Scoping review on the role of the family doctor in the prevention and care of patients with foetal alcohol spectrum disorder.
Care
Family doctor
Foetal alcohol spectrum disorder
Prevention
Scoping review
Journal
BMC primary care
ISSN: 2731-4553
Titre abrégé: BMC Prim Care
Pays: England
ID NLM: 9918300889006676
Informations de publication
Date de publication:
22 Feb 2024
22 Feb 2024
Historique:
received:
08
10
2022
accepted:
02
02
2024
medline:
23
2
2024
pubmed:
23
2
2024
entrez:
22
2
2024
Statut:
epublish
Résumé
Foetal alcohol spectrum disorder (FASD) is the leading preventable cause of nongenetic mental disability. Given the patient care pathway, the General Practitioner (GP) is in the front line of prevention and identification of FASD. Acknowledging the importance of the prevalence of FASD, general practitioners are in the front line both for the detection and diagnosis of FASD and for the message of prevention to women of childbearing age as well as for the follow-up. The main objective of the scoping review was to propose a reference for interventions that can be implemented by a GP with women of childbearing age, their partners and patients with FASD. The final aim of this review is to contribute to the improvement of knowledge and quality of care of patients with FASD. A scoping review was performed using databases of peer-reviewed articles following PRISMA guidelines. The search strategy was based on the selection and consultation of articles on five digital resources. The advanced search of these publications was established using the keywords for different variations of FASD: "fetal alcohol syndrome," "fetal alcohol spectrum disorder," "general medicine," "primary care," "primary care"; searched in French and English. Twenty-three articles meeting the search criteria were selected. The interventions of GPs in the management of patients with FASD are multiple: prevention, identification, diagnosis, follow-up, education, and the role of coordinator for patients, their families, and pregnant women and their partners. FASD seems still underdiagnosed. The interventions of GPs in the management of patients with FASD are comprehensive: prevention, identification, diagnosis, follow-up, education, and the role of coordinator for patients, their families, and pregnant women and their partners. Prevention interventions would decrease the incidence of FASD, thereby reducing the incidence of mental retardation, developmental delays, and social, educational and legal issues. A further study with a cluster randomized trial with a group of primary care practitioners trained in screening for alcohol use during pregnancy would be useful to measure the impact of training on the alcohol use of women of childbearing age and on the clinical status of their children.
Sections du résumé
BACKGROUND
BACKGROUND
Foetal alcohol spectrum disorder (FASD) is the leading preventable cause of nongenetic mental disability. Given the patient care pathway, the General Practitioner (GP) is in the front line of prevention and identification of FASD. Acknowledging the importance of the prevalence of FASD, general practitioners are in the front line both for the detection and diagnosis of FASD and for the message of prevention to women of childbearing age as well as for the follow-up.
OBJECTIVES
OBJECTIVE
The main objective of the scoping review was to propose a reference for interventions that can be implemented by a GP with women of childbearing age, their partners and patients with FASD. The final aim of this review is to contribute to the improvement of knowledge and quality of care of patients with FASD.
METHODS
METHODS
A scoping review was performed using databases of peer-reviewed articles following PRISMA guidelines. The search strategy was based on the selection and consultation of articles on five digital resources. The advanced search of these publications was established using the keywords for different variations of FASD: "fetal alcohol syndrome," "fetal alcohol spectrum disorder," "general medicine," "primary care," "primary care"; searched in French and English.
RESULTS
RESULTS
Twenty-three articles meeting the search criteria were selected. The interventions of GPs in the management of patients with FASD are multiple: prevention, identification, diagnosis, follow-up, education, and the role of coordinator for patients, their families, and pregnant women and their partners. FASD seems still underdiagnosed.
CONCLUSION
CONCLUSIONS
The interventions of GPs in the management of patients with FASD are comprehensive: prevention, identification, diagnosis, follow-up, education, and the role of coordinator for patients, their families, and pregnant women and their partners. Prevention interventions would decrease the incidence of FASD, thereby reducing the incidence of mental retardation, developmental delays, and social, educational and legal issues. A further study with a cluster randomized trial with a group of primary care practitioners trained in screening for alcohol use during pregnancy would be useful to measure the impact of training on the alcohol use of women of childbearing age and on the clinical status of their children.
Identifiants
pubmed: 38388880
doi: 10.1186/s12875-024-02291-x
pii: 10.1186/s12875-024-02291-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
66Informations de copyright
© 2024. The Author(s).
