Prader-Willi syndrome: guidance for children and transition into adulthood

M Guftar Shaikh1,2, Timothy G Barrett3,4, Nicola Bridges5

  • 1Department of Paediatric Endocrinology, Royal Hospital for Children, Glasgow, UK.

PubMed

Insights

Prader-Willi syndrome (PWS) is a rare genetic disorder affecting development. This consensus statement provides guidance for clinicians on managing PWS in children and adolescents, covering diagnosis, assessment, and care transition.

Area of Science:

  • Genetics
  • Neurodevelopmental Disorders
  • Pediatrics

Background:

  • Prader-Willi syndrome (PWS) is a rare genetic neurodevelopmental disorder affecting approximately 1 in 10,000-30,000 births.
  • Key features include neonatal hypotonia, feeding issues, followed by hyperphagia and obesity risk.
  • Associated conditions include developmental delay, learning disability, endocrinopathies, scoliosis, respiratory issues, behavioral challenges, and mental health concerns.

Purpose of the Study:

  • To provide a consensus statement and reference document for clinicians managing children and adolescents (up to 18 years) with PWS.
  • To outline best practices for diagnosis, clinical assessment, and management across bio-psycho-social domains.
  • To guide the transition of care from pediatric to adult services.

Main Methods:

  • Development of guidance based on peer-reviewed scientific reports.
  • Incorporation of expertise from experienced clinicians in the UK and Ireland.
  • Consideration of the full spectrum of PWS management in the pediatric setting.

Main Results:

  • The consensus statement addresses the multi-disciplinary approach required for PWS management.
  • It covers diagnosis, clinical assessment, and management strategies for children and adolescents.
  • Guidance extends to the transition period and ongoing care into adulthood.

Conclusions:

  • Effective management of PWS necessitates a comprehensive, multi-disciplinary approach.
  • This consensus statement offers essential guidance for healthcare professionals caring for pediatric PWS patients.
  • The document supports optimal patient outcomes through informed clinical practice and care transition.

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