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<front>
<journal-meta>
<journal-id>1692-7273</journal-id>
<journal-title><![CDATA[Revista Ciencias de la Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cienc. Salud]]></abbrev-journal-title>
<issn>1692-7273</issn>
<publisher>
<publisher-name><![CDATA[Editorial Universidad del Rosario]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1692-72732025000402308</article-id>
<article-id pub-id-type="doi">10.12804/revistas.urosario.edu.co/revsalud/a.13977</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Documento de posición. Recomendaciones sobre el manejo integral para la transición óptima a la vida adulta del paciente con distrofia muscular de Duchenne]]></article-title>
<article-title xml:lang="en"><![CDATA[Position paper. Recommendations on the Comprehensive Management for the Optimal Transition to Adulthood of the Patient With Duchenne Muscular Dystrophy]]></article-title>
<article-title xml:lang="pt"><![CDATA[Documento de posição. Compêndio de recomendações de especialistas no manejo integral infantojuvenil para a transição ideal para a vida adulta de pacientes com distrofia muscular de Duchenne]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bobadilla-Quesada]]></surname>
<given-names><![CDATA[Edna Julieth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huertas Quiñones]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lasprilla Tovar]]></surname>
<given-names><![CDATA[Juan David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prado]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz Ospina]]></surname>
<given-names><![CDATA[Edicson]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vallejo]]></surname>
<given-names><![CDATA[Dionis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Anzola]]></surname>
<given-names><![CDATA[Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ayala]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Badilla]]></surname>
<given-names><![CDATA[Ramsés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baquero]]></surname>
<given-names><![CDATA[Richard]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barajas Viracachá]]></surname>
<given-names><![CDATA[Norma Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Becerra Ortiz]]></surname>
<given-names><![CDATA[Paulo César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bolaños-Almeida]]></surname>
<given-names><![CDATA[Carlos Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cañón-Zambrano]]></surname>
<given-names><![CDATA[José Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castellar-Leones]]></surname>
<given-names><![CDATA[Sandra Milena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chung]]></surname>
<given-names><![CDATA[Mirna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Contreras García]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa Arrieta]]></surname>
<given-names><![CDATA[Cristian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[Julio Curiel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dubrovsky]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Concepción]]></surname>
<given-names><![CDATA[Otman]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gálvez]]></surname>
<given-names><![CDATA[Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garavito Galofre]]></surname>
<given-names><![CDATA[Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gordillo González]]></surname>
<given-names><![CDATA[Gisel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lesmes Agudelo]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Londoño Ossa]]></surname>
<given-names><![CDATA[Isabel C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Jiménez]]></surname>
<given-names><![CDATA[Melvin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mancilla Gómez]]></surname>
<given-names><![CDATA[Nury]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Esteban]]></surname>
<given-names><![CDATA[Peggy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mesa]]></surname>
<given-names><![CDATA[Lilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nossa-Almanza]]></surname>
<given-names><![CDATA[Sergio Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Odales-Ibarra]]></surname>
<given-names><![CDATA[Rogelio R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ospina Lagos]]></surname>
<given-names><![CDATA[Sandra Yaneth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pachajoa]]></surname>
<given-names><![CDATA[Harry]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacios Espinosa]]></surname>
<given-names><![CDATA[Ximena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paredes]]></surname>
<given-names><![CDATA[Ángela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Castro]]></surname>
<given-names><![CDATA[Sandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pirra]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prieto]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Cheyne]]></surname>
<given-names><![CDATA[Julián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos-Díaz]]></surname>
<given-names><![CDATA[Katherine J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera Nieto]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Botero]]></surname>
<given-names><![CDATA[Felipe Ruiz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Peñarete]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sierra del Villar]]></surname>
<given-names><![CDATA[Gregorio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silvera-Redondo]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto-Peña]]></surname>
<given-names><![CDATA[Diana Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Camacho]]></surname>
