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ABSTRACT: Background
In the Netherlands (NL) the government assigned 2 hospitals as centres of expertise (CE) for Phenylketonuria (PKU), while in the United Kingdom (UK) and Germany no centres are assigned specifically as PKU CE's.Methods
To identify expectations of patients/caregivers with PKU of CEs, a web-based survey was distributed through the national Phenylketonuria societies of Germany, NL and UK.Results
In total, 105 responded (43 patients, 56 parents, 4 grandparents, 2 other) of whom 59 were from NL, 33 from UK and 13 from Germany. All participants (n = 105) agreed that patients and/or practitioners would benefit from CEs. The frequency patients would want to visit a CE, when not treated in a CE (n = 83) varied: every hospital visit (24%, n = 20), annual or bi-annual (45%, n = 37), at defined patient ages (6%, n = 5), one visit only (22%, n = 18), or never (4%, n = 3). Distance was reported as a major barrier (42%, n = 35). 78% (n = 65) expected CE physicians and dieticians to have a higher level of knowledge than in non-CE centres. For participants already treated in a CE (n = 68), 66% requested a more extensive annual or bi-annual review. In general, psychology review and neuropsychologist assessment were identified as necessary by approximately half of the 105 participants. In addition, 66% (n = 68) expected a strong collaboration with patient associations.Conclusion
In this small study, most participants expected that assigning CEs will change the structure of and delivery of Phenylketonuria care.
SUBMITTER: van Wegberg AMJ
PROVIDER: S-EPMC7789756 | biostudies-literature | 2021 Jan
REPOSITORIES: biostudies-literature
van Wegberg A M J AMJ MacDonald A A Abeln D D Hagedorn T S TS Lange E E Trefz F F van Vliet D D van Spronsen F J FJ
Orphanet journal of rare diseases 20210106 1
<h4>Background</h4>In the Netherlands (NL) the government assigned 2 hospitals as centres of expertise (CE) for Phenylketonuria (PKU), while in the United Kingdom (UK) and Germany no centres are assigned specifically as PKU CE's.<h4>Methods</h4>To identify expectations of patients/caregivers with PKU of CEs, a web-based survey was distributed through the national Phenylketonuria societies of Germany, NL and UK.<h4>Results</h4>In total, 105 responded (43 patients, 56 parents, 4 grandparents, 2 ot ...[more]