A Delphi Survey Study to Formulate Statements on the Treatability of Inherited Metabolic Disorders to Decide on Eligibility for Newborn Screening

The Wilson and Jungner (W&J) and Andermann criteria are meant to help select diseases eligible for population-based screening. With the introduction of next-generation sequencing (NGS) methods for newborn screening (NBS), more inherited metabolic diseases (IMDs) can technically be included, and...

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Main Authors: Abigail Veldman, M. B. Gea Kiewiet, Dineke Westra, Annet M. Bosch, Marion M. G. Brands, René I. F. M. de Coo, Terry G. J. Derks, Sabine A. Fuchs, Johanna. M. P. van den Hout, Hidde H. Huidekoper, Leo A. J. Kluijtmans, Klaas Koop, Charlotte M. A. Lubout, Margaretha F. Mulder, Bianca Panis, M. Estela Rubio-Gozalbo, Monique G. de Sain-van der Velden, Jaqueline Schaefers, Andrea B. Schreuder, Gepke Visser, Ron A. Wevers, Frits A. Wijburg, M. Rebecca Heiner-Fokkema, Francjan J. van Spronsen
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:International Journal of Neonatal Screening
Subjects:
Online Access:https://www.mdpi.com/2409-515X/9/4/56
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author Abigail Veldman
M. B. Gea Kiewiet
Dineke Westra
Annet M. Bosch
Marion M. G. Brands
René I. F. M. de Coo
Terry G. J. Derks
Sabine A. Fuchs
Johanna. M. P. van den Hout
Hidde H. Huidekoper
Leo A. J. Kluijtmans
Klaas Koop
Charlotte M. A. Lubout
Margaretha F. Mulder
Bianca Panis
M. Estela Rubio-Gozalbo
Monique G. de Sain-van der Velden
Jaqueline Schaefers
Andrea B. Schreuder
Gepke Visser
Ron A. Wevers
Frits A. Wijburg
M. Rebecca Heiner-Fokkema
Francjan J. van Spronsen
author_facet Abigail Veldman
M. B. Gea Kiewiet
Dineke Westra
Annet M. Bosch
Marion M. G. Brands
René I. F. M. de Coo
Terry G. J. Derks
Sabine A. Fuchs
Johanna. M. P. van den Hout
Hidde H. Huidekoper
Leo A. J. Kluijtmans
Klaas Koop
Charlotte M. A. Lubout
Margaretha F. Mulder
Bianca Panis
M. Estela Rubio-Gozalbo
Monique G. de Sain-van der Velden
Jaqueline Schaefers
Andrea B. Schreuder
Gepke Visser
Ron A. Wevers
Frits A. Wijburg
M. Rebecca Heiner-Fokkema
Francjan J. van Spronsen
author_sort Abigail Veldman
collection DOAJ
description The Wilson and Jungner (W&J) and Andermann criteria are meant to help select diseases eligible for population-based screening. With the introduction of next-generation sequencing (NGS) methods for newborn screening (NBS), more inherited metabolic diseases (IMDs) can technically be included, and a revision of the criteria was attempted. This study aimed to formulate statements and investigate whether those statements could elaborate on the criterion of <i>treatability</i> for IMDs to decide on eligibility for NBS. An online Delphi study was started among a panel of Dutch IMD experts (EPs). EPs evaluated, amended, and approved statements on <i>treatability</i> that were subsequently applied to 10 IMDs. After two rounds of Delphi, consensus was reached on 10 statements. Application of these statements selected 5 out of 10 IMDs proposed for this study as eligible for NBS, including 3 IMDs in the current Dutch NBS. The statement: ‘The expected benefit/burden ratio of early treatment is positive and results in a significant health outcome’ contributed most to decision-making. Our Delphi study resulted in 10 statements that can help to decide on eligibility for inclusion in NBS based on <i>treatability</i>, also showing that other criteria could be handled in a comparable way. Validation of the statements is required before these can be applied as guidance to authorities.
