Benefits of multidisciplinary care in Prader-Willi syndrome

被引：8

作者：

Salvatoni, Alessandro ^{[1
]}

Nosetti, Luana ^{[1
]}

Salvatore, Silvia ^{[1
]}

Agosti, Massimo ^{[1
]}

机构：

[1] Insubria Univ, Dept Pediat, Varese, Italy

来源：

EXPERT REVIEW OF ENDOCRINOLOGY & METABOLISM | 2021年 / 16卷 / 02期

关键词：

Prader-Willi; multidisciplinary; obesity; hypotonia; growth hormone; osas; CENTRAL ADRENAL INSUFFICIENCY; BODY-COMPOSITION; THYROID-FUNCTION; HIP-DYSPLASIA; CHILDREN; PREVALENCE; ADOLESCENTS; CONTRIBUTES; DYSFUNCTION; MANAGEMENT;

D O I：

10.1080/17446651.2021.1898375

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: Prader-Willi syndrome (PWS) is the most well-known condition of genetic obesity. Over the past 20 years, advances have been achieved in the diagnosis and treatment of PWS with a significant improvement in prognosis. Areas covered: This review focuses on the benefits of multidisciplinary approach in children and adolescents with PWS. In particular, the neonatologist and geneticist play a key role in early diagnosis and the clinical follow-up of the PWS patient must be guaranteed by a team including pediatric endocrinologist, psychologist, nutritionist/dietician, neurologist/neuropsychiatrist, sleep specialist, ears, nose and throat specialist (END, lung specialist, dentist, orthopedist and ophthalmologist and, eventually, gastroenterologist. We searched PubMed and critically summarized what has been reported in the last 10 years on PWS. Expert opinion: The multidisciplinary care in association with an early diagnosis and GH treatment postpones overweight development and decreases prevalence of obesity in individuals with PWS. Further prognostic improvements are expected through the selection of teams particularly experienced in the management of individuals with PWS and the discovery of new drugs.

引用

页码：63 / 71

页数：9

共 94 条

[1] Early diagnosis and multidisciplinary care reduce the hospitalization time and duration of tube feeding and prevent early obesity in PWS infants [J].