Current management of inherited retinal degenerations in Portugal (IRD-PT survey).
Epidemiology
Genetic testing
Inherited retinal degenerations
Ophthalmic genetics
Rare eye diseases
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
14 Sep 2024
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
21473Informations de copyright
© 2024. The Author(s).
Références
Griffith, J. 3rd. et al. Inherited Retinal Dystrophy in Southeastern United States: Characterization of South Carolina Patients and Comparative Literature Review. Genes (Basel) https://doi.org/10.3390/genes13081490 (2022).
doi: 10.3390/genes13081490
pubmed: 36011402
Olivares-Gonzalez, L., Velasco, S., Campillo, I. & Rodrigo, R. Retinal Inflammation, Cell Death and Inherited Retinal Dystrophies. Int. J. Mol. Sci. 22, 2096 (2021).
doi: 10.3390/ijms22042096
pubmed: 33672611
pmcid: 7924201
Lam, B. L. et al. Genetic testing and diagnosis of inherited retinal diseases. Orphanet J. Rare Dis. 16(1), 514 (2021).
doi: 10.1186/s13023-021-02145-0
pubmed: 34906171
pmcid: 8670140
Broadgate, S., Yu, J., Downes, S. M. & Halford, S. Unravelling the genetics of inherited retinal dystrophies: Past, present and future. Prog. Retin. Eye Res. 59, 53–96 (2017).
doi: 10.1016/j.preteyeres.2017.03.003
pubmed: 28363849
Lee, K. & Garg, S. Navigating the current landscape of clinical genetic testing for inherited retinal dystrophies. Genet. Med. 17(4), 245–252 (2015).
doi: 10.1038/gim.2015.15
pubmed: 25790163
Black, G. C. et al. The need for widely available genomic testing in rare eye diseases: An ERN-EYE position statement. Orphanet J. Rare Dis. 16(1), 142 (2021).
doi: 10.1186/s13023-021-01756-x
pubmed: 33743793
pmcid: 7980559
Marques, J. P., Pires, J., Costa, J., Murta, J. & Silva, R. Inherited Retinal Degenerations in Portugal: Addressing the Unmet Needs. Acta Médica Portuguesa. 34(5), 332–334 (2021).
doi: 10.20344/amp.15802
pubmed: 33834989
Peter, V. G. et al. The first genetic landscape of inherited retinal dystrophies in Portuguese patients identifies recurrent homozygous mutations as a frequent cause of pathogenesis. PNAS Nexus. https://doi.org/10.1093/pnasnexus/pgad043 (2023).
doi: 10.1093/pnasnexus/pgad043
pubmed: 36909829
pmcid: 10003751
Weisschuh, N. et al. Genetic architecture of inherited retinal degeneration in Germany: A large cohort study from a single diagnostic center over a 9-year period. Hum. Mutat. 41(9), 1514–1527 (2020).
doi: 10.1002/humu.24064
pubmed: 32531858
Sen, P. et al. Prevalence of retinitis pigmentosa in South Indian population aged above 40 years. Ophthalmic Epidemiol. 15(4), 279–281 (2008).
doi: 10.1080/09286580802105814
pubmed: 18780262
Sia, D. I. et al. A survey of visual impairment and blindness in children attending four schools for the blind in Cambodia. Ophthalmic Epidemiol. 17(4), 225–233 (2010).
doi: 10.3109/09286586.2010.489250
pubmed: 20642345
Estatística INd. Censos 2021 2022 [Available from: https://tabulador.ine.pt/indicador/?id=0011609
Marques, J. P. et al. Design, development and deployment of a web-based interoperable registry for inherited retinal dystrophies in Portugal: the IRD-PT. Orphanet. J. Rare Dis. 15(1), 304 (2020).
doi: 10.1186/s13023-020-01591-6
pubmed: 33109251
pmcid: 7590677
Heath Jeffery, R. C. et al. Inherited retinal diseases are the most common cause of blindness in the working-age population in Australia. Ophthalmic Genet. 42(4), 431–439 (2021).
doi: 10.1080/13816810.2021.1913610
pubmed: 33939573
pmcid: 8315212
Galvin, O. et al. The Impact of Inherited Retinal Diseases in the Republic of Ireland (ROI) and the United Kingdom (UK) from a Cost-of-Illness Perspective. Clin. Ophthalmol. 14, 707–719 (2020).
doi: 10.2147/OPTH.S241928
pubmed: 32184557
pmcid: 7062501
Lorenz B, Tavares J, van den Born LI, Marques JP, Scholl HPN, Group EVn. Current Management of Inherited Retinal Degeneration Patients in Europe: Results of a Multinational Survey by the European Vision Institute Clinical Research Network. Ophthalmic Res. 64(4):622–38. (2021).
Lorenz, B. et al. Current management of Inherited Retinal Degenerations (IRD) patients in Europe. Results of a 2 years follow-up multinational survey by the European Vision Institute Clinical Research Network EVICRnet. Ophthalmic Res https://doi.org/10.1159/000529777 (2023).
doi: 10.1159/000529777
pubmed: 36878196
Calzetti, G. et al. Genetic Testing of Patients with Inherited Retinal Diseases in the European Countries: An International Survey by the European Vision Institute. Ophthalmic. Res. 67(1), 448–457 (2024).
pubmed: 39079514
Verbakel, S. K. et al. Non-syndromic retinitis pigmentosa. Prog. Retin. Eye Res. 66, 157–186 (2018).
doi: 10.1016/j.preteyeres.2018.03.005
pubmed: 29597005
Menghini, M., Cehajic-Kapetanovic, J. & MacLaren, R. E. Monitoring progression of retinitis pigmentosa: Current recommendations and recent advances. Expert Opin. Orphan. Drugs. 8(2–3), 67–78 (2020).
doi: 10.1080/21678707.2020.1735352
pubmed: 32231889
pmcid: 7104334
Marques, J. P. et al. Challenges, facilitators and barriers to the adoption and use of a web-based national IRD registry: Lessons learned from the IRD-PT registry. Orphanet. J. Rare Dis. 17(1), 323 (2022).
doi: 10.1186/s13023-022-02489-1
pubmed: 36028864
pmcid: 9419370