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Duchenne Muscular Dystrophy: Canadian Paediatric Neuromuscular Physicians Survey

Published online by Cambridge University Press:  02 December 2014

Hugh J. McMillan ,
Craig Campbell  and
Jean K. Mah
Hugh J. McMillan
Affiliation:
Division of Neurology, Department of Paediatrics, Children's Hospital of Eastern Ontario, Ottawa
Craig Campbell
Affiliation:
Departments of Paediatrics, Clinical Neurological Sciences and Epidemiology, University of Western Ontario, London, Ontario
Jean K. Mah*
Affiliation:
Division of Paediatric Neurology, Department of Paediatrics and Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada
*
Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, Alberta, T3B 6A8, Canada.
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Abstract

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Background:

Duchenne muscular dystrophy (DMD) is the most common form of muscular dystrophy in childhood.

Method:

To assess the current care of paediatric DMD patients in Canada, a questionnaire was mailed to 17 physicians who were members of the Canadian paediatric neuromuscular group. Areas of enquiry included; 1) multidisciplinary team composition; 2) means of DMD diagnosis; 3) corticosteroid use; surveillance and management for: 4) orthopaedic, 5) respiratory and 6) cardiac complications and 7) health maintenance (nutrition & immunizations).

Results:

Completed surveys were returned by 14/17 (82%) of physicians. Twelve respondents followed DMD patients. All centres had multidisciplinary teams, including respirology (11/12), child neurology or physiatry (11), physiotherapy (9), occupational therapy (9) and orthopaedic surgery (7). Deflazacort 0.9mg/kg/d was used at all centres, which was continued after loss of independent ambulation (11), along with routine calcium and vitamin D supplementation (10). Night splints were prescribed at all centres. Routine surveillance studies included pulmonary function testing (11), sleep studies (10), EKG/echocardiogram (10), bone density (DEXA) scans (10), spine radiography (9), and dietician referral (4).

Conclusion:

Paediatric DMD patients are receiving relatively consistent care in multidisciplinary clinics across Canada, in accordance with recommended guidelines for DMD.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 37 , Issue 2 , March 2010 , pp. 195 - 205
Copyright
Copyright © The Canadian Journal of Neurological 2010

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