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Initiating an undiagnosed diseases program in the Western Australian public health system

机译:在西澳大利亚州公共卫生系统中发起未诊断的疾病计划

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摘要

BackgroundNew approaches are required to address the needs of complex undiagnosed diseases patients. These approaches include clinical genomic diagnostic pipelines, utilizing intra- and multi-disciplinary platforms, as well as specialty-specific genomic clinics. Both are advancing diagnostic rates. However, complementary cross-disciplinary approaches are also critical to address those patients with multisystem disorders who traverse the bounds of multiple specialties and remain undiagnosed despite existing intra-specialty and genomic-focused approaches. The diagnostic possibilities of undiagnosed diseases include genetic and non-genetic conditions. The focus on genetic diseases addresses some of these disorders, however a cross-disciplinary approach is needed that also simultaneously addresses other disorder types. Herein, we describe the initiation and summary outcomes of a public health system approach for complex undiagnosed patients - the Undiagnosed Diseases Program-Western Australia (UDP-WA).
机译:背景技术需要新的方法来解决复杂的未诊断疾病患者的需求。这些方法包括利用内部和多学科平台的临床基因组学诊断流程,以及专门针对基因组学的诊所。两者都在提高诊断率。然而,互补的跨学科方法对于解决那些跨越多个专业领域并且尽管现有的内部专业和以基因组为重点的方法仍无法诊断的多系统疾病患者也至关重要。未诊断疾病的诊断可能性包括遗传和非遗传疾病。对遗传疾病的关注解决了其中一些疾病,但是需要一种跨学科的方法同时解决其他疾病类型。在此,我们描述了针对未确诊的复杂患者的公共卫生系统方法的启动和总结结果-西澳大利亚州未确诊疾病计划(UDP-WA)。

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