Non-Invasive Prenatal Testing: UK Genetic Counselors' Experiences and Perspectives

Verfasser / Beitragende:
[Elizabeth Alexander, Susan Kelly, Lauren Kerzin-Storrar]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Genetic Counseling, 24/2(2015-04-01), 300-311
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10897-014-9765-9  |2 doi 
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245 0 0 |a Non-Invasive Prenatal Testing: UK Genetic Counselors' Experiences and Perspectives  |h [Elektronische Daten]  |c [Elizabeth Alexander, Susan Kelly, Lauren Kerzin-Storrar] 
520 3 |a To date, NIPT in the UK has been predominately used in the health service for early sexing of pregnancies at known risk of sex-linked conditions. Developments in the technology are broadening its use to diagnostic testing for paternally inherited genetic conditions and for detection of aneuploidy. This study aimed to examine the experiences of UK genetic counselors with offering NIPT for sexing, and to explore their views on future uses of the technology. Twenty interviews with practicing GC's from four centres were audiotaped, transcribed, and analyzed using modified grounded theory. Participants all had experience of counseling patients around prenatal diagnosis and 18/20 had experience of offering NIPT. GCs reported initially feeling cautious about offering the test, although they saw it as a positive advance for their patients at genetic risk. Emphasis was placed on accuracy, adequate counseling provision and gatekeeping with concerns expressed about broadening its use in the routine antenatal setting. Findings indicate the genetics model for offering prenatal testing to high risk patients can incorporate NIPT and the profession may have a role in informing its implementation in wider healthcare settings. In a wider context this study highlights the challenges new technologies bring to genetic counselors' practice and service structure. 
540 |a National Society of Genetic Counselors, Inc., 2014 
690 7 |a Non-invasive prenatal diagnosis  |2 nationallicence 
690 7 |a NIPT  |2 nationallicence 
690 7 |a Fetal sexing  |2 nationallicence 
690 7 |a Genetic Counselors  |2 nationallicence 
690 7 |a Service provision  |2 nationallicence 
690 7 |a New technologies  |2 nationallicence 
690 7 |a Informed consent  |2 nationallicence 
690 7 |a Test accuracy  |2 nationallicence 
690 7 |a Gatekeeping  |2 nationallicence 
700 1 |a Alexander  |D Elizabeth  |u Manchester Centre for Genomic Medicine, Institute of Human Development, University of Manchester and Manchester Academic Health Sciences Centre (MAHSC), Central Manchester University Hospitals NHS Foundation Trust, Level 6, St Marys Hospital, Oxford Road, M13 9WL, Manchester, UK  |4 aut 
700 1 |a Kelly  |D Susan  |u Department of Sociology, Philosophy and Anthropology, University of Exeter, Exeter, UK  |4 aut 
700 1 |a Kerzin-Storrar  |D Lauren  |u Manchester Centre for Genomic Medicine, Institute of Human Development, University of Manchester and Manchester Academic Health Sciences Centre (MAHSC), Central Manchester University Hospitals NHS Foundation Trust, Level 6, St Marys Hospital, Oxford Road, M13 9WL, Manchester, UK  |4 aut 
773 0 |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/2(2015-04-01), 300-311  |x 1059-7700  |q 24:2<300  |1 2015  |2 24  |o 10897 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Alexander  |D Elizabeth  |u Manchester Centre for Genomic Medicine, Institute of Human Development, University of Manchester and Manchester Academic Health Sciences Centre (MAHSC), Central Manchester University Hospitals NHS Foundation Trust, Level 6, St Marys Hospital, Oxford Road, M13 9WL, Manchester, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kelly  |D Susan  |u Department of Sociology, Philosophy and Anthropology, University of Exeter, Exeter, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kerzin-Storrar  |D Lauren  |u Manchester Centre for Genomic Medicine, Institute of Human Development, University of Manchester and Manchester Academic Health Sciences Centre (MAHSC), Central Manchester University Hospitals NHS Foundation Trust, Level 6, St Marys Hospital, Oxford Road, M13 9WL, Manchester, UK  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/2(2015-04-01), 300-311  |x 1059-7700  |q 24:2<300  |1 2015  |2 24  |o 10897