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Transition of patients with Duchenne muscular dystrophy from paediatric to adult care : an international Delphi consensus study

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Abstract
Background: Duchenne muscular dystrophy (DMD) is a rare neuromuscular disorder characterized by a progressive decline in muscle function, leading to loss of ambulation, respiratory and cardiac failure, and ultimately death. Improvements in DMD management have increased patient life expectancy; therefore, there is a growing requirement for patients to transfer from paediatric to adult care services. There is also a need for clear recommendations to guide this process. Aim: To establish international consensus guidelines regarding best practices for transitioning patients with DMD from paediatric to adult care and ensuring continuity of treatment. Methods: Consensus statements were developed using the Delphi process and scored using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The initiative was led by a steering committee (one non-voting chair and two voting members) who recruited 15 expert panellists to form the consensus group. Following an initial systematic literature search, the consensus group voted in three voting rounds. Round 1 (free-text responses to questions) and Round 2 (importance ranking of statements) were completed using an online survey. Round 3 (voting on final consensus statements) took place during a virtual consensus meeting. Consensus statements: Consensus was reached on 48 statements covering the topics of transition planning, the transition process, post-transfer management, communicating with young people with DMD and supporting them with the transition to adult life. Conclusion: These consensus statements provide guidelines for improving transition practices for young people with DMD and promoting continued care at a comparable standard in adulthood.
Keywords
Consensus, Delphi, Duchenne muscular dystrophy, Neuromuscular, Guidelines, Transition, YOUNG MEN, MANAGEMENT, QUALITY, GRADE, PART, STATEMENT, DIAGNOSIS, OUTCOMES, NAARDEN, LIFE

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MLA
Castro, Diana, et al. “Transition of Patients with Duchenne Muscular Dystrophy from Paediatric to Adult Care : An International Delphi Consensus Study.” EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY, vol. 54, 2025, pp. 130–39, doi:10.1016/j.ejpn.2025.01.004.
APA
Castro, D., Sejersen, T., Bello, L., Buccella, F., Cairns, A., Carranza-del Río, J., … Quinlivan, R. (2025). Transition of patients with Duchenne muscular dystrophy from paediatric to adult care : an international Delphi consensus study. EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY, 54, 130–139. https://doi.org/10.1016/j.ejpn.2025.01.004
Chicago author-date
Castro, Diana, Thomas Sejersen, Luca Bello, Filippo Buccella, Anita Cairns, Jorge Carranza-del Río, Imelda J.M. de Groot, et al. 2025. “Transition of Patients with Duchenne Muscular Dystrophy from Paediatric to Adult Care : An International Delphi Consensus Study.” EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY 54: 130–39. https://doi.org/10.1016/j.ejpn.2025.01.004.
Chicago author-date (all authors)
Castro, Diana, Thomas Sejersen, Luca Bello, Filippo Buccella, Anita Cairns, Jorge Carranza-del Río, Imelda J.M. de Groot, Lauren Elman, Isabella Inzani, Andrea Klein, Oscar H. Mayer, Hawken Miller, Alessandro Onofri, Alexandra Prufer de Queiroz Campos Araújo, Ulrike Schara-Schmidt, Karsten Vanden Wyngaert, Leanne M. Ward, Jo M. Wilmshurst, and Rosaline Quinlivan. 2025. “Transition of Patients with Duchenne Muscular Dystrophy from Paediatric to Adult Care : An International Delphi Consensus Study.” EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY 54: 130–139. doi:10.1016/j.ejpn.2025.01.004.
Vancouver
1.
Castro D, Sejersen T, Bello L, Buccella F, Cairns A, Carranza-del Río J, et al. Transition of patients with Duchenne muscular dystrophy from paediatric to adult care : an international Delphi consensus study. EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY. 2025;54:130–9.
IEEE
[1]
D. Castro et al., “Transition of patients with Duchenne muscular dystrophy from paediatric to adult care : an international Delphi consensus study,” EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY, vol. 54, pp. 130–139, 2025.
@article{01JHST0Y6W5PJTMT3Z74N4X3ZA,
  abstract     = {{Background: Duchenne muscular dystrophy (DMD) is a rare neuromuscular disorder characterized by a progressive decline in muscle function, leading to loss of ambulation, respiratory and cardiac failure, and ultimately death. Improvements in DMD management have increased patient life expectancy; therefore, there is a growing requirement for patients to transfer from paediatric to adult care services. There is also a need for clear recommendations to guide this process. Aim: To establish international consensus guidelines regarding best practices for transitioning patients with DMD from paediatric to adult care and ensuring continuity of treatment. Methods: Consensus statements were developed using the Delphi process and scored using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The initiative was led by a steering committee (one non-voting chair and two voting members) who recruited 15 expert panellists to form the consensus group. Following an initial systematic literature search, the consensus group voted in three voting rounds. Round 1 (free-text responses to questions) and Round 2 (importance ranking of statements) were completed using an online survey. Round 3 (voting on final consensus statements) took place during a virtual consensus meeting. Consensus statements: Consensus was reached on 48 statements covering the topics of transition planning, the transition process, post-transfer management, communicating with young people with DMD and supporting them with the transition to adult life. Conclusion: These consensus statements provide guidelines for improving transition practices for young people with DMD and promoting continued care at a comparable standard in adulthood.}},
  author       = {{Castro, Diana and Sejersen, Thomas and Bello, Luca and Buccella, Filippo and Cairns, Anita and Carranza-del Río, Jorge and de Groot, Imelda J.M. and Elman, Lauren and Inzani, Isabella and Klein, Andrea and Mayer, Oscar H. and Miller, Hawken and Onofri, Alessandro and Araújo, Alexandra Prufer de Queiroz Campos and Schara-Schmidt, Ulrike and Vanden Wyngaert, Karsten and Ward, Leanne M. and Wilmshurst, Jo M. and Quinlivan, Rosaline}},
  issn         = {{1090-3798}},
  journal      = {{EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY}},
  keywords     = {{Consensus,Delphi,Duchenne muscular dystrophy,Neuromuscular,Guidelines,Transition,YOUNG MEN,MANAGEMENT,QUALITY,GRADE,PART,STATEMENT,DIAGNOSIS,OUTCOMES,NAARDEN,LIFE}},
  language     = {{eng}},
  pages        = {{130--139}},
  title        = {{Transition of patients with Duchenne muscular dystrophy from paediatric to adult care : an international Delphi consensus study}},
  url          = {{http://doi.org/10.1016/j.ejpn.2025.01.004}},
  volume       = {{54}},
  year         = {{2025}},
}

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