<given-names><![CDATA[Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez-Obando]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tavera-Saldaña]]></surname>
<given-names><![CDATA[Lina Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Nieto]]></surname>
<given-names><![CDATA[María Julia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[María Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villa]]></surname>
<given-names><![CDATA[Ener]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villamil]]></surname>
<given-names><![CDATA[Milena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico La Misericordia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Rosario  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Pediátrico La Misericordia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Chile  ]]></institution>
<addr-line><![CDATA[Santiago de Chile ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Instituto Roosevelt  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Hospital Pediátrico Baca Ortiz  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,Hospital Nacional de Niños  ]]></institution>
<addr-line><![CDATA[San José de Costa Rica ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="A10">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A11">
<institution><![CDATA[,Fundación Cardiovascular de Colombia-Hospital Internacional de Colombia  ]]></institution>
<addr-line><![CDATA[Piedecuesta Santander]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A12">
<institution><![CDATA[,Somefyr S. A. S.  ]]></institution>
<addr-line><![CDATA[Cúcuta ]]></addr-line>
<country>Colombia</country>
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<aff id="A13">
<institution><![CDATA[,Hospital Pediátrico La Misericordia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A14">
<institution><![CDATA[,Instituto Neurológico de Colombia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A15">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A16">
<institution><![CDATA[,Hospital del Niño Dr. José Renán Esquivel  ]]></institution>
<addr-line><![CDATA[Ciudad de Panamá ]]></addr-line>
<country>Panamá</country>
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<aff id="A17">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A18">
<institution><![CDATA[,Instituto Roosevelt  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A19">
<institution><![CDATA[,Hospital Universitario Fernando Troconis  ]]></institution>
<addr-line><![CDATA[Santa Marta ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A20">
<institution><![CDATA[,Instituto de Neurociencias  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="A21">
<institution><![CDATA[,Hospital Baca Ortiz  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="A22">
<institution><![CDATA[,Asociación Colombiana de Genética Humana  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A23">
<institution><![CDATA[,Centro Médico Gemelli  ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A24">
<institution><![CDATA[,Instituto Roosevelt  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A25">
<institution><![CDATA[,Hospital del Niño Dr. Francisco Icaza Bustamante  ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="A26">
<institution><![CDATA[,Asociación Colombiana de Médicos Genetistas  ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A27">
<institution><![CDATA[,Nueva EPS  ]]></institution>
<addr-line><![CDATA[Valledupar ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A28">
<institution><![CDATA[,Centro de Inmunología y Genética  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A29">
<institution><![CDATA[,Hospital Universitario del Valle  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A30">
<institution><![CDATA[,Hospital Baca Ortiz  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="A31">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A32">
<institution><![CDATA[,Instituto Nacional de Salud del Niño San Borja  ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="A33">
<institution><![CDATA[,Universidad Favaloro  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="A34">
<institution><![CDATA[,Instituto Roosevelt  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A35">
<institution><![CDATA[,Instituto Roosevelt  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A36">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A37">
<institution><![CDATA[,Universidad Icesi  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A38">
<institution><![CDATA[,Universidad del Rosario  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A39">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A40">
<institution><![CDATA[,Fullness Centro de Nutrición  ]]></institution>
<addr-line><![CDATA[Pereira ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A41">
<institution><![CDATA[,Hospital Donación Francisco Santojanni  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="A42">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A43">
<institution><![CDATA[,Universidad del Valle  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A44">
<institution><![CDATA[,Hospital Nacional Edgardo Rebagliati Martins  ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Perú</country>
</aff>
<aff id="A45">
<institution><![CDATA[,Fundación Cardio Infantil  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A46">
<institution><![CDATA[,Universidad Icesi  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A47">
<institution><![CDATA[,Instituto Roosevelt  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A48">
<institution><![CDATA[,Hospital Departamental María Inmaculada  ]]></institution>
