The International Standard of Care Committee for SMA was formed in 2004 with the goal of establishing guidelines on SMA standards of care.
In 2007, they published the Consensus Statement for Standard of Care in Spinal Muscular Atrophy, addressing different aspects of diagnosis and management, focusing on rehabilitation and orthopedic, pulmonary, nutritional, and palliative care. An updated standard of care document was published in 2018, reflecting new advances in SMA care.
The guidelines promote a multidisciplinary approach as a key element in the care of individuals with SMA, and recommend that a wide-ranging team of medical experts be assembled as soon as possible. A care plan should be coordinated by a healthcare provider, typically a neurologist, who is knowledgeable about the disease and able to provide proactive care as needed.
The level of care may range from comprehensive to palliative
Refers to procedures that address both acute problems and the day-to-day management of the individual’s medical needs, including but not limited to:
Focuses on supporting the best possible quality of life. This may include:
Acute care management
Hospitalization may be required for children and adults with SMA in cases of routine illness, bone fractures, labor and delivery for women with SMA, and scheduled surgical procedures (gastrostomy tube placement, spinal intervention, or symptom management).
Experts recommend that individualized care plans be developed in collaboration with a multidisciplinary care team (neuromuscular and respiratory) and a healthcare provider who is experienced with SMA and aware of the potential issues that may arise.
Often the first referral after a confirmed SMA diagnosis will be to a neuromuscular clinic. These centers specializing in SMA can provide proactive and coordinated care, including:
Centralized appointments that enable individuals with SMA to see all necessary specialists in a single visit
Collaboration and sharing of information among physicians that allows more strategic, coordinated care planning
Locations of treatment centers can vary. While some people may be fortunate to live near one, those who don’t may choose to receive regular care at a medical center that is closer to home, or build their own care team with specialists in their community.