کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5678669 | 1596423 | 2017 | 21 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Design of a randomized controlled trial for genomic carrier screening in healthy patients seeking preconception genetic testing
ترجمه فارسی عنوان
طراحی یک کارآزمایی کنترل شده تصادفی برای غربالگری حامل ژنومی در بیماران سالم به دنبال پیشگیری از آزمایش ژنتیک
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی
Population-based carrier screening is limited to well-studied or high-impact genetic conditions for which the benefits may outweigh the associated harms and costs. As the cost of genome sequencing declines and availability increases, the balance of risks and benefits may change for a much larger number of genetic conditions, including medically actionable additional findings. We designed an RCT to evaluate genomic clinical sequencing for women and partners considering a pregnancy. All results are placed into the medical record for use by healthcare providers. Through quantitative and qualitative measures, including baseline and post result disclosure surveys, post result disclosure interviews, 1-2Â year follow-up interviews, and team journaling, we are obtaining data about the clinical and personal utility of genomic carrier screening in this population. Key outcomes include the number of reportable carrier and additional findings, and the comparative cost, utilization, and psychosocial impacts of usual care vs. genomic carrier screening. As the study progresses, we will compare the costs of genome sequencing and usual care as well as the cost of screening, pattern of use of genetic or mental health counseling services, number of outpatient visits, and total healthcare costs. This project includes novel investigation into human reactions and responses from would-be parents who are learning information that could both affect a future pregnancy and their own health.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Contemporary Clinical Trials - Volume 53, February 2017, Pages 100-105
Journal: Contemporary Clinical Trials - Volume 53, February 2017, Pages 100-105
نویسندگان
Tia L. Kauffman, Benjamin S. Wilfond, Gail P. Jarvik, Michael C. Leo, Frances L. Lynch, Jacob A. Reiss, C. Sue Richards, Carmit McMullen, Deborah Nickerson, Michael O. Dorschner, Katrina A.B. Goddard,