Why the study?
Because the clinical course of autosomal recessive limb-girdle muscular dystrophy is highly variable, this study characterized the frequency of loss of ambulation across subtypes and progression to cardiac and respiratory involvement.
Systematic Review (n=418)
This systematic review characterizes the frequency of loss of ambulation and subsequent cardiac and respiratory involvement across different subtypes of autosomal recessive limb-girdle muscular dystrophy.
OBJECTIVES: As the clinical course of autosomal recessive limb-girdle muscular dystrophy (LGMDR) is highly variable, this study characterized the frequency of loss of ambulation (LOA) among patients by subtype (LGMDR1, LGMDR2, LGMDR3-6, LGMDR9, LGMDR12) and progression to cardiac and respiratory involvement among those with and without LOA. METHODS: Systematic literature review. RESULTS: From 2929 abstracts screened, 418 patients were identified with ambulatory status data (LOA: 265 [63.4%]). Cardiac and/or respiratory function was reported for 142 patients (34.0%; all with LOA). Among these, respiratory involvement was most frequent in LGMDR3-6 (74.1%; mean [SD] age 23.9 [11.0] years) and cardiac in LGMDR9 (73.3%; mean [SD] age 23.7 [17.7] years). Involvement was less common in patients without LOA except in LGMDR9 (71.4% respiratory and 52.4% cardiac). CONCLUSIONS: This study described the co-occurrence of LOA, cardiac, and respiratory involvement in LGMDR and provides greater understanding of the clinical progression of LGMDR.
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Cheung et al. (2023) conducted a systematic review in Autosomal Recessive Limb-Girdle Muscular Dystrophy (LGMDR) (n=418). Autosomal recessive limb-girdle muscular dystrophy (LGMDR) was evaluated on Frequency of loss of ambulation (LOA) and progression to cardiac and respiratory involvement.
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