fran hickey: clinical care and the importance of clinical research in down syndrome

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  • 7/27/2019 Fran Hickey: Clinical Care and the Importance of Clinical Research in Down Syndrome

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    FranHickeyMDMedicalDirector

    SieCenterforDownSyndromeandLindaCrnicInstitute

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    People First LanguageCorrectnameforthisdiagnosisisDownsyndrome.Thereisnoapostrophe(Down).Thesinsyndromeisnotcapitalized(syndrome)Encouragepeopletousepeople-firstlanguage.ThepersonwithDownsyndrome,nottheDownsyndromeperson.Apersonwith

    DownsyndromeisnotaDownsItisimportanttousethecorrectterminology.ApersonhasDownsyndrome,ratherthansuffersfrom,isavicEmof,isdiseasedwithorafflictedby

    Eachpersonhashis/herownuniquestrengths,capabiliesandtalents.TrynottousetheclichsthataresocommonwhendescribinganindividualwithDownsyndrome.GeneralizaEonallowsmarginalizaEonofcare

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    Health Supervision for Children with Down

    Syndrome: AAP, August 2011 Pediatrics2011 TheseguidelinesaredesignedtoassistthepediatricianandSubspecialistsincaringforthechildwithadiagnosisofDownsyndrome

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    Of the 671 patients seen at the Sie Center.

    71% referred to Audiology 33% referred to Cardiology 61% referred to get labs (TSH, T4) 51% referred to Ophthalmology 36% referred to get a sleep study

    0

    100

    200

    300

    400

    500

    600

    700

    Audiology Cardiology Labs Opthalmology SleepStudies

    NumberofPatientReferrals

    476

    221

    407

    344

    244

    Impact on Compliance to AAP/ Down

    Syndrome Guidelines

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    DownSyndromeClinicalResearch

    ImprovingMedicalCare

    CardiologyRespiratorySleepApneaAutoimmuneIEThyroidCeliacDiseasesHeme-OncExerciseNutrition

    Feeding-AspirationIssues ClinicalTrials.govAserviceoftheU.S.NationalInstitutesofHealth

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    CeliacDiseaseVariablepresentaEon;however,mayhaveneurologicalandbehavioralconsequences

    Book01,Zachor00

    Seizures-Needtobeawaresinceoccursin2-10%Stern-Goldberg01,Smigielska-Kuzia09

    AuEsmSpectrumDisorder/AuEsm-Difficulttodiagnoseorrecognizethisdualdiagnosis

    Kent99,Hickey06,andDiGuiseppi10,allindicated7%prevalencerange

    DOWN SYNDROME CO-MORBIDITY RULEOF 7:

    THE FORGOTTENAND UNDER-DIAGNOSED 7%

    CLINICALRESEARCHLEADINGTOIMPROVEDCARE

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    DownSyndrome

    ResearchCommiFee

    @SieCenter

    To review clinical

    research requests

    involving Down syndrome

    4 Parents involved in care

    and advocacy

    3 Pediatricians with childrenwith Down syndrome

    3 Leadership members fromthe Sie Center

    Research Coordinator andAssistant

    National leader and founderof DSMIG

    Dr Bonnie Patterson

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    NaonalDownSyndromeSocietyDSClinicMap

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    AutismSpeaksLaunchesFirst-of-its-KindNationalHousingandResidentialSupportsSurvey!

    Withinthenextdecade,morethan500,000individualswithautismwillenteradulthood.AutismSpeaksseekstoquantifyandcharacterizethehousingneedsofindividuals,adolescentsandadultswithautismintheUnitedStatesthroughthefirst-of-its-kind

    NationalHousingandResidentialSupportsSurvey.

    AdvocacyResearch

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    Thend