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General discussion and future perspectives2158Individuals with a GND often benefit from a coordinated multidisciplinary approach that can be provided by expert clinics. With advances in molecular testing and clinical care, the group of older individuals with GNDs is expected to increase. Restrictions in availability or accessibility of care providers may be overcome with the use of telehealth and telemonitoring.90, 91 Future studies may focus on adjusting applications and techniques for telehealth and monitoring to the abilities and needs of individuals with a GND.Together, findings of studies included in this thesis help to close the knowledge gap related to conditions associated with 22q11.2DS and other GNDs at adult age, and improve recommendations for clinical care. In addition, results may indicate precocious aging in adults with 22q11.2DS and stress the need for natural history studies of individuals with 22q11.2DS and other GNDs. These and future studies may pave the way for a personalized approach in patient care and may help to improve lives of individuals with a GND.