Outcomes of an international workshop on preconception expanded carrier screening: Some considerations for governments
MetadataShow full item record
© 2017 Molster, Lister, Metternick-Jones, Baynam, Clarke, Straub, Dawkins and Laing. Background: Consideration of expanded carrier screening has become an emerging issue for governments. However, traditional criteria for decision-making regarding screening programs do not incorporate all the issues relevant to expanded carrier screening. Further, there is a lack of consistent guidance in the literature regarding the development of appropriate criteria for government assessment of expanded carrier screening. Given this, a workshop was held to identify key public policy issues related to preconception expanded carrier screening, which governments should consider when deciding whether to publicly fund such programs.Methods: In June 2015, a satellite workshop was held at the European Society of Human Genetics Conference. It was structured around two design features: (1) the provision of information from a range of perspectives and (2) small group deliberations on the key issues that governments need to consider and the benefits, risks, and challenges of implementing publicly funded whole-population preconception carrier screening.Results: Forty-one international experts attended the workshop. The deliberations centered primarily on the c onditions to be tested and the elements of the screening program itself. Participants expected only severe conditions to be screened but were concerned about the lack of a consensus definition of "severe." Issues raised regarding the screening program included the purpose, benefits, harms, target population, program acceptability, components of a program, and economic evaluation. Participants also made arguments for consideration of the accuracy of screening tests.Conclusion: A wide range of issues require careful consideration by governments that want to assess expanded carrier screening. Traditional criteria for government decision-making regarding screening programs are not a "best fit" for expanded carrier screening and new models of decision-making with appropriate criteria are required. There is a need to define what a "severe" condition is, to build evidence regarding the reliability and accuracy of screening tests, to consider the equitable availability and downstream effects on and costs of follow-up interventions for those identified as carriers, and to explore the ways in which the components of a screening program would be impacted by unique features of expanded carrier screening.
Showing items related by title, author, creator and subject.
Evans, Louis; Cronin, Darryl (2006)OverviewThe Northampton workshop was convened by the Centre for Sustainable Mine Lakes (CSML) and the Central West College of TAFE in association with the Ngalang Boodja Council, Collie. The workshop was conducted at ...
Kent, Michael; Ellis, K.; Locke, K. (2018)Audio description (AD) – also referred to as video description, video programming or descriptive video – is a track of narration included between the lines of dialogue which describes important visual elements of a ...
Kent, Michael; Ellis, Katie; Peaty, Gwyneth; Latter, Natalie; Locke, Kathryn (2017)Captions can be defined as the text version of speech and other sound in traditional audio visual media such as films, television, DVDs and online videos. Captions are usually provided to enhance audio content and are ...