Newborn Screening for CF across the Globe—<i>Where Is It Worthwhile</i>?

Newborn screening (NBS) for cystic fibrosis (CF) has been performed in many countries for as long as four decades and has transformed the routine method for diagnosing this genetic disease and improved the quality and quantity of life for people with this potentially fatal disorder. Each region has...

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Main Authors: Virginie Scotet, Hector Gutierrez, Philip M. Farrell
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:International Journal of Neonatal Screening
Subjects:
Online Access:https://www.mdpi.com/2409-515X/6/1/18
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author Virginie Scotet
Hector Gutierrez
Philip M. Farrell
author_facet Virginie Scotet
Hector Gutierrez
Philip M. Farrell
author_sort Virginie Scotet
collection DOAJ
description Newborn screening (NBS) for cystic fibrosis (CF) has been performed in many countries for as long as four decades and has transformed the routine method for diagnosing this genetic disease and improved the quality and quantity of life for people with this potentially fatal disorder. Each region has typically undertaken CF NBS after analysis of the advantages, costs, and challenges, particularly regarding the relationship of benefits to risks. The very fact that all regions that began screening for CF have continued their programs implies that public health and clinical leaders consider early diagnosis through screening to be <i>worthwhile.</i> Currently, many regions where CF NBS has not yet been introduced are considering options and in some situations negotiating with healthcare authorities as policy and economic factors are being debated. To consider the assigned question (<i>where is it worthwhile</i>?), we have completed a worldwide analysis of data and factors that should be considered when CF NBS is being contemplated. This article describes the lessons learned from the journey toward universal screening wherever CF is prevalent and an analytical framework for application in those undecided regions. In fact, the lessons learned provide insights about what is necessary to make CF NBS <i>worthwhile</i>.
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spelling doaj.art-3ad4590b3f55453daedef2a5f03111502022-12-21T19:27:19ZengMDPI AGInternational Journal of Neonatal Screening2409-515X2020-03-01611810.3390/ijns6010018ijns6010018Newborn Screening for CF across the Globe—<i>Where Is It Worthwhile</i>?Virginie Scotet0Hector Gutierrez1Philip M. Farrell2Inserm, University of Brest, EFS, UMR 1078, GGB, F-29200 Brest, FranceDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, AL 35233, USADepartments of Pediatrics and Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USANewborn screening (NBS) for cystic fibrosis (CF) has been performed in many countries for as long as four decades and has transformed the routine method for diagnosing this genetic disease and improved the quality and quantity of life for people with this potentially fatal disorder. Each region has typically undertaken CF NBS after analysis of the advantages, costs, and challenges, particularly regarding the relationship of benefits to risks. The very fact that all regions that began screening for CF have continued their programs implies that public health and clinical leaders consider early diagnosis through screening to be <i>worthwhile.</i> Currently, many regions where CF NBS has not yet been introduced are considering options and in some situations negotiating with healthcare authorities as policy and economic factors are being debated. To consider the assigned question (<i>where is it worthwhile</i>?), we have completed a worldwide analysis of data and factors that should be considered when CF NBS is being contemplated. This article describes the lessons learned from the journey toward universal screening wherever CF is prevalent and an analytical framework for application in those undecided regions. In fact, the lessons learned provide insights about what is necessary to make CF NBS <i>worthwhile</i>.https://www.mdpi.com/2409-515X/6/1/18cystic fibrosisnewborn screeningincidencemalnutritioncosthealth policy
spellingShingle Virginie Scotet
Hector Gutierrez
Philip M. Farrell
Newborn Screening for CF across the Globe—<i>Where Is It Worthwhile</i>?
International Journal of Neonatal Screening
cystic fibrosis
newborn screening
incidence
malnutrition
cost
health policy
title Newborn Screening for CF across the Globe—<i>Where Is It Worthwhile</i>?
title_full Newborn Screening for CF across the Globe—<i>Where Is It Worthwhile</i>?
title_fullStr Newborn Screening for CF across the Globe—<i>Where Is It Worthwhile</i>?
title_full_unstemmed Newborn Screening for CF across the Globe—<i>Where Is It Worthwhile</i>?
title_short Newborn Screening for CF across the Globe—<i>Where Is It Worthwhile</i>?
title_sort newborn screening for cf across the globe i where is it worthwhile i
topic cystic fibrosis
newborn screening
incidence
malnutrition
cost
health policy
url https://www.mdpi.com/2409-515X/6/1/18
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