Current management of inherited retinal degenerations in Portugal (IRD-PT survey).


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
14 Sep 2024
Historique:
received: 29 08 2023
accepted: 09 09 2024
medline: 15 9 2024
pubmed: 15 9 2024
entrez: 14 9 2024
Statut: epublish

Résumé

Inherited retinal dystrophies/degenerations (IRDs) are the leading cause of visual impairment and incurable familial blindness in the Western world. Given the clinical and genetic heterogeneity, establishing a molecular diagnosis is especially relevant. The aim of this study was to perform the first nationwide survey to understand the prevalence and current management of IRDs in Portugal. A response was obtained from 26 healthcare providers (HCP) (76.5% response rate). Only 4 respondents reported not managing IRD patients. Most HCPs (68.1%) reported managing up to 100 patients, while three currently manage between 501 and 1000 patients. Based on the Portuguese population, an estimated IRD prevalence of 0.031%, i.e., about 1 in 3000 individuals, was calculated. In most HCPs (86.3%), most patients are adults, and non-syndromic retinitis pigmentosa is the most frequent diagnosis. Only 4 HCPs currently use the national, web-based IRD registry (IRD-PT). However, all but one respondent expressed interest in participating in such a registry. Genetic testing is available in 54.5%, with 58.3% HCPs reporting solved rates between 61-80%, but 4 to 9 months to get a genetic test result in 83.4% of cases. Based on this survey, the prevalence of biallelic RPE65-associated disease in Portugal is 0.00031%, i.e., approximately 1:300,000 individuals. Data from this study provide vital background information on national differences in the diagnosis and management of IRD patients. Nationwide implementation of the IRD-PT registry should be encouraged and supported to provide population-based reference data and to identify patients eligible for current and future therapies.

Identifiants

pubmed: 39277603
doi: 10.1038/s41598-024-72589-4
pii: 10.1038/s41598-024-72589-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

21473

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

João Pedro Marques (JP)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Coimbra, EPE, Coimbra, Portugal. marquesjoaopedro@gmail.com.
Ophthalmology Department, Unidade Local de Saúde (ULS) de Coimbra, EPE, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal. marquesjoaopedro@gmail.com.

Nuno Ferreira (N)

Ophthalmology Deparment, Unidade Local de Saúde (ULS) de Trás-os-Montes e Alto Douro, EPE, Vila Real, Portugal.

Natacha Moreno (N)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Barcelos/Esposende, EPE, Barcelos, Portugal.

Ana Marta (A)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Santo António, EPE, Porto, Portugal.

Sara Vaz-Pereira (S)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Santa Maria, EPE, Lisboa, Portugal.

Sérgio Estrela-Silva (S)

Ophthalmology Department, Unidade Local de Saúde (ULS) de São João, EPE, Porto, Portugal.

José Costa (J)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Braga, EPE, Braga, Portugal.

Ana Rocha Cardoso (AR)

Ophthalmology Department, Unidade Local de Saúde (ULS) do Baixo Alentejo, EPE, Beja, Portugal.

Pedro Neves (P)

Ophthalmology Department, Unidade Local de Saúde (ULS) da Arrábida, EPE, Setúbal, Portugal.

Lilianne Duarte (L)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Entre Douro e Vouga, EPE, Santa Maria da Feira, Portugal.

Dália Meira (D)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Gaia/Espinho, EPE, Gaia, Portugal.

Joana Pires (J)

Ophthalmology Department, Unidade Local de Saúde (ULS) do Alto Ave, EPE, Guimarães, Portugal.

Carlos Menezes (C)

Ophthalmology Department, Unidade Local de Saúde (ULS) do Alto Minho, EPE, Viana Do Castelo, Portugal.

Filipa Rodrigues (F)

Ophthalmology Department, Unidade Local de Saúde (ULS) do Litoral Alentejano, EPE, Santiago Do Cacém, Portugal.

Pedro Arede (P)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Lisboa Ocidental, EPE, Lisboa, Portugal.

André Coutinho (A)

Ophthalmology Department, Unidade Local de Saúde (ULS) da Região de Aveiro, EPE, Aveiro, Portugal.

Diogo Cabral (D)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Almada-Seixal, EPE, Lisboa, Portugal.

Inês Coutinho (I)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Amadora/Sintra, EPE, Amadora, Portugal.

Miguel Ribeiro (M)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Viseu Dão-Lafões, EPE, Viseu, Portugal.

Marta Macedo (M)

Ophthalmology Department, Hospital Dr. Nélio Mendonça, EPE, Funchal, Portugal.

Sérgio Brito (S)

Ophthalmology Department, Unidade Local de Saúde (ULS) de Castelo Branco, EPE, Castelo Branco, Portugal.

Filipe Isidro (F)

Ophthalmology Department, Unidade Local de Saúde (ULS) do Algarve, EPE, Faro, Portugal.

Filipa Gomes Rodrigues (FG)

Ophthalmology Department, Unidade Local de Saúde (ULS) do Estuário do Tejo, EPE, Vila Franca de Xira, Portugal.

João Paulo Castro Sousa (JPC)

Ophthalmology Department, Unidade Local de Saúde (ULS) da Região de Leiria, EPE, Leiria, Portugal.

Marco Marques (M)

Ophthalmology Department, Unidade Local de Saúde (ULS) do Baixo Mondego, EPE, Figueira da Foz, Portugal.

Raquel Martins (R)

, Novartis, Portugal.

Eduardo Silva (E)

Ophthalmology Department, Unidade Local de Saúde (ULS) de São José, EPE, Lisboa, Portugal.

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