Characterization of Surgical Procedures in Patients with Mucopolysaccharidosis Type I: Findings from the MPS I Registry

Objective To clarify the extent and chronology of surgical burden in relation to symptom onset and diagnosis in patients with mucopolysaccharidosis I (MPS I) as reported in the MPS I Registry, an international observational database. Study design Analysis of surgical data from 544 patients enrolled...

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Veröffentlicht in:The Journal of pediatrics 2009-06, Vol.154 (6), p.859-864.e3
Hauptverfasser: Arn, Pamela, MD, Wraith, J. Edmond, MB, ChB, Underhill, Lisa, MS
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container_end_page 864.e3
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container_title The Journal of pediatrics
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creator Arn, Pamela, MD
Wraith, J. Edmond, MB, ChB
Underhill, Lisa, MS
description Objective To clarify the extent and chronology of surgical burden in relation to symptom onset and diagnosis in patients with mucopolysaccharidosis I (MPS I) as reported in the MPS I Registry, an international observational database. Study design Analysis of surgical data from 544 patients enrolled in the MPS I Registry. Among all patients with at least 1 reported surgery, the number and frequency of procedures, and age at procedure, diagnosis, and symptom onset were collected overall, by patient, and by reported phenotype (Hurler, Hurler-Scheie, Scheie). Results Overall and by phenotype, ∼75% of patients in the MPS I Registry reported at least 1 surgery. The most common were myringotomies and related procedures, hernia repair, adenoidectomy/tonsillectomy, and carpal-tunnel release. Median age at first surgery was
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Edmond, MB, ChB ; Underhill, Lisa, MS</creator><creatorcontrib>Arn, Pamela, MD ; Wraith, J. Edmond, MB, ChB ; Underhill, Lisa, MS</creatorcontrib><description>Objective To clarify the extent and chronology of surgical burden in relation to symptom onset and diagnosis in patients with mucopolysaccharidosis I (MPS I) as reported in the MPS I Registry, an international observational database. Study design Analysis of surgical data from 544 patients enrolled in the MPS I Registry. Among all patients with at least 1 reported surgery, the number and frequency of procedures, and age at procedure, diagnosis, and symptom onset were collected overall, by patient, and by reported phenotype (Hurler, Hurler-Scheie, Scheie). Results Overall and by phenotype, ∼75% of patients in the MPS I Registry reported at least 1 surgery. The most common were myringotomies and related procedures, hernia repair, adenoidectomy/tonsillectomy, and carpal-tunnel release. Median age at first surgery was &lt;5 years. A median of 3 to 4 surgeries was reported per patient. By age 1.5, 4, and 10 years, respectively, 22%, 44%, and 54% of patients reported ≥2 surgeries. At least 1 surgery preceded diagnosis in 36%, 46%, and 63% of patients with Hurler, Hurler-Scheie, and Scheie, respectively. Conclusions Pediatricians and pediatric surgeons need to be aware of the surgical burden of MPS I and be alert to its presenting signs and symptoms in children scheduled for surgery.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2008.12.024</identifier><identifier>PMID: 19217123</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>Maryland Heights, MO: Mosby, Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Carbohydrates (enzymatic deficiencies). Glycogenosis ; Child ; Errors of metabolism ; Female ; General aspects ; Humans ; Male ; Medical sciences ; Metabolic diseases ; Mucopolysaccharidosis I - classification ; Mucopolysaccharidosis I - complications ; Mucopolysaccharidosis I - diagnosis ; Pediatrics ; Phenotype ; Surgical Procedures, Operative - classification ; Surgical Procedures, Operative - statistics &amp; numerical data ; Young Adult</subject><ispartof>The Journal of pediatrics, 2009-06, Vol.154 (6), p.859-864.e3</ispartof><rights>Mosby, Inc.</rights><rights>2009 Mosby, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-d2741a222ac1d7c8ecfeb06623279ec4124b325bf5ff5fbc159e70f9514574c13</citedby><cites>FETCH-LOGICAL-c442t-d2741a222ac1d7c8ecfeb06623279ec4124b325bf5ff5fbc159e70f9514574c13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022347608010974$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21630919$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19217123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arn, Pamela, MD</creatorcontrib><creatorcontrib>Wraith, J. Edmond, MB, ChB</creatorcontrib><creatorcontrib>Underhill, Lisa, MS</creatorcontrib><title>Characterization of Surgical Procedures in Patients with Mucopolysaccharidosis Type I: Findings from the MPS I Registry</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To clarify the extent and chronology of surgical burden in relation to symptom onset and diagnosis in patients with mucopolysaccharidosis I (MPS I) as reported in the MPS I Registry, an international observational database. Study design Analysis of surgical data from 544 patients enrolled in the MPS I Registry. Among all patients with at least 1 reported surgery, the number and frequency of procedures, and age at procedure, diagnosis, and symptom onset were collected overall, by patient, and by reported phenotype (Hurler, Hurler-Scheie, Scheie). Results Overall and by phenotype, ∼75% of patients in the MPS I Registry reported at least 1 surgery. The most common were myringotomies and related procedures, hernia repair, adenoidectomy/tonsillectomy, and carpal-tunnel release. Median age at first surgery was &lt;5 years. A median of 3 to 4 surgeries was reported per patient. By age 1.5, 4, and 10 years, respectively, 22%, 44%, and 54% of patients reported ≥2 surgeries. At least 1 surgery preceded diagnosis in 36%, 46%, and 63% of patients with Hurler, Hurler-Scheie, and Scheie, respectively. Conclusions Pediatricians and pediatric surgeons need to be aware of the surgical burden of MPS I and be alert to its presenting signs and symptoms in children scheduled for surgery.