Medical attitudes survey for female dystrophinopathy carriers in Japan

Michio Kobayashi, Tomoyuki Hatakeyama, Masatoshi Ishizaki, Katsuhito Adachi, Mizuki Morita, Naohiro Yonemoto, Tsuyoshi Matsumura, Itaru Toyoshima, En Kimura

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective This study attempted to clarify the current status of female dystrophinopathy carriers, including the numbers of patients, the status of genetic screening, the status of counseling, physicians’ understanding, and barriers to registration. Methods We sent out questionnaires to 402 physicians registered in the Remudy dystrophinopathy registry. The total number of responses received was 130 (response rate: 32%). Result In total, 1,212 cases of Duchenne muscular dystrophy, 365 cases of Becker muscular dystrophy, and 132 cases of female dystrophinopathy with a confirmed genetic mutation were encountered, and genetic testing was performed in the mother in 137, 23, and 12 cases, respectively. With respect to the risk of the onset of health problems, 25% of physicians always explained, 29% usually explained, 29% sometimes explained, and 13% never explained the risk to the mothers and female siblings of dystrophinopathy patients. The most common reason for not explaining the risk was a lack of knowledge/information. Thirty-five percent were familiar with the guidelines for testing the heart function of carriers. Conclusion Fewer mothers of dystrophinopathy patients have undergone genetic testing in Japan than in other countries. A significant portion of doctors did not explain the risks of health problems due to a lack of knowledge. We hope this survey will lead to an increased discussion of female dystrophinopathy patients.

Original languageEnglish
Pages (from-to)2325-2332
Number of pages8
JournalInternal Medicine
Volume57
Issue number16
DOIs
Publication statusPublished - 2018

Keywords

  • Carrier
  • Duchenne muscular dystrophy
  • Genetic diagnosis
  • Health management
  • Patient registry

ASJC Scopus subject areas

  • Internal Medicine

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  • Cite this

    Kobayashi, M., Hatakeyama, T., Ishizaki, M., Adachi, K., Morita, M., Yonemoto, N., Matsumura, T., Toyoshima, I., & Kimura, E. (2018). Medical attitudes survey for female dystrophinopathy carriers in Japan. Internal Medicine, 57(16), 2325-2332. https://doi.org/10.2169/internalmedicine.0163-17