Applying Public Health Screening Criteria: How Does Universal Newborn Screening Compare to Universal Tumor Screening for Lynch Syndrome in Adults with Colorectal Cancer?

Verfasser / Beitragende:
[Deborah Cragun, Rita DeBate, Tuya Pal]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Genetic Counseling, 24/3(2015-06-01), 409-420
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10897-014-9769-5  |2 doi 
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245 0 0 |a Applying Public Health Screening Criteria: How Does Universal Newborn Screening Compare to Universal Tumor Screening for Lynch Syndrome in Adults with Colorectal Cancer?  |h [Elektronische Daten]  |c [Deborah Cragun, Rita DeBate, Tuya Pal] 
520 3 |a Institutions have increasingly begun to adopt universal tumor screening (UTS) programs whereby tumors from all newly diagnosed patients with colorectal cancer (CRC) are screened to identify who should be offered germline testing for Lynch syndrome (the most common cause of hereditary CRC). Given limited information about the impact of universal screening programs to detect hereditary disease in adults, we apply criteria used to evaluate public health screening programs and compare and contrast UTS with universal newborn screening (NBS) for the purpose of examining ethical implications and anticipating potential outcomes of UTS. Both UTS and a core set of NBS conditions clearly meet most of the Wilson and Jungner screening criteria. However, many state NBS panels include additional conditions that do not meet several of these criteria, and there is currently insufficient data to confirm that UTS meets some of these criteria. Comparing UTS and NBS with regard to newer screening criteria raises additional issues that require attention for both UTS and NBS. Comparisons also highlight the importance of evaluating the implementation of genomic tests to ensure or improve their effectiveness at reducing morbidity and mortality while minimizing potential harms. 
540 |a National Society of Genetic Counselors, Inc., 2014 
690 7 |a Public health genomics  |2 nationallicence 
690 7 |a Lynch syndrome  |2 nationallicence 
690 7 |a Newborn screening  |2 nationallicence 
690 7 |a Screening criteria  |2 nationallicence 
690 7 |a Tumor screening  |2 nationallicence 
700 1 |a Cragun  |D Deborah  |u Department of Cancer Epidemiology, Moffitt Cancer Center, 12902, Magnolia Drive, 33612, Tampa, FL, USA  |4 aut 
700 1 |a DeBate  |D Rita  |u Department of Community and Family Health, University of South Florida, Tampa, FL, USA  |4 aut 
700 1 |a Pal  |D Tuya  |u Department of Cancer Epidemiology, Moffitt Cancer Center, 12902, Magnolia Drive, 33612, Tampa, FL, USA  |4 aut 
773 0 |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/3(2015-06-01), 409-420  |x 1059-7700  |q 24:3<409  |1 2015  |2 24  |o 10897 
856 4 0 |u https://doi.org/10.1007/s10897-014-9769-5  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cragun  |D Deborah  |u Department of Cancer Epidemiology, Moffitt Cancer Center, 12902, Magnolia Drive, 33612, Tampa, FL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a DeBate  |D Rita  |u Department of Community and Family Health, University of South Florida, Tampa, FL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pal  |D Tuya  |u Department of Cancer Epidemiology, Moffitt Cancer Center, 12902, Magnolia Drive, 33612, Tampa, FL, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/3(2015-06-01), 409-420  |x 1059-7700  |q 24:3<409  |1 2015  |2 24  |o 10897