在东北地区的门诊产科提供者之间进行遗传咨询实践
Jessica A Peterson1, Libby Szeto1, Sascha Wodoslawsky2
1Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY (Drs Peterson and Szeto, Ms Li, and Dr Strong).
American journal of obstetrics & gynecology MFM
|September 8, 2023
概括
产前诊断基因测试建议所有孕妇,但在提供方面存在差异. 服务于少数种族/族裔群体的提供者,公共保险患者或非英语使用者不太可能普遍提供此测试.
科学领域:
- 遗传学 遗传学 是一个
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 美国妇产科医生学院建议所有孕妇进行基因查和诊断测试.
- 种族基因测试推的差异存在于怀孕之外,关于产前遗传咨询实践的数据有限.
研究的目的:
- 调查患者,提供者和实践人口统计学如何影响门诊产前护理提供者提供诊断性产前遗传测试.
主要方法:
- 对419名门诊产前护理提供者 (护理人员,住院医生,NP,PAs,助产士) 进行了一项多中心匿名调查.
- 该调查评估了遗传咨询实践,重点是提供诊断性遗传检测 (胆膜取样或羊水切片) 的普遍性.
- 包括后勤回归在内的统计分析被用来确定提供者/患者人口统计和提供诊断测试之间的关联.
主要成果:
- 虽然98%的提供者提供查测试,但只有37%的人普遍提供诊断测试.
- 住院人员提供诊断测试的可能性低于医务人员.
- 服务于少数种族/族裔群体,公共保险患者或主要非英语人口的提供者不太可能普遍提供诊断测试.
结论:
- 没有任何提供者集团普遍提供诊断基因测试,尽管有建议.
- 提供诊断基因测试的差异与患者的种族/种族,保险状况和主要语言有关.
- 需要进一步的研究来解决这些差异,并确保公平获得产前遗传检测.
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