<addr-line><![CDATA[Florencia ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A49">
<institution><![CDATA[,Universidad del Norte  ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A50">
<institution><![CDATA[,Instituto Roosevelt  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A51">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A52">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A53">
<institution><![CDATA[,Universidad del Quindío  ]]></institution>
<addr-line><![CDATA[Armenia ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A54">
<institution><![CDATA[,Consultorio particular  ]]></institution>
<addr-line><![CDATA[Valledupar ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A55">
<institution><![CDATA[,Hospital Rosario Pumarejo de López  ]]></institution>
<addr-line><![CDATA[Valledupar ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A56">
<institution><![CDATA[,Instituto Universitario Hospital Italiano  ]]></institution>
<addr-line><![CDATA[Valledupar ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="A57">
<institution><![CDATA[,Hospital Pediátrico La Misericordia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>23</volume>
<numero>spe</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1692-72732025000402308&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1692-72732025000402308&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1692-72732025000402308&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[resumen está disponible en el texto completo]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Treatment for patients with Duchenne muscular dystrophy (DMD) has prolonged their walking ability and survival, resulting in an increasing number of DMD patients transitioning from adolescence to adulthood.  Methods:  A panel of 58 expert specialists was convened, who had access to evidence resulting from a literature review before consensus. During the consensus meeting, recommendations on the transition to adulthood for DMD patients were developed based on available evidence and clinical expertise. A favorability threshold of 85 % was determined, and all recommendations were accepted with a favorability percentage greater than 90 %.  Conclusion:  This article provides management recommendations for DMD patients during the childhood and adolescent period, aimed at prolonging walking ability, reducing the decline in respiratory function, and mitigating the consequences of dilated cardiomyopathy, which are the main causes of preventable premature death that hinder the transition to adulthood. Emphasis is placed on systematic clinical and paraclinical evaluations, the use of deflazacort as the corticosteroid of choice, cardioprotectors, vitamin D, and bisphosphonates within pharmacological management, as well as timely nutrition strategies, non-invasive respiratory care, spinal arthrodesis, and other orthopedic procedures, among the main indications.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introduc&#807;a&#771;o:  o tratamento de pacientes com distrofia muscular de Duchenne (dmd) prolongou sua capaci- dade de marcha e sobrevida, resultando em um aumento no nu&#769;mero de pacientes com dmd em transic&#807;a&#771;o da adolesce&#770;ncia para a idade adulta. Este artigo faz uma se&#769;rie de recomendac&#807;o&#771;es sobre estrate&#769;gias de manejo para pacientes com dmd durante a transic&#807;a&#771;o para a vida adulta.  Me&#769;todos:  foi formado um painel com 58 especialistas, que contavam com evide&#770;ncias resultantes de uma revisa&#771;o da literatura antes da reunia&#771;o de posicionamento (position statement). Durante a reunia&#771;o, e com base nas evide&#770;ncias dispo- ni&#769;veis e em seus conhecimentos cli&#769;nicos, foram desenvolvidas recomendac&#807;o&#771;es sobre a transic&#807;a&#771;o para a vida adulta de pacientes com dmd. A favorabilidade foi determinada em 85 % e todas as recomendac&#807;o&#771;es foram aceitas com um percentual de favorabilidade superior a 90 %.  Conclusa&#771;o:  este artigo, resultado de uma reunia&#771;o de especialistas (position statement), faz recomendac&#807;o&#771;es para o manejo de pacientes com dmd no peri&#769;odo infantojuvenil, levando ao prolongamento da marcha, reduc&#807;a&#771;o da curva do decli&#769;nio funcional respirato&#769;rio e as conseque&#770;ncias da cardiomiopatia dilatada, como as principais causas de morte prematura evita&#769;vel que impedem a transic&#807;a&#771;o para a vida adulta. Destacam-se as avaliac&#807;o&#771;es cli&#769;ni- cas e paracli&#769;nicas sistema&#769;ticas, o uso do deflazacort como corticoide de escolha, os cardioprotetores, a vitamina D e o bifosfonato no manejo farmacolo&#769;gico, bem como de estrate&#769;gias nutricionais oportunas, cuidados respirato&#769;rios na&#771;o invasivos, artrodese da coluna e outros procedimentos ortope&#769;dicos, entre as principais indicac&#807;o&#771;es.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[distrofia muscular de Duchenne]]></kwd>
<kwd lng="es"><![CDATA[transición a la atención de adultos]]></kwd>
<kwd lng="es"><![CDATA[declaración de posición]]></kwd>
<kwd lng="es"><![CDATA[recomendaciones]]></kwd>
<kwd lng="en"><![CDATA[Duchenne muscular dystrophy]]></kwd>
<kwd lng="en"><![CDATA[transition to adult care]]></kwd>
<kwd lng="en"><![CDATA[position statement]]></kwd>
<kwd lng="en"><![CDATA[recommendations]]></kwd>
<kwd lng="pt"><![CDATA[distrofia muscular de Duchenne]]></kwd>
<kwd lng="pt"><![CDATA[transição para cuidados de adultos]]></kwd>
<kwd lng="pt"><![CDATA[posicionamento]]></kwd>
<kwd lng="pt"><![CDATA[DMD]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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