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Role, function and challenges of multidisciplinary centres for rare diseases exemplified for neurofibromatosis type 1
Hagit Toledano-Alhadef1,2,3, Victor-Felix Mautner4, Isabel Gugel5,6
1Gilbert Israeli and International Neurofibromatosis Centre, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Centre, Tel Aviv, Israel.
Insights
Neurofibromatosis type 1 (NF1) is a rare pediatric disease requiring lifelong multidisciplinary care. This study highlights the importance of integrated NF1 centers for improving patient and caregiver quality of life.
Area of Science:
- Pediatric rare diseases
- Genetics and rare disorders
- Multidisciplinary healthcare
Background:
- Neurofibromatosis type 1 (NF1) is a common rare/orphan disease with early pediatric onset.
- NF1 significantly burdens patients and caregivers, necessitating coordinated medical management.
- Optimal care decisions for NF1 often involve collaboration among multiple medical specialists.
Purpose of the Study:
- To enhance awareness of multidisciplinary care delivery for NF1 patients.
- To explore effective models for managing health and health-related aspects of NF1 care.
- To summarize experiences from established NF1 centers.
Main Methods:
- Literature review on NF1 care models.
- Description of clinical work from three NF1 centers.
- Analysis of experiences from population-focused and family-focused centers.
Main Results:
- Summarized experiences from three multidisciplinary NF1 centers.
- Highlighted the benefits of integrated care approaches for NF1.
- Demonstrated the value of teamwork in managing NF1.
Conclusions:
- Chronic pediatric-onset rare diseases like NF1 require long-term, multidisciplinary follow-up.
- Establishing multidisciplinary NF1 centers is crucial for enhancing the quality of care.
- Integrated care models improve outcomes for patients with NF1 syndrome.
Purpose:
Neurofibromatosis type 1 (NF1) syndrome is a common rare/orphan disease that manifests itself early in the paediatric age. It imposes a considerable burden upon patients as well as on caregivers. Decisions regarding optimal care often rely on several medical instances working together as a team.
Methods:
The authors reviewed the literature and supplied a description of their own clinical work at the NF1 centres.
Results:
The experience of a multidisciplinary teamwork of three NF centres was summarized in order to enhance awareness for possible multidisciplinary ways of delivery of health and health-related aspects of care to NF1 patients. Both population-focused research centres and family-focused centres were reviewed.
Conclusions:
Chronic rare diseases that start in the paediatric age mandate long-term follow-up most often by several disciplines. NF1 syndrome is an example of a multidisciplinary centre in order to enhance the quality of care.
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