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The practice of adult genetics: A 7-year experience from a single center

Authors

  • Tanya N. Eble,

    1. Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas
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  • Sandesh C.S. Nagamani,

    1. Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas
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  • Luis M. Franco,

    1. Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas
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  • Sharon E. Plon,

    1. Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas
    2. Texas Children's Cancer Center, Baylor College of Medicine, Houston, Texas
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  • Maria Blazo,

    1. Division of Medical Genetics, Scott & White Clinic, Temple, Texas
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  • Shweta U. Dhar MD, MS, FACMG

    Corresponding author
    1. Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas
    2. Department of Medicine, Baylor College of Medicine, Houston, Texas
    • Assistant Professor, Medical Director, Adult Genetics, Department of Molecular and Human Genetics, Baylor College of Medicine, 1709 Dryden Rd, Rm 17.20, Houston, TX 77030.
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  • How to Cite this Article: Eble TN, Nagamani SCS, Franco LM, Plon SE, Blazo M, Dhar SU. 2012. The practice of adult genetics: A 7-year experience from a single center. Am J Med Genet Part A 161A:89–93.

Abstract

The purpose of our study is to familiarize the reader with genetic disorders commonly seen in adults and identify challenges and barriers that limit provision of services. We conducted a retrospective chart analysis of patients seen in the adult Genetics clinics from January 2004 to December 2010 in a metropolitan medical center consisting of an academic private clinic and a county hospital clinic. During the study period, a total of 1,552 patients (n = 1,108 private clinic patients; n = 444 county clinic patients) were evaluated and managed. Of these, 790 and 280 were new patient visits at the private clinic and county clinic, respectively. Approximately 35% (374/1,070) of new patients were seen for cancer-related indications, while neurological indications accounted for approximately 14% (153/1,070) in both clinics. Cardiology-related indications accounted for approximately 13% (145/1,070) of patients, followed closely by chromosomal and syndromic indications for which almost 9% (96/1,070) of new patients were seen. Approximately 8% (90/1,070) of new patients were seen for musculoskeletal indications. We saw increased clinic growth during the study period and found that the most common indications for referral are: (1) Personal/family history of cancer (2) neurological (3) cardiovascular (CV) (4) chromosomal/syndromic and (5) musculoskeletal. A number of challenges were identified, including coordination of services, feasibility of testing, and an overall higher complexity of care with increased clinic scheduling time requirements. Through this review, we demonstrate the demand for adult genetics services and propose some guidelines to address the challenges of management in the adult genetics patient population. © 2012 Wiley Periodicals, Inc.

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