Research for Newborn Screening: Developing a National Framework

Author:

Botkin Jeffrey R.1

Affiliation:

1. Department of Pediatrics and Medical Ethics, University of Utah, Salt Lake City, Utah

Abstract

Newborn metabolic screening represents the largest application of genetic testing in medicine. As new technologies are developed, the number of conditions amenable to newborn screening (NBS) will continue to expand. Despite the scope of these programs, the evidence base for a number of NBS applications remains relatively weak. This article briefly reviews the evidence base for several conditions. The article then develops a proposal for a structured sequence of research protocols to evaluate potential applications for NBS before their formal implementation in public health programs. Such a framework for research will require collaboration between states and the federal government, a collaboration that is emerging through recent federal legislation and funding.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference61 articles.

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2. Begley S. Research involving tests on newborns highlights need for stricter ethics. Wall Street Journal. May 3, 2002

3. Taylor HA, Wilfond BS. Ethical issues in newborn screening research: lessons from the Wisconsin cystic fibrosis trial. J Pediatr. 2004;145:292–296

4. New York State Task Force on Life and the Law. Genetic Testing and Screening in the Age of Genomic Medicine. Albany, NY: Health Education Services; 2000:143

5. Wilcken B, Wiley V, Hammond J, Carpenter K. Screening newborns for inborn errors of metabolism by tandem mass spectrometry. N Engl J Med. 2003;348:2304–2312

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