America needs more clinics of last resort for patients who can’t get answers
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By
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Alexandra Sifferlin
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March 31, 2026
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Clinical Scorecard: The United States Requires Additional Last Resort Clinics for Patients Seeking Answers
At a Glance
| Category | Detail |
| Condition | Arterial calcification due to deficiency of CD73 (ACDC) - a novel disease. |
| Key Mechanisms | |
| Target Population | |
| Care Setting | |
Key Highlights
- UDN has diagnosed over 1,000 patients with rare or unknown conditions since its inception.
- Patients receive advanced diagnostic tools at no cost, including travel and lodging support.
- The network serves as a model for addressing rare diseases that lack commercial investment.
- Emotional support is provided to patients throughout the diagnostic process.
Guideline-Based Recommendations
Diagnosis
- Utilize a multidisciplinary approach involving geneticists, neurologists, and vascular specialists.
- Include genetic counseling as part of the diagnostic process.
Management
- Provide comprehensive evaluations and personalized care plans for undiagnosed patients.
Monitoring & Follow-up
- Regular follow-ups and assessments to track disease progression and treatment efficacy.
Risks
- Patients may experience prolonged periods without diagnosis, leading to uncertainty and emotional distress.
Patient & Prescribing Data
Individuals with rare diseases, often after exhausting other medical options.
Access to cutting-edge research and diagnostic tools enhances understanding of rare conditions.
Clinical Best Practices
- Encourage collaboration among specialists to address complex cases.
- Prioritize patient empathy and communication to build trust in the healthcare system.
- Advocate for continued government support for rare disease research.
- Emphasize patient-centered care and shared decision-making.
References