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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1995-2-24
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pubmed:abstractText |
Cloning of the COL4A5 gene has now made possible prenatal testing for Alport syndrome with X-linked dominant inheritance. We interviewed 27 females and 24 males with Alport syndrome to evaluate their knowledge of the disease and its transmission, and their attitudes to prenatal testing. Twenty-two males and 8 females were on renal replacement therapy. In all cases transmission was compatible with X-linked disease. Only 59% of the interviewees (74% of women, 42% of men) knew that gender was the major determinant in progression of the disease. Knowledge of the mode of inheritance was adequate in only 25%, in both sexes. Seventy percent of the participants (78% of women, 63% of men) would use prenatal testing. Of the women in favor of prenatal diagnosis, 67% and 39% would terminate pregnancy in the case of an affected male or female fetus, respectively. Of the men in favor of prenatal diagnosis, 53% would consider termination of an affected fetus. In summary, a majority would use prenatal testing, but only one or two thirds of them wished to use selective abortion. As in other inherited disorders, there is a discrepancy between the demand for prenatal diagnosis and the decision to terminate pregnancy. Most of the participants who would terminate a pregnancy had, however, little knowledge of the clinical and genetic aspects of Alport syndrome on which to base such a decision. An important aspect of genetic counselling is to assist consultants in reaching a decision regarding future reproductive behaviour which is appropriate to their situation. This study underlines the need to improve education and counselling to assure appropriate use of prenatal testing.
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pubmed:keyword | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
E
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0301-0430
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
42
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
211-20
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:7834912-Abortion, Eugenic,
pubmed-meshheading:7834912-Adult,
pubmed-meshheading:7834912-Aged,
pubmed-meshheading:7834912-Attitude to Health,
pubmed-meshheading:7834912-Female,
pubmed-meshheading:7834912-Genetic Counseling,
pubmed-meshheading:7834912-Genetic Diseases, Inborn,
pubmed-meshheading:7834912-Genetic Linkage,
pubmed-meshheading:7834912-Health Knowledge, Attitudes, Practice,
pubmed-meshheading:7834912-Humans,
pubmed-meshheading:7834912-Male,
pubmed-meshheading:7834912-Middle Aged,
pubmed-meshheading:7834912-Nephritis, Hereditary,
pubmed-meshheading:7834912-Patient Education as Topic,
pubmed-meshheading:7834912-Pregnancy,
pubmed-meshheading:7834912-Prenatal Diagnosis,
pubmed-meshheading:7834912-X Chromosome
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pubmed:year |
1994
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pubmed:articleTitle |
Evaluation in patients with Alport syndrome of knowledge of the disease and attitudes toward prenatal diagnosis.
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pubmed:affiliation |
Unité 155 INSERM de Epidémiologie génétique, Paris, France.
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pubmed:publicationType |
Journal Article,
Comparative Study
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