To Test or Not to Test? Metabolic Testing in Adolescents and Adults with Intellectual Disability

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Title: To Test or Not to Test? Metabolic Testing in Adolescents and Adults with Intellectual Disability
Language: English
Authors: Moog, Ute, de Die-Smulders, Christine, Martens, Herman
Source: Journal of Policy and Practice in Intellectual Disabilities. Sep 2008 5(3):167-173.
Availability: Blackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8599; Fax: 781-388-8232; e-mail: customerservices@blackwellpublishing.com; Web site: http://www.blackwellpublishing.com/jnl_default.asp
Peer Reviewed: Y
Physical Description: PDF
Page Count: 7
Publication Date: 2008
Document Type: Journal Articles
Reports - Research
Descriptors: Siblings, At Risk Persons, Mental Retardation, Testing, Identification, Adolescents, Metabolism, Adults, Diagnostic Tests
DOI: 10.1111/j.1741-1130.2008.00169.x
ISSN: 1741-1122
Abstract: In order to add to the knowledge on adult phenotypes of metabolic disorders associated with intellectual disability (ID) and to evaluate criteria for recommending metabolic testing of adolescents and adults with unexplained ID, the authors analyzed retrospectively the outcome of metabolic investigations performed during a 10-year period on 256 people with ID aged 16 years or older from 245 families. A metabolic disorder was found in 13 people from 10 families, in some cases only after a second investigation. One diagnosis (homocystinuria) would have been missed if clinical selection had been performed. The present cases illustrate a broad clinical spectrum. The authors propose an adapted list of clinical findings that may indicate the need for metabolic testing of adolescents and adults with ID. The study contributes to the knowledge of the adult phenotype of metabolic disorders. A metabolic diagnosis as the cause of ID may lead to the adaptation of care procedures, often defines a low recurrence risk for the progeny of siblings and means relief from uncertainty for family members.
Abstractor: As Provided
Number of References: 27
Entry Date: 2009
Accession Number: EJ835302
Database: ERIC
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  Data: To Test or Not to Test? Metabolic Testing in Adolescents and Adults with Intellectual Disability
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  Data: <searchLink fieldCode="AR" term="%22Moog%2C+Ute%22">Moog, Ute</searchLink><br /><searchLink fieldCode="AR" term="%22de+Die-Smulders%2C+Christine%22">de Die-Smulders, Christine</searchLink><br /><searchLink fieldCode="AR" term="%22Martens%2C+Herman%22">Martens, Herman</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Policy+and+Practice+in+Intellectual+Disabilities%22"><i>Journal of Policy and Practice in Intellectual Disabilities</i></searchLink>. Sep 2008 5(3):167-173.
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  Data: Blackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8599; Fax: 781-388-8232; e-mail: customerservices@blackwellpublishing.com; Web site: http://www.blackwellpublishing.com/jnl_default.asp
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  Data: PDF
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  Data: 7
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  Data: 2008
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Siblings%22">Siblings</searchLink><br /><searchLink fieldCode="DE" term="%22At+Risk+Persons%22">At Risk Persons</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Retardation%22">Mental Retardation</searchLink><br /><searchLink fieldCode="DE" term="%22Testing%22">Testing</searchLink><br /><searchLink fieldCode="DE" term="%22Identification%22">Identification</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescents%22">Adolescents</searchLink><br /><searchLink fieldCode="DE" term="%22Metabolism%22">Metabolism</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+Tests%22">Diagnostic Tests</searchLink>
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  Data: 10.1111/j.1741-1130.2008.00169.x
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  Data: 1741-1122
– Name: Abstract
  Label: Abstract
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  Data: In order to add to the knowledge on adult phenotypes of metabolic disorders associated with intellectual disability (ID) and to evaluate criteria for recommending metabolic testing of adolescents and adults with unexplained ID, the authors analyzed retrospectively the outcome of metabolic investigations performed during a 10-year period on 256 people with ID aged 16 years or older from 245 families. A metabolic disorder was found in 13 people from 10 families, in some cases only after a second investigation. One diagnosis (homocystinuria) would have been missed if clinical selection had been performed. The present cases illustrate a broad clinical spectrum. The authors propose an adapted list of clinical findings that may indicate the need for metabolic testing of adolescents and adults with ID. The study contributes to the knowledge of the adult phenotype of metabolic disorders. A metabolic diagnosis as the cause of ID may lead to the adaptation of care procedures, often defines a low recurrence risk for the progeny of siblings and means relief from uncertainty for family members.
– Name: AbstractInfo
  Label: Abstractor
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  Data: As Provided
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  Data: 27
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  Label: Entry Date
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  Data: 2009
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  Label: Accession Number
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  Data: EJ835302
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        Value: 10.1111/j.1741-1130.2008.00169.x
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      – Text: English
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        PageCount: 7
        StartPage: 167
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      – SubjectFull: Siblings
        Type: general
      – SubjectFull: At Risk Persons
        Type: general
      – SubjectFull: Mental Retardation
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      – SubjectFull: Testing
        Type: general
      – SubjectFull: Identification
        Type: general
      – SubjectFull: Adolescents
        Type: general
      – SubjectFull: Metabolism
        Type: general
      – SubjectFull: Adults
        Type: general
      – SubjectFull: Diagnostic Tests
        Type: general
    Titles:
      – TitleFull: To Test or Not to Test? Metabolic Testing in Adolescents and Adults with Intellectual Disability
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            NameFull: Moog, Ute
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            NameFull: de Die-Smulders, Christine
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            NameFull: Martens, Herman
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