Literature DB >> 23526649

Non-invasive prenatal testing with cell-free DNA: US physician attitudes toward implementation in clinical practice.

Thomas J Musci1, Genevieve Fairbrother, Annette Batey, Jennifer Bruursema, Craig Struble, Ken Song.   

Abstract

OBJECTIVE: The aim of this study was to assess awareness, potential adoption, and current utilization of non-invasive prenatal testing (NIPT) analysis for common fetal aneuploidies among obstetricians.
METHODS: A 36-item web-based survey was designed to assess the current practice of fetal aneuploidy screening and knowledge and utilization of NIPT for fetal trisomy. Practicing obstetricians in the United States were invited via email to participate in the survey.
RESULTS: Of the 101 obstetricians that completed the survey (27% academic-based, 73% private practice), 97% offer screening to high-risk patients and 91% offer screening to average-risk patients. With regard to current screening tests, the top three advantages were as follows: recommendation by professional societies, no risk to the pregnancy, and long history/experience with the test, whereas the top three limitations were as follows: patient anxiety, risks of follow-up invasive testing, and high false positives. NIPT had been used by 32% of respondents and 22% were familiar with NIPT and the associated clinical data. The majority of physicians predicted that they would offer NIPT to high-risk women (86.1%) and average-risk women (76.2%) within 12 months.
CONCLUSION: Obstetricians plan to increase their utilization of NIPT and expect that the majority of both high-risk and average-risk patients will be offered NIPT as an option.
© 2013 John Wiley & Sons, Ltd.

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Year:  2013        PMID: 23526649     DOI: 10.1002/pd.4091

Source DB:  PubMed          Journal:  Prenat Diagn        ISSN: 0197-3851            Impact factor:   3.050


  18 in total

1.  "This lifetime commitment": Public conceptions of disability and noninvasive prenatal genetic screening.

Authors:  Rosemary J Steinbach; Megan Allyse; Marsha Michie; Emily Y Liu; Mildred K Cho
Journal:  Am J Med Genet A       Date:  2015-11-14       Impact factor: 2.802

2.  Genetic counselors' experience with cell-free fetal DNA testing as a prenatal screening option for aneuploidy.

Authors:  Julie M H Horsting; Stephen R Dlouhy; Katelyn Hanson; Kimberly Quaid; Shaochun Bai; Karrie A Hines
Journal:  J Genet Couns       Date:  2013-12-19       Impact factor: 2.537

3.  "Don't Want No Risk and Don't Want No Problems": Public Understandings of the Risks and Benefits of Non-Invasive Prenatal Testing in the United States.

Authors:  Megan Allyse; Lauren Carter Sayres; Taylor Goodspeed; Marsha Michie; Mildred K Cho
Journal:  AJOB Empir Bioeth       Date:  2015

4.  Implementing Group Prenatal Counseling for Expanded Noninvasive Screening Options.

Authors:  Betsy L Gammon; Laura Otto; Myra Wick; Kristy Borowski; Megan Allyse
Journal:  J Genet Couns       Date:  2017-12-15       Impact factor: 2.537

5.  Evaluation of patient education materials: the example of circulating cell free DNA testing for aneuploidy.

Authors:  Edward M Kloza; Paula K Haddow; Jacquelyn V Halliday; Barbara M O'Brien; Geralyn M Lambert-Messerlian; Glenn E Palomaki
Journal:  J Genet Couns       Date:  2014-09-10       Impact factor: 2.537

6.  Noninvasive Prenatal Testing for Trisomies 21, 18, and 13, Sex Chromosome Aneuploidies, and Microdeletions: A Health Technology Assessment.

Authors: 
Journal:  Ont Health Technol Assess Ser       Date:  2019-02-19

7.  "I think we've got too many tests!": Prenatal providers' reflections on ethical and clinical challenges in the practice integration of cell-free DNA screening.

Authors:  B L Gammon; S A Kraft; M Michie; M Allyse
Journal:  Ethics Med Public Health       Date:  2016 Jul-Sep

Review 8.  Noninvasive Prenatal Screening for Genetic Diseases Using Massively Parallel Sequencing of Maternal Plasma DNA.

Authors:  Lyn S Chitty; Y M Dennis Lo
Journal:  Cold Spring Harb Perspect Med       Date:  2015-07-17       Impact factor: 6.915

Review 9.  The composition and capacity of the clinical genetics workforce in high-income countries: a scoping review.

Authors:  Nick Dragojlovic; Kennedy Borle; Nicola Kopac; Ursula Ellis; Patricia Birch; Shelin Adam; Jan M Friedman; Amy Nisselle; Alison M Elliott; Larry D Lynd
Journal:  Genet Med       Date:  2020-06-24       Impact factor: 8.822

10.  Comprehensive cell type decomposition of circulating cell-free DNA with CelFiE.

Authors:  Christa Caggiano; Barbara Celona; Fleur Garton; Joel Mefford; Brian L Black; Robert Henderson; Catherine Lomen-Hoerth; Andrew Dahl; Noah Zaitlen
Journal:  Nat Commun       Date:  2021-05-11       Impact factor: 14.919

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