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

Enzymopathies Hemoglobinopathies Hereditary anemia Membranopathies Precision diagnostics Whole genome sequencing

Journal

Orphanet journal of rare diseases
ISSN: 1750-1172
Titre abrégé: Orphanet J Rare Dis
Pays: England
ID NLM: 101266602

Informations de publication

Date de publication:
31 Jul 2024
Historique:
received: 05 09 2023
accepted: 26 07 2024
medline: 1 8 2024
pubmed: 1 8 2024
entrez: 31 7 2024
Statut: epublish

Résumé

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

Sections du résumé

BACKGROUND 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 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 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.

Identifiants

pubmed: 39085840
doi: 10.1186/s13023-024-03298-4
pii: 10.1186/s13023-024-03298-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

284

Informations de copyright

© 2024. The Author(s).

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Auteurs

Andreas Glenthøj (A)

Danish Red Blood Cell Center, Department of Hematology, Copenhagen University Hospital - Rigshospitalet, Copenhagen University Hospital, Rigshospitalet Blegdamsvej 9, Copenhagen,, DK-2100, Denmark. andreas.glenthoej@regionh.dk.
Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. andreas.glenthoej@regionh.dk.

Andreas Ørslev Rasmussen (AØ)

Center for Genomic Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.

Selma Kofoed Bendtsen (SK)

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

Henrik Hasle (H)

Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark.

Marianne Hoffmann (M)

Department of Pediatrics and Adolescent Medicine, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Klaus Rieneck (K)

Department of Clinical Immunology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.

Morten Hanefeld Dziegiel (MH)

Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Department of Clinical Immunology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.

Lene Dissing Sjö (LD)

Department of Pathology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.

Henrik Frederiksen (H)

Department of Hematology, Odense University Hospital, Odense, Denmark.
Department of Clinical Research, University of Southern Denmark, Odense, Denmark.

Dennis Lund Hansen (DL)

Department of Hematology, Odense University Hospital, Odense, Denmark.

Daniel El Fassi (DE)

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.

Mathias Rathe (M)

Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.

Peter-Diedrich Matthias Jensen (PM)

Department of Hematology, Aalborg University Hospital, Aalborg, Denmark.

Anne Winther-Larsen (A)

Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark.

Christian Nielsen (C)

Department of Clinical Immunology, Odense University Hospital, Odense, Denmark.

Marianne Olsen (M)

Department of Pediatrics and Adolescent Medicine, Aalborg University Hospital, Aalborg, Denmark.

Nina Toft (N)

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

Mads Okkels Birk Lorenzen (MOB)

Department of Hematology, Aarhus University Hospital, Aarhus, Denmark.

Lise Heilmann Jensen (LH)

Department of Pediatrics, Zealand University Hospital, Roskilde, Denmark.

Sif Gudbrandsdottir (S)

Department of Hematology, Region Zealand University, Roskilde Hospital, Roskilde, Denmark.

Jens Helby (J)

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

Maria Rossing (M)

Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Center for Genomic Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.

Richard van Wijk (R)

Central Diagnostic Laboratory, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

Jesper Petersen (J)

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

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