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DAHEAN:一项丹麦全国性研究,通过真实世界数据确保疑似遗传性贫血患者的质量保证。

DAHEAN: A Danish nationwide study ensuring quality assurance through real-world data for suspected hereditary anemia patients.

作者信息

Glenthøj Andreas, Rasmussen Andreas Ørslev, Bendtsen Selma Kofoed, Hasle Henrik, Hoffmann Marianne, Rieneck Klaus, Dziegiel Morten Hanefeld, Sjö Lene Dissing, Frederiksen Henrik, Hansen Dennis Lund, Fassi Daniel El, Rathe Mathias, Jensen Peter-Diedrich Matthias, Winther-Larsen Anne, Nielsen Christian, Olsen Marianne, Toft Nina, Lorenzen Mads Okkels Birk, Jensen Lise Heilmann, Gudbrandsdottir Sif, Helby Jens, Rossing Maria, van Wijk Richard, Petersen Jesper

机构信息

Danish Red Blood Cell Center, Department of Hematology, Copenhagen University Hospital - Rigshospitalet, Copenhagen University Hospital, Rigshospitalet Blegdamsvej 9, Copenhagen,, DK-2100, Denmark.

Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

出版信息

Orphanet J Rare Dis. 2024 Jul 31;19(1):284. doi: 10.1186/s13023-024-03298-4.

Abstract

BACKGROUND

Hereditary anemias are a group of genetic diseases prevalent worldwide and pose a significant health burden on patients and societies. The clinical phenotype of hereditary anemias varies from compensated hemolysis to life-threatening anemia. They can be roughly categorized into three broad categories: hemoglobinopathies, membranopathies, and enzymopathies. Traditional therapeutic approaches like blood transfusions, iron chelation, and splenectomy are witnessing a paradigm shift with the advent of targeted treatments. However, access to these treatments remains limited due to lacking or imprecise diagnoses. The primary objective of the study is to establish accurate diagnoses for patients with hereditary anemias, enabling optimal management. As a secondary objective, the study aims to enhance our diagnostic capabilities.

RESULTS

The DAHEAN study is a nationwide cohort study that collects advanced phenotypic and genotypic data from patients suspected of having hereditary anemias from all pediatric and hematological departments in Denmark. The study deliberates monthly by a multidisciplinary anemia board involving experts from across Denmark. So far, fifty-seven patients have been thoroughly evaluated, and several have been given diagnoses not before seen in Denmark.

CONCLUSIONS

The DAHEAN study and infrastructure harness recent advancements in diagnostic tools to offer precise diagnoses and improved management strategies for patients with hereditary anemias.

摘要

背景

遗传性贫血是一类在全球范围内普遍存在的遗传疾病,给患者和社会带来了沉重的健康负担。遗传性贫血的临床表型从代偿性溶血到危及生命的贫血不等。它们大致可分为三大类:血红蛋白病、膜病和酶病。随着靶向治疗的出现,输血、铁螯合和脾切除术等传统治疗方法正在经历范式转变。然而,由于诊断缺乏或不准确,这些治疗方法的可及性仍然有限。该研究的主要目标是为遗传性贫血患者建立准确的诊断,以实现最佳管理。作为次要目标,该研究旨在提高我们的诊断能力。

结果

DAHEAN研究是一项全国性队列研究,收集了丹麦所有儿科和血液科疑似患有遗传性贫血患者的先进表型和基因型数据。该研究每月由一个多学科贫血委员会进行审议,委员会成员包括来自丹麦各地的专家。到目前为止,已有57名患者得到了全面评估,其中一些患者得到了丹麦此前未曾见过的诊断。

结论

DAHEAN研究及其基础设施利用诊断工具的最新进展,为遗传性贫血患者提供精确的诊断和改进的管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05eb/11290079/a0d16ae908b2/13023_2024_3298_Fig1_HTML.jpg

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