eCite Digital Repository

Genetic testing of aetiology of intellectual disability in a dedicated physical healthcare outpatient clinic for adults with intellectual disability

Citation

Wallace, RA, Genetic testing of aetiology of intellectual disability in a dedicated physical healthcare outpatient clinic for adults with intellectual disability, Internal Medicine Journal, 46, (2) pp. 177-185. ISSN 1444-0903 (2016) [Refereed Article]

Copyright Statement

Copyright 2016 Royal Australasian College of Physicians

DOI: doi:10.1111/imj.12946

Abstract

Background: No guidelines exist for assessment of aetiology of intellectual disability in adults with intellectual disability by adult physicians, although robust guidelines exist for paediatric populations. It was speculated that the paediatric guidelines would also be suitable for adults.

Aims: In rural/regional setting with limited clinical genetics, to perform a quality assurance evaluation on genetics assessment of aetiology of developmental disability in adults attending a dedicated healthcare clinic for adults with intellectual disability, compared results with paediatric standards, speculates if these seem appropriate for adults and speculates on a role for clinical genetics services.

Methods: Retrospective chart audit of eligible patients looking at genetic clinical assessment, tests selected (molecular karyotype, G banding, metabolics), and yields of positive results. The results were compared with the recommended paediatric guidelines.

Results: Of 117 eligible adult patients, ideal genetic history was incomplete for 40% of patients without Down syndrome because of physician cause and lack of information. The number of abnormal genetic results increased from 46% to 66%, mainly from the molecular karyotype, though not all may have been clinically relevant. The improved yield from this test was similar to that in paediatric studies. Use of G banding and metabolic testing could be refined.

Conclusion: Improvement can be made in clinical genetic assessment, but results generally support use of molecular karyotyping as first tier testing of cause of unknown intellectual disability in adults, as in the case for paediatric populations. The study highlights a necessary complementary role for clinical geneticists to interpret abnormal results.

Item Details

Item Type:Refereed Article
Keywords:developmental disability; genetic testing; intellectual disability; molecular karyotype
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Clinical Sciences not elsewhere classified
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified
Author:Wallace, RA (Associate Professor Robyn Wallace)
ID Code:117169
Year Published:2016
Web of Science® Times Cited:1
Deposited By:Medicine (Discipline)
Deposited On:2017-06-01
Last Modified:2017-11-01
Downloads:0

Repository Staff Only: item control page