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spelling doaj.art-3d50f4a1bda74e6c8dfdc49c9d39ba022023-12-22T14:15:27ZengMDPI AGInternational Journal of Neonatal Screening2409-515X2023-10-01945610.3390/ijns9040056A Delphi Survey Study to Formulate Statements on the Treatability of Inherited Metabolic Disorders to Decide on Eligibility for Newborn ScreeningAbigail Veldman0M. B. Gea Kiewiet1Dineke Westra2Annet M. Bosch3Marion M. G. Brands4René I. F. M. de Coo5Terry G. J. Derks6Sabine A. Fuchs7Johanna. M. P. van den Hout8Hidde H. Huidekoper9Leo A. J. Kluijtmans10Klaas Koop11Charlotte M. A. Lubout12Margaretha F. Mulder13Bianca Panis14M. Estela Rubio-Gozalbo15Monique G. de Sain-van der Velden16Jaqueline Schaefers17Andrea B. Schreuder18Gepke Visser19Ron A. Wevers20Frits A. Wijburg21M. Rebecca Heiner-Fokkema22Francjan J. van Spronsen23Division of Metabolic Diseases, Beatrix Children’s Hospital, University of Groningen, University Medical Center Groningen, 9718 GZ Groningen, The NetherlandsDepartment of Genetics, University of Groningen, University Medical Center Groningen, 9718 GZ Groningen, The NetherlandsDepartment of Human Genetics, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Pediatrics, Division of Metabolic Disorders, Emma Children’s Hospital, Amsterdam University Medical Centre, 1105 AZ Amsterdam, The NetherlandsDepartment of Pediatrics, Division of Metabolic Disorders, Emma Children’s Hospital, Amsterdam University Medical Centre, 1105 AZ Amsterdam, The NetherlandsDepartment of Toxicogenomics, Unit Clinical Genomics, MHeNs School for Mental Health and Neuroscience, Maastricht University, 6229 ER Maastricht, The NetherlandsDivision of Metabolic Diseases, Beatrix Children’s Hospital, University of Groningen, University Medical Center Groningen, 9718 GZ Groningen, The NetherlandsDepartment of Metabolic Diseases, University Medical Center Utrecht, Wilhelmina Children’s Hospital, 3584 EA Utrecht, The NetherlandsDepartment of Pediatrics, Center for Lysosomal and Metabolic Diseases, Erasmus University Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Pediatrics, Center for Lysosomal and Metabolic Diseases, Erasmus University Medical Center, 3015 GD Rotterdam, The NetherlandsDepartment of Human Genetics, Translational Metabolic Laboratory, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Metabolic Diseases, University Medical Center Utrecht, Wilhelmina Children’s Hospital, 3584 EA Utrecht, The NetherlandsDivision of Metabolic Diseases, Beatrix Children’s Hospital, University of Groningen, University Medical Center Groningen, 9718 GZ Groningen, The NetherlandsDepartment of Pediatrics, Division of Metabolic Disorders, Emma Children’s Hospital, Amsterdam University Medical Centre, 1105 AZ Amsterdam, The NetherlandsDepartment of Pediatrics, Maastricht University Medical Center, 6229 HX Maastricht, The NetherlandsDepartment of Pediatrics and Clinical Genetics, Maastricht University Medical Center, 6229 HX Maastricht, The NetherlandsSection Metabolic Diagnostics, Department of Genetics, University Medical Center Utrecht, 3584 CX Utrecht, The NetherlandsDepartment of Pediatrics, Maastricht University Medical Center, 6229 HX Maastricht, The NetherlandsDivision of Metabolic Diseases, Beatrix Children’s Hospital, University of Groningen, University Medical Center Groningen, 9718 GZ Groningen, The NetherlandsDepartment of Pediatrics, Division of Metabolic Disorders, Emma Children’s Hospital, Amsterdam University Medical Centre, 1105 AZ Amsterdam, The NetherlandsDepartment of Human Genetics, Translational Metabolic Laboratory, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsDepartment of Pediatrics, Division of Metabolic Disorders, Emma Children’s Hospital, Amsterdam University Medical Centre, 1105 AZ Amsterdam, The NetherlandsDepartment of Laboratory