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Pediatric Provider Insight Into Newborn Screening for Glucose-6-Phosphate Dehydrogenase Deficiency
1Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA jpb111@case.edu.
Insights
Pediatric providers support newborn screening for Glucose-6-phosphate dehydrogenase (G6PD) deficiency. Knowing a newborn
Area of Science:
- Neonatal Medicine
- Genetics
- Pediatrics
Background:
- Glucose-6-phosphate dehydrogenase (G6PD) deficiency is a significant cause of neonatal hyperbilirubinemia.
- Newborn screening for G6PD deficiency is not a standard practice in the United States.
- A novel newborn G6PD screening program was implemented in 2007 at a US urban women's hospital.
Purpose of the Study:
- To survey pediatric providers on their experiences and influence from a novel newborn G6PD screening program.
- To assess provider perceptions of the screening program's impact on patient management.
Main Methods:
- An electronic survey was distributed to 472 pediatric providers.
- The survey assessed the extent to which providers were influenced by the G6PD screening program.
Main Results:
- 20% of providers (92) responded to the survey.
- 80% of respondents (74) had cared for G6PD-deficient newborns identified by the screening program.
- Most providers found the diagnosis helpful, influencing management decisions like increased counseling on jaundice, follow-up, and avoidance of hemolytic crisis triggers.
Conclusions:
- General pediatric providers express support for newborn G6PD screening.
- The implemented screening program is appreciated by providers.
- Knowledge of G6PD deficiency status positively informed and influenced pediatric providers' patient care.
Objective:
Glucose-6-phosphate dehydrogenase (G6PD) deficiency is a major contributor to neonatal hyperbilirubinemia, yet newborn screening for this disorder in the United States is not standard practice. We surveyed pediatric providers regarding a novel newborn G6PD screening program successfully implemented in 2007 at a US urban women's hospital newborn nursery.
Study Design:
An electronic survey was distributed to 472 pediatric providers addressing extent to which they were influenced by the screening program.
Results:
Ninety-two (20%) providers responded, of whom 74 (80%) had taken care of G6PD-deficient patients diagnosed by the screening program. A majority found the diagnosis helpful for patient management and influential in their management. Most common changes in management included more counseling on jaundice and follow-up and avoidance of hemolytic crisis triggers.
Conclusions:
General pediatric providers support newborn G6PD screening and appreciate the current program. Knowing the G6PD deficiency status of newborns informed and influenced pediatric providers' care.
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