patients' lives.
  • Agreement between patient and caregiver responses varied across symptomatic themes.

Conclusions:

  • Multiple symptoms significantly contribute to the overall disease burden in pediatric DM1.
  • Physical activity themes showed the highest agreement between patients and caregivers.
  • Further research is needed to address the diverse symptomatic impacts of pediatric DM1.
Abstract

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