The Evolving Landscape of Genetic Carrier Screening: Clinical Considerations and Challenges.

IF 4.3 4区 医学 Q1 OBSTETRICS & GYNECOLOGY
Lauren E Buckley, Maeve K Hopkins, Jeffrey A Kuller
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引用次数: 0

Abstract

Importance: Genetic carrier screening is performed to identify carriers of rare genetic diseases. Identification of carriers allows patients to make informed reproductive health choices and can decrease the incidence of genetic disorders with serious medical implications.

Objective: This review aims to provide an overview of the history of prenatal genetic screening and the various forms of carrier screening, a synopsis of recent changes in society recommendations and current practice guidelines, and discussion of clinical challenges associated with carrier screening.

Evidence acquisition: Published practice guidelines from relevant professional societies were reviewed and synthesized. PubMed search was performed for relevant history and clinical considerations of carrier screening.

Results: Information and evidence summarized in this review include professional society practice guidelines, review articles, and peer-reviewed research articles.

Conclusions and relevance: Current practice guidelines differ between stakeholder professional organizations. Expanded carrier screening offers increased identification of rare disease carriers allowing for more informed reproductive choices. However, there are several barriers to the implementation of expanded carrier screening for all patients.

基因携带者筛查的发展前景:临床考虑和挑战。
重要性:基因携带者筛查用于鉴定罕见遗传病的携带者。确定携带者可使患者作出知情的生殖健康选择,并可减少具有严重医疗影响的遗传疾病的发生率。目的:本文综述了产前遗传筛查的历史和各种形式的携带者筛查,概述了社会建议和现行实践指南的最新变化,并讨论了与携带者筛查相关的临床挑战。证据获取:审查和综合相关专业协会出版的实践指南。PubMed检索携带者筛查的相关病史和临床考虑。结果:本综述总结的信息和证据包括专业学会实践指南、综述文章和同行评议的研究文章。结论和相关性:当前的实践指南在利益相关者专业组织之间有所不同。扩大携带者筛查提供了更多的罕见疾病携带者的识别,允许更知情的生殖选择。然而,在所有患者中实施扩大的携带者筛查存在一些障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.70
自引率
3.20%
发文量
245
审稿时长
>12 weeks
期刊介绍: ​Each monthly issue of Obstetrical & Gynecological Survey presents summaries of the most timely and clinically relevant research being published worldwide. These concise, easy-to-read summaries provide expert insight into how to apply the latest research to patient care. The accompanying editorial commentary puts the studies into perspective and supplies authoritative guidance. The result is a valuable, time-saving resource for busy clinicians.
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