Journal Article

The European reference network for metabolic diseases

Hahn, Andreas, Komninaka, Veroniki, Scarpa, Maurizio, Zeman, Jiri, Gaspar, Ana M, Aguiar, Patricio, Martín-Hernández, Elena, Del Toro Riera, Mireja, Bordugo, Andrea, Martins, Esmeralda, Ziagaki, Athanasia, Dobbelaere, Dries, Ferreira, Ana, van der Ploeg, Ans T, Donati, Maria Alice, Chabrol, Brigitte, De Las Heras Montero, Javier, Di Rocco, Maja, Weinhold, Natalie, Cassiman, David, Eyskens, Francois, Pfliegler, György, López, Antonio González-Meneses, Hennermann, Julia, Vijay, Suresh, Verde, Alessandra, Parenti, Giancarlo, Chronopoulou, Efstathia, Attaianese, Federica, Guffon-Fouilhoux, Nathalie, Tarallo, Antonietta, Kingma, Sandra, Tournev, Ivailo, Gasperini, Serena, Ullrich, Kurt, Debray, Francois G, Jones, Simon, Alagia, Marianna, Hiwot, Tarekegn G, de Abreu Freire Diogo Matos, Luisa M, Gragnaniello, Vincenza, van den Hout, Johanna M. P, Couce-Pico, Maria Luz, Fecarotta, Simona, Das, Anibh M, Miclea, Diana, van der Beek, Nadine A. M. E, Bosch, Annet M, Burlina, Alberto, Huidekoper, Hidde, Baric, Ivo, Deegan, Patrick, Belmatoug, Nadia, Witters, Peter, Germain, Dominique P, Kiec-Wilk, Beata, Rut

2024

Overview

Clinical pathway recommendations (CPR) are based on existing guidelines and deliver a short overview on how to deal with a specific diagnosis, resulting therapy and follow-up. In this paper we propose a methodology for developing CPRs for Pompe disease, a metabolic myopathy caused by deficiency of lysosomal acid alpha-glucosidase. The CPR document was developed within the activities of the MetabERN, a non-profit European Reference Network for Metabolic Diseases established by the European Union. A working group was selected among members of the MetabERN lysosomal storage disease subnetwork, with specific expertise in the care of Pompe disease, and patient support group representatives. The working strategy was based on a systematic literature search to develop a database, followed by quality assessment of the studies selected from the literature, and by the development of the CPR document according to a matrix provided by MetabERN. Quality assessment of the literature and collection of citations was conducted according to the AGREE II criteria and Grading of Recommendations, Assessment, Development and Evaluation methodology. General aspects were addressed in the document, including pathophysiology, genetics, frequency, classification, manifestations and clinical approach, laboratory diagnosis and multidisciplinary evaluation, therapy and supportive measures, follow-up, monitoring, and pregnancy. The CPR document that was developed was intended to be a concise and easy-to-use tool for standardization of care for patients among the healthcare providers that are members of the network or are involved in the care for Pompe disease patients.

• Publisher: BioMed Central Ltd
• Subject: Amylases / Analysis / Care and treatment / Development and progression / Diagnosis / Diseases / France / Genetic aspects / Germany / Glycogen / Glycogenosis / Health care industry / Netherlands / Physiology, Pathological / United Kingdom