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European survey of newborn bloodspot screening for CF: opportunity to address challenges and improve performance
A. Munck, DO. Berger, KW. Southern, C. Carducci, KM. de Winter-de Groot, S. Gartner, N. Kashirskaya, B. Linnane, M. Proesmans, D. Sands, O. Sommerburg, C. Castellani, J. Barben, European CF Society Neonatal Screening Working Group (ECFS NSWG)
Jazyk angličtina Země Nizozemsko
Typ dokumentu časopisecké články
- MeSH
- cystická fibróza * diagnóza genetika MeSH
- genetické testování * metody MeSH
- lidé MeSH
- novorozenec MeSH
- novorozenecký screening metody MeSH
- protein CFTR genetika MeSH
- trypsinogen MeSH
- Check Tag
- lidé MeSH
- novorozenec MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: The aim of this study was to record the current status of newborn bloodspot screening (NBS) for CF across Europe and assess performance. METHODS: Survey of representatives of NBS for CF programmes across Europe. Performance was assessed through a framework developed in a previous exercise. RESULTS: In 2022, we identified 22 national and 34 regional programmes in Europe. Barriers to establishing NBS included cost and political inertia. Performance was assessed from 2019 data reported by 21 national and 21 regional programmes. All programmes employed different protocols, with IRT-DNA the most common strategy. Six national and 11 regional programmes did not use DNA analysis. CONCLUSIONS: Integrating DNA analysis into the NBS protocol improves PPV, but at the expense of increased carrier and CFSPID recognition. Some programmes employ strategies to mitigate these outcomes. Programmes should constantly strive to improve performance but large datasets are needed to assess outcomes reliably.
Cystic Fibrosis Department Institute of Mother and Child Warsaw Poland
Department of Experimental Medicine Sapienza University Rome Italy
Department of Women's and Children's Health University of Liverpool United Kingdom
Division of Woman and Child Department of Pediatrics University Hospitals Leuven Leuven Belgium
IRCCS Istituto Giannina Gaslini Cystic Fibrosis Center Genoa Italy
Pediatric Pulmonology and Cystic Fibrosis Unit Hospital Universitari Vall d ́Hebron Barcelona Spain
Citace poskytuje Crossref.org
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- $a BACKGROUND: The aim of this study was to record the current status of newborn bloodspot screening (NBS) for CF across Europe and assess performance. METHODS: Survey of representatives of NBS for CF programmes across Europe. Performance was assessed through a framework developed in a previous exercise. RESULTS: In 2022, we identified 22 national and 34 regional programmes in Europe. Barriers to establishing NBS included cost and political inertia. Performance was assessed from 2019 data reported by 21 national and 21 regional programmes. All programmes employed different protocols, with IRT-DNA the most common strategy. Six national and 11 regional programmes did not use DNA analysis. CONCLUSIONS: Integrating DNA analysis into the NBS protocol improves PPV, but at the expense of increased carrier and CFSPID recognition. Some programmes employ strategies to mitigate these outcomes. Programmes should constantly strive to improve performance but large datasets are needed to assess outcomes reliably.
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