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儿科的家庭基因检测。

At-home genetic testing in pediatrics.

机构信息

Chicago Genetic Consultants, LLC - Northbrook, Illinois.

Genome Medical - South San Francisco, California.

出版信息

Curr Opin Pediatr. 2019 Dec;31(6):723-731. doi: 10.1097/MOP.0000000000000824.

Abstract

PURPOSE OF REVIEW

This review discusses the state of at-home genetic testing, including both direct-to-consumer and consumer-directed genetic testing, for children.

RECENT FINDINGS

At-home genetic testing continues to increase in popularity and laboratories are starting to offer tests geared towards newborns and children. Available at-home genetic tests for children address ancestral descent, supplement newborn screening, or provide risks for childhood and adult-onset disorders as well as pharmacogenomic data. However, there are aspects of at-home testing that are unique to children that both providers and parents need to be aware of before considering this type of testing; these include issues related to motivations for testing; privacy concerns; result interpretation; ethical, legal and social implications; and impact on family relationships, among others.

SUMMARY

This review addresses the challenges associated with at-home genetic testing in children and provides guidance for pediatricians and other health care providers who field inquiries about this type of testing or who are presented with at-home genetic test results for interpretation.

摘要

目的综述

本文讨论了针对儿童的家庭基因检测(包括直接面向消费者的检测和消费者导向的检测)的现状。

最近的发现

家庭基因检测的普及度持续增加,实验室开始提供针对新生儿和儿童的检测。现有的儿童家庭基因检测可用于确定祖源、补充新生儿筛查,或提供儿童和成人发病障碍的风险以及药物基因组学数据。然而,家庭基因检测针对儿童有一些独特的方面,在考虑这种类型的检测之前,提供者和父母都需要了解;这些方面包括与检测动机相关的问题、隐私问题、结果解释、伦理、法律和社会影响,以及对家庭关系的影响等。

总结

本文讨论了与儿童家庭基因检测相关的挑战,并为儿科医生和其他医疗保健提供者提供了指导,这些医生会收到有关此类检测的咨询,或者需要对家庭基因检测结果进行解释。

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