Opportunities and challenges for newborn screening and early diagnosis of rare diseases in Latin America.

Latin America diagnostic odyssey early diagnosis genetics genomics molecular diagnosis newborn screening rare diseases

Journal

Frontiers in genetics
ISSN: 1664-8021
Titre abrégé: Front Genet
Pays: Switzerland
ID NLM: 101560621

Informations de publication

Date de publication:
2022
Historique:
received: 25 09 2022
accepted: 18 11 2022
entrez: 26 12 2022
pubmed: 27 12 2022
medline: 27 12 2022
Statut: epublish

Résumé

Rare diseases (RDs) cause considerable death and disability in Latin America. Still, there is no consensus on their definition across the region. Patients with RDs face a diagnostic odyssey to find a correct diagnosis, which may last many years and creates a burden for caregivers, healthcare systems, and society. These diagnostic delays have repercussions on the health and economic burden created by RDs and continue to represent an unmet medical need. This review analyzes barriers to the widespread adoption of newborn screening (NBS) programs and early diagnostic methods for RDs in Latin America and provides recommendations to achieve this critical objective. Increasing the adoption of NBS programs and promoting early diagnosis of RDs are the first steps to improving health outcomes for patients living with RDs. A coordinated, multistakeholder effort from leaders of patient organizations, government, industry, medical societies, academia, and healthcare services is required to increase the adoption of NBS programs. Patients' best interests should remain the guiding principle for decisions regarding NBS implementation and early diagnosis for RDs.

Identifiants

pubmed: 36568372
doi: 10.3389/fgene.2022.1053559
pii: 1053559
pmc: PMC9773081
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

1053559

Informations de copyright

Copyright © 2022 Giugliani, Castillo Taucher, Hafez, Oliveira, Rico-Restrepo, Rozenfeld, Zarante and Gonzaga-Jauregui.

Références

Am J Med Genet C Semin Med Genet. 2021 Sep;187(3):322-328
pubmed: 33749987
JAMA Pediatr. 2015 Sep;169(9):855-62
pubmed: 26214387
Front Pediatr. 2021 Jul 19;9:663752
pubmed: 34350142
Am J Med Genet A. 2019 Jun;179(6):885-892
pubmed: 30883013
JAMA Netw Open. 2021 Jul 1;4(7):e2114336
pubmed: 34283230
Bull World Health Organ. 2008 Apr;86(4):317-9
pubmed: 18438522
Genet Med. 2021 Jul;23(7):1372-1375
pubmed: 33772220
Semin Perinatol. 2010 Apr;34(2):105-20
pubmed: 20207260
Bol Oficina Sanit Panam. 1968 Oct;65(4):281-393
pubmed: 4234760
Mol Genet Metab. 2001 Sep-Oct;74(1-2):64-74
pubmed: 11592804
J Inherit Metab Dis. 2007 Aug;30(4):466-81
pubmed: 17701285
Orphanet J Rare Dis. 2018 Jan 8;13(1):2
pubmed: 29310675
Adv Exp Med Biol. 2017;1005:47-61
pubmed: 28916928
N Engl J Med. 2021 Nov 11;385(20):1868-1880
pubmed: 34758253
BMC Med Genomics. 2017 Feb 21;10(1):9
pubmed: 28222731
Genet Med. 2016 Mar;18(3):221-30
pubmed: 26334177
Pediatrics. 2006 May;117(5 Pt 2):S326-40
pubmed: 16735260
J Cardiovasc Dev Dis. 2021 Dec 21;9(1):
pubmed: 35050212
Am J Med Genet A. 2008 Jul 1;146A(13):1741-7
pubmed: 18546277
Int J Neonatal Screen. 2021 Jan 21;7(1):
pubmed: 33494287
Semin Perinatol. 2015 Apr;39(3):171-87
pubmed: 25979780
Curr Opin Pediatr. 2018 Dec;30(6):734-739
pubmed: 30124582
Orphanet J Rare Dis. 2019 Dec 11;14(1):289
pubmed: 31931841
J Community Genet. 2018 Jan;9(1):37-50
pubmed: 28733824
Int J Neonatal Screen. 2020 Dec 11;6(4):
pubmed: 33322257
Annu Rev Med. 2012;63:35-61
pubmed: 22248320
Biomedica. 2020 Sep 01;40(3):528-533
pubmed: 33030831
Eur J Hum Genet. 2020 Feb;28(2):165-173
pubmed: 31527858
Genet Med. 2006 May;8 Suppl 1:1S-252S
pubmed: 16783161
Pediatrics. 2006 Sep;118(3):1304-12
pubmed: 16960984
Am J Hum Genet. 2022 Sep 1;109(9):1605-1619
pubmed: 36007526
Mol Genet Metab. 2016 Aug;118(4):221-9
pubmed: 27268406
Explore (NY). 2006 Sep-Oct;2(5):386-7
pubmed: 16979098
Front Genet. 2022 Jul 22;13:867337
pubmed: 35938011
Public Health Genomics. 2011;14(1):9-16
pubmed: 20051674

Auteurs

Roberto Giugliani (R)

Department of Genetics UFRGS, Medical Genetics Service HCPA, DASA and Casa dos Raros, Porto Alegre, Brazil.

Silvia Castillo Taucher (S)

Clinical Geneticist, Hospital Clínico Universidad de Chile, Clínica Alemana de Santiago, Santiago, Chile.

Sylvia Hafez (S)

The NOA Project, Panama City, Panama.

Joao Bosco Oliveira (JB)

Laboratório de Genética Molecular, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.

Mariana Rico-Restrepo (M)

Americas Health Foundation, Bogota, Colombia.

Paula Rozenfeld (P)

Instituto de Estudios Inmunológicos y Fisiopatológicos (IIFP), UNLP, CONICET, asociado CIC PBA, Facultad de Ciencias Exactas, Departamento de Ciencias Biológicas, La Plata, Argentina.

Ignacio Zarante (I)

Instituto de Genética Humana, Pontificia Universidad Javeriana, Bogotá, Colombia.

Claudia Gonzaga-Jauregui (C)

International Laboratory for Human Genome Research, Laboratorio Internacional de Investigación sobre el Genoma Humano, Universidad Nacional Autónoma de México, Juriquilla, México.

Classifications MeSH