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Updated: May 14, 2026

FISH for Pre-implantation Genetic Diagnosis
Published on: February 23, 2011
Ethical and policy issues in genetic testing and screening of children
Insights
Genetic testing and screening for children are common. Recommendations emphasize prioritizing the child's best interests, informed by research on psychosocial and clinical effects. This policy guides best practices in pediatric genetic evaluations.
Area of Science:
- Pediatric Genetics
- Medical Ethics
- Child Psychology
Background:
- Genetic testing and screening are increasingly prevalent in pediatric care.
- Ethical considerations and the child's well-being are paramount in these decisions.
- Existing literature highlights the psychosocial and clinical impacts of genetic evaluations in children.
Purpose of the Study:
- To provide evidence-based recommendations for genetic testing and screening in children.
- To guide clinicians and policymakers on best practices.
- To address various scenarios involving pediatric genetic evaluations.
Main Methods:
- Development of a policy statement through collaborative efforts.
- Review of current literature on the effects of genetic testing and screening in pediatric populations.
- Synthesis of expert recommendations from leading professional organizations.
Main Results:
- Establishment of a framework for decision-making in pediatric genetic testing.
- Identification of key factors influencing the psychosocial and clinical outcomes.
- Consensus on best practices for implementing genetic screening and testing.
Conclusions:
- Decisions regarding genetic testing and screening must prioritize the child's best interests.
- Informed decision-making requires understanding the psychosocial and clinical implications.
- Collaborative policy development ensures comprehensive guidance for pediatric genetic practices.
Abstract:
The genetic testing and genetic screening of children are commonplace. Decisions about whether to offer genetic testing and screening should be driven by the best interest of the child. The growing literature on the psychosocial and clinical effects of such testing and screening can help inform best practices. This policy statement represents recommendations developed collaboratively by the American Academy of Pediatrics and the American College of Medical Genetics and Genomics with respect to many of the scenarios in which genetic testing and screening can occur.
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