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[Current Practice of Pre- and Postnatal Screening and Future Developments for Evidence Based Guidelines].

J Hebebrand1, E Hamelmann2, A Hartmann3

  • 1LVR-Klinikum Essen, Child and Adolescent Psychiatry, Essen.

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Summary

This review examines current pre- and postnatal screenings in Germany up to age 18, highlighting the need for more evidence, especially for pediatric cancer screenings and early mental health detection.

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Area of Science:

  • Pediatrics
  • Public Health
  • Medical Screening

Background:

  • Current cancer screening research shows limited benefit, necessitating broader evidence for pediatric and adolescent medical screenings.
  • Germany has established pre- and postnatal screenings for individuals up to 18 years old.

Purpose of the Study:

  • To provide an overview of current pre- and postnatal screenings in Germany for physicians.
  • To identify gaps and future directions in pediatric and adolescent medical screenings.

Main Methods:

  • Selective review of existing pre- and postnatal screening practices in Germany.
  • Analysis of current evidence regarding the benefits of various medical screenings.

Main Results:

  • Existing cancer screening research often fails to demonstrate clear benefits.
  • There is a documented need to expand the evidence base for medical screenings in children and adolescents.
  • Current screenings may not adequately address early detection of mental health issues.

Conclusions:

  • Future developments in pre- and postnatal screenings should consider social impacts.
  • Interdisciplinary collaboration and further research are crucial for evidence accumulation.
  • Health economic and ethical aspects must be integrated into future screening strategies.