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Interdisciplinary Approach in Pediatric Patients With Recessive Dystrophic Epidermolysis Bullosa: Experience From the
Juan Manuel Martínez-Ripoll1,2, Marta García-Domingo2, Yolanda M De la Fuente Robles2
1Debra Spain, Málaga, Spain.
Insights
Integrating palliative care into Epidermolysis Bullosa (EB) management improves quality of life for children with Recessive Dystrophic Epidermolysis Bullosa (RDEB). This interdisciplinary approach offers continuous, holistic support from birth throughout life.
Area of Science:
- Medical Science
- Genetics
- Palliative Care
Background:
- Epidermolysis Bullosa (EB) is a rare genetic disorder causing severe skin fragility.
- Multidisciplinary care is essential for managing EB.
- Palliative care integration improves symptom control and psychosocial support in EB.
Purpose of the Study:
- To analyze the interdisciplinary intervention between Dermatology and Palliative Care teams.
- To evaluate care for pediatric patients with Recessive Dystrophic Epidermolysis Bullosa (RDEB).
Main Methods:
- Descriptive qualitative design.
- Exploration of parent and healthcare professional experiences.
- Analysis of internal protocols and online surveys.
Main Results:
- A joint interdisciplinary intervention provides holistic, continuous support from birth.
- The model incorporates spiritual care, community coordination, and promotes autonomy and inclusion.
- This approach aligns with international best practices for EB care.
Conclusions:
- An early, sustained interdisciplinary care model improves quality of life for pediatric RDEB patients and families.
- Coordination between clinical and psychosocial teams enhances family autonomy and inclusion.
- This model addresses comprehensive needs across the life course.
Background And Aims:
Epidermolysis bullosa is a rare genetic disorder causing extreme mucocutaneous fragility, requiring specialized, multidisciplinary care. Integrating palliative care into Epidermolysis bullosa management has proven beneficial in symptom control and psychosocial support. The aim of this study was to analyze the interdisciplinary intervention of the Dermatology Service and the Palliative Care and Complex Chronic Patient Team at Sant Joan de Déu Hospital in pediatric patients with Recessive Dystrophic Epidermolysis Bullosa.
Methods:
A descriptive qualitative design was used to explore the experiences of parents of children with Recessive Dystrophic Epidermolysis Bullosa and healthcare professionals at Sant Joan de Déu Hospital. Internal protocols were analyzed and open online surveys were conducted. Families were recruited through purposive sampling with DEBRA España's support, while healthcare professionals were invited from the Dermatology Service and the Palliative Care and Complex Chronic Patient Team.
Results:
The joint interdisciplinary intervention between the Dermatology Service and the Palliative Care and Complex Chronic Patient Team at SJDH, grounded in a palliative care approach, provides holistic and continuous support to patients and their families from birth throughout the entire life course. It incorporates spiritual care and community coordination, fosters autonomy and social inclusion, and aligns with international best practices established by specialized centers such as EB House Austria. This model stands as a replicable benchmark for the care of individuals with EB.
Conclusions:
This qualitative study suggests that an interdisciplinary care model, grounded in palliative care and implemented from an early stage in a sustained manner, improves the quality of life of pediatric patients with RDEB and their families. The coordination between clinical and psychosocial teams, together with person-centered care, enhances family autonomy, promotes inclusion and addresses the comprehensive needs across the life course.
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