Références
Jones KL, Smith DW. Recognition of the fetal alcohol syndrome in early infancy. Lancet. 1973;302(7836):999–1001.
doi: 10.1016/S0140-6736(73)91092-1
pubmed: 4127281
Lemoine P, et al. Les Enfants des parents alcholiques: anomalies observes a propos de 127 cas [The children of alcoholic parents: anomalies observed in 127 cases]. Quert Med. 1968;8:476–82.
Patra J, Bakker R, Irving H, Jaddoe VWV, Malini S, Rehm J. Dose-response relationship between alcohol consumption before and during pregnancy and the risks of low birth weight, preterm birth and small-size-for-gestational age (SGA) – A systematic review and meta-analyses. BJOG. 2011;118(12):1411–21.
doi: 10.1111/j.1471-0528.2011.03050.x
pubmed: 21729235
pmcid: 3394156
Brown JM, Bland R, Jonsson E, Greenshaw AJ. The standardization of diagnostic criteria for fetal alcohol Spectrum disorder (FASD): implications for research, clinical practice and population health. Can J Psychiatry. 2019;64(3):169–76.
doi: 10.1177/0706743718777398
pubmed: 29788774
INSERM Collective Expertise Centre. Alcohol: Health effects. In: INSERM Collective Expert Reports [Internet]. Paris: Institut national de la santé et de la recherche médicale; 2000. http://www.ncbi.nlm.nih.gov/books/NBK7116/ . Accessed 21 Aug 2021.
George MA, Hardy C. Addressing FASD in British Columbia, Canada: analysis of funding proposals. J Popul Ther Clin Pharmacol. 2014;21(3):e338-345.
pubmed: 25344795
Consommation d’alcool, de tabac ou de cannabis au cours de la grossesse – Académie nationale de médecine | Une institution dans son temps. https://www.academie-medecine.fr/consommation-dalcool-de-tabac-ou-de-cannabis-au-cours-de-la-grossesse/ . Accessed 21 Aug 2021.
World Health Organization. ICD-10: international statistical classification of diseases and related health problems: tenth revision. World Health Organization. http://id.who.int/icd/entity/362980699 (2004). Accessed 13 May 2021.
Haute Autorité de Santé. Troubles causés par l’alcoolisation fœtale : repérage https://www.has-sante.fr/jcms/c_1636956/fr/troubles-causes-par-l-alcoolisation-foetale-reperage (2013). Accessed 21 Aug 2021.
Germanaud D, Toutain S. Exposition prénatale à l’alcool et troubles causés par l’alcoolisation fœtale. Contraste. 2017;46:39.
doi: 10.3917/cont.046.0039
Stratton K, Howe C, Battaglia F. Fetal Alcohol Syndrome: Diagnosis, Epidemiology, Prevention, and Treatment. The Institute of Medicine Report. Washington, DC: National Academy Press; 1996.
Société canadienne de pédiatrie comité de la santé des P nations des Inuits et des Métis. L’ensemble des troubles causés par l’alcoolisation fœtale : Mise à jour diagnostique. Paediatr Child Health. 2010;15(7):457–8.
doi: 10.1093/pch/15.7.457
Astley SJ. Diagnosing the full spectrum of fetal alcohol-exposed individuals: introducing the 4-digit diagnostic code. Alcohol Alcohol. 2000;35(4):400–10.
doi: 10.1093/alcalc/35.4.400
pubmed: 10906009
Chudley AE. Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis. Can Med Assoc J. 2005;172(5_suppl):S1-21.
doi: 10.1503/cmaj.1040302
Cook JL, Green CR, Lilley CM, Anderson SM, Baldwin ME, Chudley AE, et al. Fetal alcohol spectrum disorder: a guideline for diagnosis across the lifespan. Can Med Assoc J. 2016;188(3):191–7.
doi: 10.1503/cmaj.141593
Popova S, Charness ME, Burd L, Crawford A, Hoyme HE, Mukherjee RAS, Riley EP, Elliott EJ. Fetal alcohol spectrum disorders. Nat Rev Dis Primers. 2023;9(1):11. https://doi.org/10.1038/s41572-023-00420-x . (PMID: 36823161).
