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Responsible implementation of expanded carrier screening.

Lidewij Henneman1, Pascal Borry2, Davit Chokoshvili2,3

  • 1Department of Clinical Genetics, Section Community Genetics and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.

European Journal of Human Genetics : EJHG
|March 17, 2016
PubMed
Summary
This summary is machine-generated.

Expanded carrier screening (ECS) offers genetic testing for multiple recessive disorders, aiding reproductive choices. Recommendations focus on responsible implementation and informed decision-making for couples and individuals.

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Area of Science:

  • Human Genetics
  • Reproductive Medicine
  • Genetic Counseling

Background:

  • Carrier screening traditionally focused on specific recessive disorders with higher carrier frequencies in certain populations.
  • New genetic technologies enable expanded carrier screening (ECS) for numerous conditions, irrespective of ancestry.
  • ECS is commercially available, targeting couples and individuals for reproductive decision-making.

Purpose of the Study:

  • To provide recommendations for the responsible implementation of expanded carrier screening.
  • To address challenges posed by ECS, drawing on lessons from traditional carrier screening.
  • To foster discussion and improve clinical and laboratory practice guidelines for ECS.

Main Methods:

  • Review of existing carrier screening practices and guidelines.
  • Analysis of the implications of new genetic testing technologies for carrier screening.
  • Discussion of ethical, social, and clinical considerations for expanded carrier screening.

Main Results:

  • Expanded carrier screening presents new opportunities and challenges for reproductive genetic testing.
  • The document outlines key considerations for the responsible use of ECS.
  • Recommendations aim to ensure informed reproductive decision-making and appropriate clinical integration.

Conclusions:

  • Responsible implementation of expanded carrier screening is crucial for maximizing benefits and minimizing risks.
  • Guidelines are needed to navigate the complexities of widespread genetic carrier testing.
  • Further discussion and refinement of practices are essential for optimal patient care and reproductive health.