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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1997-12-12
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pubmed:abstractText |
In order to discover whether laboratories have policies regarding the testing of unaffected children, we surveyed all laboratories registered with Helix, a national net-work of DNA diagnostic laboratories. Of 186 laboratories asked to respond anonymously to a four-page questionnaire, 156 (84%) replied. A screening question removed 51 laboratories that provided no clinical services. Of the remaining 105, 92% said that their requisition forms asked the person's age. Substantial minorities had policies for the testing of minors for late-onset disorders (46%), for carrier status for recessive disorders (33%), or for disorders for which the test offers no medical benefit within 3 years (33%). Most laboratories are responsive to parental requests. For 12 of 13 late-onset disorders, the majority of laboratories that offered testing had had requests to test children. The majority had tested healthy children, <12 years of age, for eight disorders. Approximately 22% had tested children, <12 years of age, for Huntington disease. Majorities had received requests to test healthy children for carrier status for 10 of 15 recessive or X-linked disorders and had tested children, <12 years of age, for 6 of these disorders, including cystic fibrosis, hemophilia A, fragile X syndrome, and Duchenne muscular dystrophy. Approximately 45% of the laboratories occasionally had provided tests directly to consumers. In view of the possibility that the harms of presymptomatic diagnoses of children sometimes may outweigh the benefits, our results suggest a need for consistent laboratory policies designed for the best interests of the child and the family.
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pubmed:grant | |
pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/9345088-1971046,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9345088-2136787,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9345088-2137881,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9345088-601090,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9345088-6486173,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9345088-8078166,
http://linkedlifedata.com/resource/pubmed/commentcorrection/9345088-8388848
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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 |
Nov
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pubmed:issn |
0002-9297
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
61
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1163-8
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:9345088-Adolescent,
pubmed-meshheading:9345088-Age Factors,
pubmed-meshheading:9345088-Age of Onset,
pubmed-meshheading:9345088-Child,
pubmed-meshheading:9345088-Child, Preschool,
pubmed-meshheading:9345088-Ethics, Medical,
pubmed-meshheading:9345088-Female,
pubmed-meshheading:9345088-Fragile X Syndrome,
pubmed-meshheading:9345088-Genes, Recessive,
pubmed-meshheading:9345088-Genetic Counseling,
pubmed-meshheading:9345088-Genetic Diseases, Inborn,
pubmed-meshheading:9345088-Genetic Services,
pubmed-meshheading:9345088-Genetic Testing,
pubmed-meshheading:9345088-Health Policy,
pubmed-meshheading:9345088-Heterozygote Detection,
pubmed-meshheading:9345088-Humans,
pubmed-meshheading:9345088-Huntington Disease,
pubmed-meshheading:9345088-Infant,
pubmed-meshheading:9345088-Laboratories,
pubmed-meshheading:9345088-Male,
pubmed-meshheading:9345088-Muscular Dystrophies,
pubmed-meshheading:9345088-Parental Consent,
pubmed-meshheading:9345088-Personal Autonomy,
pubmed-meshheading:9345088-Questionnaires,
pubmed-meshheading:9345088-Risk Assessment,
pubmed-meshheading:9345088-Social Control, Formal,
pubmed-meshheading:9345088-United States
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pubmed:year |
1997
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pubmed:articleTitle |
Laboratory policies and practices for the genetic testing of children: a survey of the Helix network.
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pubmed:affiliation |
The Shriver Center, Waltham, MA 02254, USA. dwertz@shriver.org
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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