Clinical features and management of children with primary ciliary dyskinesia in England
Abstract
In England, the National Health Service commissioned a National Management Service for children with primary ciliary dyskinesia (PCD). The aims of this study were to describe the health of children seen in this Service and compare lung function to children with cystic fibrosis (CF). Multi-centre service evaluation of the English National Management PCD Service. Four nationally commissioned PCD centres in England. 333 children with PCD reviewed in the Service in 2015; lung function data were also compared with 2970 children with CF. Median age at diagnosis for PCD was 2.6 years, significantly lower in children with situs inversus (1.0 vs 6.0 years, p<0.001). Compared with national data from the CF Registry, mean (SD) %predicted forced expiratory volume in one second (FEV1) was 76.8% in PCD (n=240) and 85.0% in CF, and FEV1 was lower in children with PCD up to the age of 15 years. Approximately half of children had some hearing impairment, with 26% requiring hearing aids. Children with a lower body mass index (BMI) had lower FEV1 (p<0.001). One-third of children had positive respiratory cultures at review, 54% of these grew Haemophilus influenzae. We provide evidence that children with PCD in England have worse lung function than...Continue Reading
References
Primary ciliary dyskinesia: a consensus statement on diagnostic and treatment approaches in children
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