Medicine, Laboratory of Metabolic Diseases, University of Groningen, University Medical Center Groningen, 9718 GZ Groningen, The NetherlandsDivision of Metabolic Diseases, Beatrix Children’s Hospital, University of Groningen, University Medical Center Groningen, 9718 GZ Groningen, The NetherlandsThe Wilson and Jungner (W&J) and Andermann criteria are meant to help select diseases eligible for population-based screening. With the introduction of next-generation sequencing (NGS) methods for newborn screening (NBS), more inherited metabolic diseases (IMDs) can technically be included, and a revision of the criteria was attempted. This study aimed to formulate statements and investigate whether those statements could elaborate on the criterion of <i>treatability</i> for IMDs to decide on eligibility for NBS. An online Delphi study was started among a panel of Dutch IMD experts (EPs). EPs evaluated, amended, and approved statements on <i>treatability</i> that were subsequently applied to 10 IMDs. After two rounds of Delphi, consensus was reached on 10 statements. Application of these statements selected 5 out of 10 IMDs proposed for this study as eligible for NBS, including 3 IMDs in the current Dutch NBS. The statement: ‘The expected benefit/burden ratio of early treatment is positive and results in a significant health outcome’ contributed most to decision-making. Our Delphi study resulted in 10 statements that can help to decide on eligibility for inclusion in NBS based on <i>treatability</i>, also showing that other criteria could be handled in a comparable way. Validation of the statements is required before these can be applied as guidance to authorities.https://www.mdpi.com/2409-515X/9/4/56newborn screeningtreatabilitytreatableWilson and Junger criteriainborn errors of metabolisminherited metabolic disorders
spellingShingle Abigail Veldman
M. B. Gea Kiewiet
Dineke Westra
Annet M. Bosch
Marion M. G. Brands
René I. F. M. de Coo
Terry G. J. Derks
Sabine A. Fuchs
Johanna. M. P. van den Hout
Hidde H. Huidekoper
Leo A. J. Kluijtmans
Klaas Koop
Charlotte M. A. Lubout
Margaretha F. Mulder
Bianca Panis
M. Estela Rubio-Gozalbo
Monique G. de Sain-van der Velden
Jaqueline Schaefers
Andrea B. Schreuder
Gepke Visser
Ron A. Wevers
Frits A. Wijburg
M. Rebecca Heiner-Fokkema
Francjan J. van Spronsen
A Delphi Survey Study to Formulate Statements on the Treatability of Inherited Metabolic Disorders to Decide on Eligibility for Newborn Screening
International Journal of Neonatal Screening
newborn screening
treatability
treatable
Wilson and Junger criteria
inborn errors of metabolism
inherited metabolic disorders
title A Delphi Survey Study to Formulate Statements on the Treatability of Inherited Metabolic Disorders to Decide on Eligibility for Newborn Screening
title_full A Delphi Survey Study to Formulate Statements on the Treatability of Inherited Metabolic Disorders to Decide on Eligibility for Newborn Screening
title_fullStr A Delphi Survey Study to Formulate Statements on the Treatability of Inherited Metabolic Disorders to Decide on Eligibility for Newborn Screening
title_full_unstemmed A Delphi Survey Study to Formulate Statements on the Treatability of Inherited Metabolic Disorders to Decide on Eligibility for Newborn Screening
title_short A Delphi Survey Study to Formulate Statements on the Treatability of Inherited Metabolic Disorders to Decide on Eligibility for Newborn Screening
title_sort delphi survey study to formulate statements on the treatability of inherited metabolic disorders to decide on eligibility for newborn screening
topic newborn screening
treatability
treatable
Wilson and Junger criteria
inborn errors of metabolism
inherited metabolic disorders
url https://www.mdpi.com/2409-515X/9/4/56
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