单一性疾病的诊断延迟:一个范围审查
Rory J Tinker1, Miles Fisher2, Alex F Gimeno3
1Division of Medical Genetics and Genomic Medicine, Vanderbilt University Medical Center, Nashville, TN.
概括
单源性疾病的诊断延迟平均为5年,具有显著的变化. 需要进行研究来标准化测量,并包括低收入国家.
科学领域:
- 遗传学 是一个遗传学.
- 医学研究 医学研究
背景情况:
- 诊断延迟是管理单一性疾病的一个重大挑战.
- 研究设计和结论的变化使得对诊断延迟的理解变得复杂.
研究的目的:
- 对量化单一性疾病诊断延迟的研究进行范围审查.
- 调查研究设计的变化,结果和关于诊断延迟的结论.
主要方法:
- 在2023年1月17日进行了全面的文献搜索.
- 包括原始的同行评审文章和会议论文,这些论文量化了单一性疾病的诊断延迟.
- 关于诊断延迟的抽象数据,研究设计特征和使用的定义.
主要成果:
- 确定了259篇文章,量化了111种单一性疾病的诊断延迟.
- 在所有研究中,诊断延迟的中位数为5.0年 (IQR 2-10).
- 在疾病范围内观察到延迟的显著变化;较短的延迟与儿童代谢,免疫和发育障碍有关. 大多数研究 (67.6%) 报告了随着时间推移延迟的改善.
结论:
- 研究设计和延迟定义的异质性阻碍了跨研究的比较.
- 标准化延迟测量对于未来的研究至关重要.
- 研究应该扩展到低收入国家,涵盖更广泛的遗传疾病.
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