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Carbohydrates (enzymatic deficiencies). Glycogenosis</subject><subject>Child</subject><subject>Errors of metabolism</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Mucopolysaccharidosis I - classification</subject><subject>Mucopolysaccharidosis I - complications</subject><subject>Mucopolysaccharidosis I - diagnosis</subject><subject>Pediatrics</subject><subject>Phenotype</subject><subject>Surgical Procedures, Operative - classification</subject><subject>Surgical Procedures, Operative - statistics &amp; numerical data</subject><subject>Young Adult</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFklGL1DAUhYso7uzqLxAkL_rWepOm7VRQkMHVgV0cnPU5pOntTGqnGXNbl-6vN3UGBV-EQF6-cwhfThS94JBw4PmbNmmPWFMiAJYJFwkI-ShacCiLOF-m6eNoASBEnMoiv4guiVoAKCXA0-iCl4IXXKSL6H61116bAb190IN1PXMN245-Z43u2MY7g_XokZjt2SYA2A_E7u2wZ7ejcUfXTaSNCR22dmSJ3U1HZOu37Nr2te13xBrvDmzYI7vdbNmafcWdpcFPz6Inje4In5_vq-jb9ce71ef45sun9erDTWykFENci0JyLYTQhteFWaJpsII8F6koSjSSC1mlIquarAmnMjwrsYCmzLjMCml4ehW9PvUevfsxIg3qYMlg1-ke3UgqL0QOJYgApifQeEfksVFHbw_aT4qDmn2rVv32rWbfigsVfIfUy3P9WB2w_ps5Cw7AqzOgKRhtvO6NpT-c4HkKJS8D9-7EYZDx06JXZILsYN96NIOqnf3PQ97_kzed7edP_I4TUutG3wfPiisKAbWdpzEvA5YwL0amvwB43LT2</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Arn, Pamela, MD</creator><creator>Wraith, J. Edmond, MB, ChB</creator><creator>Underhill, Lisa, MS</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090601</creationdate><title>Characterization of Surgical Procedures in Patients with Mucopolysaccharidosis Type I: Findings from the MPS I Registry</title><author>Arn, Pamela, MD ; Wraith, J. Edmond, MB, ChB ; Underhill, Lisa, MS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-d2741a222ac1d7c8ecfeb06623279ec4124b325bf5ff5fbc159e70f9514574c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Carbohydrates (enzymatic deficiencies). Glycogenosis</topic><topic>Child</topic><topic>Errors of metabolism</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Mucopolysaccharidosis I - classification</topic><topic>Mucopolysaccharidosis I - complications</topic><topic>Mucopolysaccharidosis I - diagnosis</topic><topic>Pediatrics</topic><topic>Phenotype</topic><topic>Surgical Procedures, Operative - classification</topic><topic>Surgical Procedures, Operative - statistics &amp; numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arn, Pamela, MD</creatorcontrib><creatorcontrib>Wraith, J. Edmond, MB, ChB</creatorcontrib><creatorcontrib>Underhill, Lisa, MS</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arn, Pamela, MD</au><au>Wraith, J. Edmond, MB, ChB</au><au>Underhill, Lisa, MS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterization of Surgical Procedures in Patients with Mucopolysaccharidosis Type I: Findings from the MPS I Registry</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>154</volume><issue>6</issue><spage>859</spage><epage>864.e3</epage><pages>859-864.e3</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Objective To clarify the extent and chronology of surgical burden in relation to symptom onset and diagnosis in patients with mucopolysaccharidosis I (MPS I) as reported in the MPS I Registry, an international observational database. Study design Analysis of surgical data from 544 patients enrolled in the MPS I Registry. Among all patients with at least 1 reported surgery, the number and frequency of procedures, and age at procedure, diagnosis, and symptom onset were collected overall, by patient, and by reported phenotype (Hurler, Hurler-Scheie, Scheie). Results Overall and by phenotype, ∼75% of patients in the MPS I Registry reported at least 1 surgery. The most common were myringotomies and related procedures, hernia repair, adenoidectomy/tonsillectomy, and carpal-tunnel release. Median age at first surgery was &lt;5 years. A median of 3 to 4 surgeries was reported per patient. By age 1.5, 4, and 10 years, respectively, 22%, 44%, and 54% of patients reported ≥2 surgeries. At least 1 surgery preceded diagnosis in 36%, 46%, and 63% of patients with Hurler, Hurler-Scheie, and Scheie, respectively. Conclusions Pediatricians and pediatric surgeons need to be aware of the surgical burden of MPS I and be alert to its presenting signs and symptoms in children scheduled for surgery.</abstract><cop>Maryland Heights, MO</cop><pub>Mosby, Inc</pub><pmid>19217123</pmid><doi>10.1016/j.jpeds.2008.12.024</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adolescent
Biological and medical sciences
Carbohydrates (enzymatic deficiencies). Glycogenosis
Child
Errors of metabolism
Female
General aspects
Humans
Male
Medical sciences
Metabolic diseases
Mucopolysaccharidosis I - classification
Mucopolysaccharidosis I - complications
Mucopolysaccharidosis I - diagnosis
Pediatrics
Phenotype
Surgical Procedures, Operative - classification
Surgical Procedures, Operative - statistics & numerical data
Young Adult
title Characterization of Surgical Procedures in Patients with Mucopolysaccharidosis Type I: Findings from the MPS I Registry
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