doi: 10.1038/s41572-023-00420-x
pubmed: 36823161
Jacobsen B, Lindemann C, Petzina R, Verthein U. The universal and primary prevention of foetal alcohol spectrum disorders (FASD): a systematic review. Journal of Prevention. 2022;43(3):297–316.
doi: 10.1007/s10935-021-00658-9
pubmed: 35286547
Loock C. Identifying fetal alcohol spectrum disorder in primary care. Can Med Assoc J. 2005;172(5):628–30.
doi: 10.1503/cmaj.050135
Floyd RL, Ebrahim SH, Boyle CA. Observations from the CDC: Preventing Alcohol-Exposed Pregnancies among Women of Childbearing Age: The Necessity of a Preconceptional Approach. J Womens Health Gend Based Med. 1999;8(6):733–6.
doi: 10.1089/152460999319048
pubmed: 10495253
Masotti P, Szala-Meneok K, Selby P, Ranford J, Van Koughnett A. Urban FASD interventions: bridging the cultural gap between Aboriginal women and primary care physicians. J FAS Int. 2003;1(17):1–8.
Zoorob R, Snell H, Kihlberg C, Senturias Y. Screening and Brief Intervention for Risky Alcohol Use. Curr Probl Pediatr Adolesc Health Care. 2014;44(4):82–7.
doi: 10.1016/j.cppeds.2013.12.011
pubmed: 24810410
Davis PM, Carr TL, La CB. Needs assessment and current practice of alcohol risk assessment of pregnant women and women of childbearing age by primary health care professionals. Can J Clin Pharmacol J Can Pharmacol Clin. 2008;15(2):e214-222.
Masotti P, Longstaffe S, Gammon H, Isbister J, Maxwell B, Hanlon-Dearman A. Integrating care for individuals with FASD: results from a multi-stakeholder symposium. BMC Health Serv Res. 2015;15(1):457.
doi: 10.1186/s12913-015-1113-8
pubmed: 26438317
pmcid: 4594899
Tough SC, Ediger K, Hicks M, Clarke M. Rural-urban differences in provider practice related to preconception counselling and fetal alcohol spectrum disorders. Can J Rural Med. 2008;13(4):180–8.
pubmed: 18845070
Sobieski M, Sobieska A, Sekułowicz M, et al. Tools for early screening of autism spectrum disorders in primary health care – a scoping review. BMC Prim Care. 2022;23:46. https://doi.org/10.1186/s12875-022-01645-7 .
doi: 10.1186/s12875-022-01645-7
pubmed: 35291950
pmcid: 8925080
Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, McKenzie JE. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021;372:n160.
doi: 10.1136/bmj.n160
pubmed: 33781993
pmcid: 8005925
Rasmussen C, Kully-Martens K, Denys K, Badry D, Henneveld D, Wyper K, et al. The Effectiveness of a Community-Based Intervention Program for Women At-Risk for Giving Birth to a Child with Fetal Alcohol Spectrum Disorder (FASD). Community Ment Health J. 2012;48(1):12–21.
doi: 10.1007/s10597-010-9342-0
pubmed: 20694802
Floyd RL, Sobell M, Velasquez MM, Ingersoll K, Nettleman M, Sobell L, et al. Preventing Alcohol-Exposed Pregnancies. Am J Prev Med. 2007;32(1):1–10.
doi: 10.1016/j.amepre.2006.08.028
pubmed: 17218187
pmcid: 2888541
George MA, Masotti P, MacLeod S, Van Bibber M, Loock C, Fleming M, et al. Bridging the research gap: aboriginal and academic collaboration in FASD prevention. The Healthy Communities Mothers and Children Project. Alaska Med. 2007;49(2_Suppl):139–41.
pubmed: 17929623
Peadon E, O’Leary C, Bower C, Elliott E. Impacts of alcohol use in pregnancy–the role of the GP. Aust Fam Physician. 2007;36(11):935–9.
pubmed: 18043782
Mendoza R, Morales-Marente E, Palacios MS, Rodríguez-Reinado C, Corrales-Gutiérrez I, García-Algar Ó. Health advice on alcohol consumption in pregnant women in Seville (Spain). Gac Sanit. 2020;34(5):449–58.
doi: 10.1016/j.gaceta.2018.11.008
pubmed: 30733046
Crawford-Williams F, Steen M, Esterman A, Fielder A, Mikocka-Walus A. “If you can have one glass of wine now and then, why are you denying that to a woman with no evidence”: Knowledge and practices of health professionals concerning alcohol consumption during pregnancy. Women Birth. 2015;28(4):329–35.
doi: 10.1016/j.wombi.2015.04.003
pubmed: 25952158
Clarren SK, Astley SJ. Identification of children with Fetal Alcohol Syndrome and opportunity for referral of their mothers for primary prevention--Washington, 1993-1997. MMWR: Morbidity & Mortality Weekly Report. 1998;47(40):861–64.
