Newborn and childhood screening programmes: criteria, evidence, and current policy

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Newborn and childhood screening programmes: criteria, evidence, and current policy.

creening is offered to apparently well individuals to identify those at high risk of a specific condition, for whom early treatment, more effective treatment, or information may be offered in order to improve health outcome or to provide opportunities for informed decision making. By definition, screening tests are not diagnostic tests and therefore cannot separate reliably those with a specifi...

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Newborn screening: current status.

Newborn screening, which represents one of the major advances in child health of the past century, has been carried out in all fifty U.S. states since the 1970s. Newborn screening programs are state-run, and decisions are left to the individual states regarding the conditions to be screened for, the mechanism for confirmatory testing, follow-up care, and financing of the programs. Laboratory ad...

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Newborn Screening: Ethical and Policy Challenges

In the late 1960s the United States and other countries began to do ―universal newborn screening,‖ primarily as a result of the work of Dr. Robert Guthrie, a microbiologist. The term ―universal‖ denotes that every newborn infant was screened by taking a small sample of blood. Infants were screened for rare metabolic disorders that if treated immediately avoided devastating health consequences (...

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Expanding newborn screening: process, policy, and priorities.

In the 1960s, newborn screening programs tested for a single very rare but serious disorder. In recent years, thanks to the development of new screening technology, they have expanded into panels of tests; a federally sponsored expert group has recommended that states test for twenty-nine core disorders and twenty-five secondary disorders. By the standards used to decide whether to introduce ne...

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Ethics, evidence, and cost in newborn screening.

When deciding what disorders to screen newborns for, we should be guided by evidence of real effectiveness, take opportunity cost into account, distribute costs and benefits fairly, and respect human rights. Current newborn screening policy does not meet these requirements.

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 2002

ISSN: 0003-9888,1468-2044

DOI: 10.1136/adc.87.1.6