The human body is a complex organism, and disorders that plague it can be equally complex. While some diseases have visible symptoms that make it easier for doctors to detect and diagnose, there are others that don’t have obvious signs and remain undiagnosed despite extensive medical investigations. Living with an undiagnosed disease can be a frustrating and isolating experience for patients and their families, as many of them are left trying to find answers from one doctor to the next, without any success.
In 2014, the US National Institutes of Health (NIH) created the Undiagnosed Diseases Network (UDN) as a response to the growing need for medical solutions for patients with undiagnosed diseases. The UDN is a network of medical centers and healthcare professionals who work collaboratively to diagnose rare and undiagnosed conditions in patients. The program has been successful in providing diagnosis and treatment opportunities to a significant number of patients with previously unknown conditions, giving hope to many who have been searching for answers for years.
The UDN is based on collaboration and innovative problem-solving. When patients are referred to the network, a team of experts, including physicians, geneticists, and researchers, work together to examine every aspect of the patient’s medical history, symptoms and current health status to identify patterns, diagnose and provide a management plan for the condition. The team works on the premise that it’s important to treat the whole patient, not just their symptoms, so the team takes time to understand the patient’s mental, emotional and social needs.
The network employs advanced technology and analytics to identify rare diseases in patients. Using whole-genome sequencing, the medical team scrutinizes the patient’s genetic sequence to identify mutations, which might lead to the discovery of undiagnosed or rare diseases. The program has advanced sequencing techniques to identify mutations in previously unknown genetic aspects, giving a groundbreaking insight into previously undiagnosed conditions.
The UDN includes seven clinical sites and two central laboratories. Referring doctors submit a detailed clinical summary of the patient’s symptoms and medical history, along with their DNA for genetic analysis. The central laboratory performs clinical exome sequencing and other advanced genomic analyses to identify genetic variants potentially relevant to the patient’s disease. These variations are then analyzed at the clinical sites to determine if they might be causing the patient’s symptoms.
The program has significantly impacted patients’ lives, giving them hope, and reducing the time it takes to diagnose rare and undiagnosed conditions. Through the UDN, physicians have identified and described new genetic conditions, paving the way to develop new treatments for diagnosed conditions.
The UDN continues to grow and evolve, with a goal to increase the diagnosis of rare illnesses, particularly those with neurological and metabolic symptoms. The network also aims to create a model for creating a unified platform for managing undiagnosed conditions. The UDN has expanded the concept of patient-centered care, emphasizing collaboration and partnership in the diagnosis and management of undiagnosed diseases.
The UDN has shown that successful outcomes in medical treatment come from a team approach, where expertise and experience are exchanged, insights are shared, and everyone works towards the same goal. The program has helped make visible the world of rare and undiagnosed illnesses, making it possible to identify new conditions, and chart new courses for research and treatments. The UDN has given a voice to those living with undiagnosed diseases, those who have been invisible for far too long, giving hope and validation to their experiences.
In conclusion, Undiagnosed Diseases Network (UDN) is a beacon of hope for patients worldwide who suffer from undiagnosed illnesses. The network’s team approach facilitates the identification and diagnosis of rare diseases while providing treatment options, bringing relief to many families. The UDN model represents a significant step forward in medical collaboration and the future of patient-centric care. The success of UDN serves as a reminder of the potential inherent in a collaborative and collective approach to diagnosis and treatment. Medical practitioners can continue to build upon the foundation laid by UDN to improve medical outcomes, diagnostics, and management of rare diseases for the betterment of patients worldwide.