Tan CH, Hungerford DW, Denny CH, McKnight-Eily LR. Screening for Alcohol Misuse: Practices Among U.S. Primary Care Providers, DocStyles 2016. Am J Prev Med. 2018;54(2):173–80.
doi: 10.1016/j.amepre.2017.11.008
pubmed: 29241721
O’Connor MJ, Rotheram-Borus MJ, Tomlinson M, Bill C, LeRoux IM, Stewart J. Screening for fetal alcohol spectrum disorders by nonmedical community workers. J Popul Ther Clin Pharmacol. 2014;21(3):e442-452.
pubmed: 25658901
pmcid: 4526235
Shanley DC, Hawkins E, Page M, Shelton D, Liu W, Webster H, et al. Protocol for the Yapatjarrathati project: a mixed-method implementation trial of a tiered assessment process for identifying fetal alcohol spectrum disorders in a remote Australian community. BMC Health Serv Res. 2019;19(1):649.
doi: 10.1186/s12913-019-4378-5
pubmed: 31500612
pmcid: 6732837
McFarlane A, Rajani H. Rural FASD diagnostic services model: Lakeland Centre for fetal alcohol spectrum disorder. Can J Clin Pharmacol. 2007;14(3):e301-306.
pubmed: 18025547
Washio Y, Frederick J, Archibald A, Bertram N, Crowe JA. Community-I nitiated Pilot Program « My Baby’s Breath » to Reduce Prenatal Alcohol Use. Del Med J. 2017;89(2):46–51.
pubmed: 29693817
Hanlon-Dearman A, Green CR, Andrew G, LeBlanc N, Cook JL. Anticipatory Guidance For Children And Adolescents With Fetal Alcohol Spectrum Disorder (Fasd): Practice Points For Primary Health Care Providers. J Popul Ther Clin Pharmacol. 2015;22(1):e22–56.
Wagner B, Fitzpatrick JP, Mazzucchelli TG, Symons M, Carmichael Olson H, Jirikowic T, et al. Study protocol for a self-controlled cluster randomised trial of the Alert Program to improve self-regulation and executive function in Australian Aboriginal children with fetal alcohol spectrum disorder. BMJ Open. 2018;8(3):e021462.
doi: 10.1136/bmjopen-2017-021462
pubmed: 29581212
pmcid: 5875644
Temple VK, Ives J, Lindsay A. Diagnosing FASD in adults: the development and operation of an adult FASD clinic in Ontario, Canada. J Popul Ther Clin Pharmacol. 2015;22(1):e96-105.
pubmed: 25739127
Russell M. New Assessment Tools for Risk Drinking During Pregnancy: T-ACE, TWEAK, and Others. Alcohol Health Res World. 1994;18(1):55–61.
pubmed: 31798157
pmcid: 6876474
Allen J, Gay B, Crebolder H, Heyrman J, Svab I, Ram P. The European Definition of General Practice/Family Medicine - Short Version Wonca Europe 2005. https://www.woncaeurope.org/page/definition-of-general-practice-family-medicine . Accessed 20 Aug 2022.
La durée des séances des médecins généralistes. DREES. N°481. Avril 2006. https://www.epsilon.insee.fr/jspui/bitstream/1/12653/1/er481.pdf . Accessed 21 Aug 2021.
Andler R, Cogordan C, Pasquereau A, Buyck J-F, Nguyen-Thanh V. The practices of French general practitioners regarding screening and counselling pregnant women for tobacco smoking and alcohol drinking. Int J Public Health. 2018;63(5):631–40.
doi: 10.1007/s00038-018-1103-9
pubmed: 29679105
Blondel B, Coulm B, Bonnet C, Goffinet F, Le Ray C. Trends in perinatal health in metropolitan France from 1995 to 2016: Results from the French National Perinatal Surveys. J Gynecol Obstet Hum Reprod. 2017;46(10):701–13.
doi: 10.1016/j.jogoh.2017.09.002
pubmed: 29031048