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Reproductive Risk Estimation Calculator for Balanced Translocation Carriers: An Improved Web-based Resource for

Carolyn Trunca1,2, Nancy R Mendell3, Samantha L P Schilit4,2

  • 1Department of Pathology and Laboratory Medicine, Cell Genetics Division, Cytogenetics, North Shore University Hospital, Manhasset, New York.

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Balanced translocation carriers face higher reproductive risks. New protocols and calculators help genetics professionals estimate these risks, improving patient counseling and decision-making for unbalanced conceptuses.

Keywords:
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Area of Science:

  • Genetics
  • Reproductive Medicine
  • Bioinformatics

Background:

  • Balanced translocations can lead to chromosomally unbalanced gametes, increasing risks of pregnancy loss and congenital anomalies.
  • Accurate reproductive risk assessment is crucial for informed decision-making by carriers, but individualized estimates are challenging due to the uniqueness of most translocations.

Purpose of the Study:

  • To establish a sustainable protocol for genetics professionals to obtain reproductive risk estimates for balanced translocation carriers.
  • To enhance accessibility and reduce errors in risk calculation for genetic counseling.

Main Methods:

  • Development of logistic regression models based on a dataset of over 6000 individuals from 1000 translocation families.
  • Creation of a web-based calculator and a custom Java program for risk estimation, including age-adjusted miscarriage risks.
  • Provision of practice tutorials for calculator use and interpretation.

Main Results:

  • Validated logistic regression models provide a basis for reproductive risk estimation.
  • A user-friendly web-based calculator and a Java program are available for calculating age-adjusted miscarriage risks.
  • Tutorials ensure competency in interpreting the risk assessment outputs.

Conclusions:

  • The developed protocol and tools offer a sustainable and accessible method for genetics professionals to provide accurate reproductive risk assessments to balanced translocation carriers.
  • Improved risk estimation empowers carriers to make informed reproductive choices, potentially reducing adverse outcomes.