Abstract:
:Many adult patients with phenylketonuria (PKU) are no longer receiving treatment for their disorder despite mounting evidence that elevated blood phenylalanine levels are associated with impairments of brain function manifested by neurocognitive deficits and psychiatric symptoms. An outreach program was established in a single PKU clinic with the goal of bringing "wayward" adults back into treatment. In a clinic with 152 active patients, another 162 records were identified of patients who had been previously treated and had not transferred to another clinic. 47 of these patients could not be located. Of the remaining 115, a total of 63 were re-engaged and received education, either through individual telephone encounters or attendance at adult educational programs. Thus far, 21 patients have returned to treatment. Obstacles to treatment for many patients include inadequate insurance coverage and lack of understanding of the significance of the diagnosis of PKU among patients off treatment for many years. The social, emotional and psychiatric symptoms of the disorder itself are perhaps the greatest barrier to successful re-introduction to treatment. This experience confirms that there are large numbers of adult patients with PKU who are not currently receiving any care for their disorder. Reaching them and re-engaging them in treatment will be a significant challenge and will require a multifaceted effort.
journal_name
Mol Genet Metabjournal_title
Molecular genetics and metabolismauthors
Burton BK,Leviton Ldoi
10.1016/j.ymgme.2010.06.006subject
Has Abstractpub_date
2010-10-01 00:00:00pages
146-8issue
2-3eissn
1096-7192issn
1096-7206pii
S1096-7192(10)00226-Xjournal_volume
101pub_type
杂志文章abstract:BACKGROUND:A common follicle-stimulating hormone (FSH) receptor (or FSHR) polymorphism Ser680Asn (rs6166) was found to be associated with altered ovarian response in women undergoing in-vitro fertilization. To further investigate such an association, a meta-analysis was conducted. METHODS:A PubMed literature search wa...
journal_title:Molecular genetics and metabolism
pub_type: 杂志文章,meta分析
doi:10.1016/j.ymgme.2011.04.005
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journal_title:Molecular genetics and metabolism
pub_type: 杂志文章
doi:10.1006/mgme.1999.2820
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doi:10.1016/j.ymgme.2007.06.006
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pub_type: 杂志文章
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journal_title:Molecular genetics and metabolism
pub_type: 杂志文章
doi:10.1016/j.ymgme.2010.04.001
更新日期:2010-07-01 00:00:00
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doi:10.1006/mgme.2001.3282
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pub_type: 杂志文章,随机对照试验
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更新日期:2017-07-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
doi:10.1016/j.ymgme.2006.08.011
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pub_type: 杂志文章
doi:10.1006/mgme.1998.2699
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pub_type: 杂志文章,评审
doi:10.1016/j.ymgme.2017.09.009
更新日期:2017-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ymgme.2011.08.026
更新日期:2011-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ymgme.2011.04.004
更新日期:2011-08-01 00:00:00
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journal_title:Molecular genetics and metabolism
pub_type: 临床试验,杂志文章
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更新日期:2004-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ymgme.2011.08.020
更新日期:2011-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1006/mgme.1999.2814
更新日期:1999-04-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2003-09-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
doi:10.1006/mgme.2000.3105
更新日期:2001-01-01 00:00:00
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journal_title:Molecular genetics and metabolism
pub_type: 杂志文章
doi:10.1016/j.ymgme.2005.02.010
更新日期:2005-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ymgme.2013.04.017
更新日期:2013-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ymgme.2010.05.012
更新日期:2010-09-01 00:00:00
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journal_title:Molecular genetics and metabolism
pub_type: 杂志文章,评审
doi:10.1016/j.ymgme.2011.08.023
更新日期:2011-01-01 00:00:00
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journal_title:Molecular genetics and metabolism
pub_type: 杂志文章
doi:10.1016/j.ymgme.2005.08.002
更新日期:2005-11-01 00:00:00
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journal_title:Molecular genetics and metabolism
pub_type: 杂志文章
doi:10.1016/j.ymgme.2008.03.013
更新日期:2008-07-01 00:00:00
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journal_title:Molecular genetics and metabolism
pub_type: 杂志文章
doi:10.1016/j.ymgme.2015.08.001
更新日期:2016-02-01 00:00:00
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journal_title:Molecular genetics and metabolism
pub_type: 杂志文章
doi:10.1016/j.ymgme.2011.04.002
更新日期:2011-07-01 00:00:00