Newborn Screening for Duchenne Muscular Dystrophy: First Year Results of a Population-Based Pilot

Advancements in therapies for Duchenne muscular dystrophy (DMD) have made diagnosis within the newborn period a high priority. We undertook a consortia approach to advance DMD newborn screening in the United States. This manuscript describes the formation of the Duchenne Newborn Screening Consortium...

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Main Authors: Michael J. Hartnett, Michele A. Lloyd-Puryear, Norma P. Tavakoli, Julia Wynn, Carrie L. Koval-Burt, Dorota Gruber, Tracy Trotter, Michele Caggana, Wendy K. Chung, Niki Armstrong, Amy M. Brower
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:International Journal of Neonatal Screening
Subjects:
Online Access:https://www.mdpi.com/2409-515X/8/4/50
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author Michael J. Hartnett
Michele A. Lloyd-Puryear
Norma P. Tavakoli
Julia Wynn
Carrie L. Koval-Burt
Dorota Gruber
Tracy Trotter
Michele Caggana
Wendy K. Chung
Niki Armstrong
Amy M. Brower
author_facet Michael J. Hartnett
Michele A. Lloyd-Puryear
Norma P. Tavakoli
Julia Wynn
Carrie L. Koval-Burt
Dorota Gruber
Tracy Trotter
Michele Caggana
Wendy K. Chung
Niki Armstrong
Amy M. Brower
author_sort Michael J. Hartnett
collection DOAJ
description Advancements in therapies for Duchenne muscular dystrophy (DMD) have made diagnosis within the newborn period a high priority. We undertook a consortia approach to advance DMD newborn screening in the United States. This manuscript describes the formation of the Duchenne Newborn Screening Consortium, the development of the pilot protocols, data collection tools including parent surveys, and findings from the first year of a two-year pilot. The DMD pilot design is population-based recruitment of infants born in New York State. Data tools were developed to document the analytical and clinical validity of DMD NBS, capture parental attitudes, and collect longitudinal health information for diagnosed newborns. Data visualizations were updated monthly to inform the consortium on enrollment. After 12 months, 15,754 newborns were screened for DMD by the New York State Newborn Screening (NYS NBS) Program. One hundred and forty screened infants had borderline screening results, and sixteen infants were referred for molecular testing. Three male infants were diagnosed with dystrophinopathy. Data from the first year of a two-year NBS pilot for DMD demonstrate the feasibility of NBS for DMD. The consortia approach was found to be a useful model, and the Newborn Screening Translational Research Network’s data tools played a key role in describing the NBS pilot findings and engaging stakeholders.
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spelling doaj.art-4a2711910fe24ca2994caa9ea442b6892023-11-24T15:35:15ZengMDPI AGInternational Journal of Neonatal Screening2409-515X2022-09-01845010.3390/ijns8040050Newborn Screening for Duchenne Muscular Dystrophy: First Year Results of a Population-Based PilotMichael J. Hartnett0Michele A. Lloyd-Puryear1Norma P. Tavakoli2Julia Wynn3Carrie L. Koval-Burt4Dorota Gruber5Tracy Trotter6Michele Caggana7Wendy K. Chung8Niki Armstrong9Amy M. Brower10American College of Medical Genetics and Genomics (ACMG), Bethesda, MD 20814, USAAmerican College of Medical Genetics and Genomics (ACMG), Bethesda, MD 20814, USADivision of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY 12208, USAColumbia University Irving Medical Center, New York, NY 10032, USAColumbia University Irving Medical Center, New York, NY 10032, USADepartment of Pediatrics, Cohen Children’s Medical Center, Northwell Health, New Hyde Park, NY 11040, USAAmerican Academy of Pediatrics, Itasca, IL 60143, USADivision of Genetics, Wadsworth Center, New York State Department of Health, Albany, NY 12208, USAColumbia University Irving Medical Center, New York, NY 10032, USAParent Project Muscular Dystrophy, Washington, DC 20005, USAAmerican College of Medical Genetics and Genomics (ACMG), Bethesda, MD 20814, USAAdvancements in therapies for Duchenne muscular dystrophy (DMD) have made diagnosis within the newborn period a high priority. We undertook a consortia approach to advance DMD newborn screening in the United States. This manuscript describes the formation of the Duchenne Newborn Screening Consortium, the development of the pilot protocols, data collection tools including parent surveys, and findings from the first year of a two-year pilot. The DMD pilot design is population-based recruitment of infants born in New York State. Data tools were developed to document the analytical and clinical validity of DMD NBS, capture parental attitudes, and collect longitudinal health information for diagnosed newborns. Data visualizations were updated monthly to inform the consortium on enrollment. After 12 months, 15,754 newborns were screened for DMD by the New York State Newborn Screening (NYS NBS) Program. One hundred and forty screened infants had borderline screening results, and sixteen infants were referred for molecular testing. Three male infants were diagnosed with dystrophinopathy. Data from the first year of a two-year NBS pilot for DMD demonstrate the feasibility of NBS for DMD. The consortia approach was found to be a useful model, and the Newborn Screening Translational Research Network’s data tools played a key role in describing the NBS pilot findings and engaging stakeholders.https://www.mdpi.com/2409-515X/8/4/50newborn screeningDuchenne muscular dystrophypilotdystrophinopathyrecommended uniform screening paneltherapy
spellingShingle Michael J. Hartnett
Michele A. Lloyd-Puryear
Norma P. Tavakoli
Julia Wynn
Carrie L. Koval-Burt
Dorota Gruber
Tracy Trotter
Michele Caggana
Wendy K. Chung
Niki Armstrong
Amy M. Brower
Newborn Screening for Duchenne Muscular Dystrophy: First Year Results of a Population-Based Pilot
International Journal of Neonatal Screening
newborn screening
Duchenne muscular dystrophy
pilot
dystrophinopathy
recommended uniform screening panel
therapy
title Newborn Screening for Duchenne Muscular Dystrophy: First Year Results of a Population-Based Pilot
title_full Newborn Screening for Duchenne Muscular Dystrophy: First Year Results of a Population-Based Pilot
title_fullStr Newborn Screening for Duchenne Muscular Dystrophy: First Year Results of a Population-Based Pilot
title_full_unstemmed Newborn Screening for Duchenne Muscular Dystrophy: First Year Results of a Population-Based Pilot
title_short Newborn Screening for Duchenne Muscular Dystrophy: First Year Results of a Population-Based Pilot
title_sort newborn screening for duchenne muscular dystrophy first year results of a population based pilot
topic newborn screening
Duchenne muscular dystrophy
pilot
dystrophinopathy
recommended uniform screening panel
therapy
url https://www.mdpi.com/2409-515X/8/4/50
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