1. Offering Prenatal Screening in the Age of Genomic Medicine: A Practical Guide
- Author
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Glenn Palomaki, Umut Aypar, Laura Otto, Katie Stoll, Cassandra K. Runke, W. Edward Highsmith, Myra J. Wick, Marsha Michie, Richard R. Sharp, Natasha Bonhomme, Sandra Darilek, Megan Allyse, Rebecca Pabst, Mark E. Nunes, Ruth M. Farrell, Wayne W. Grody, Brian G. Skotko, and Michael J. Dougherty
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Pediatrics ,Genetic Counseling ,Prenatal care ,030105 genetics & heredity ,03 medical and health sciences ,0302 clinical medicine ,Obstetrics and gynaecology ,Pregnancy ,Prenatal Diagnosis ,Medicine ,Humans ,Genetic Testing ,Reimbursement ,Genetic testing ,Pace ,030219 obstetrics & reproductive medicine ,Modalities ,medicine.diagnostic_test ,business.industry ,General Medicine ,DNA ,Genomics ,Obstetrics ,Prenatal screening ,Gynecology ,Family medicine ,Practice Guidelines as Topic ,Medical genetics ,Female ,business - Abstract
Aims: In September, 2015, Mayo Clinic convened a panel of national thought leaders on prenatal screening, medical genetics, and obstetrics and gynecology practice. Results: During the 2-day symposium, participants discussed the implications of the shift toward broader prenatal screening using cell-free placental DNA in maternal serum (cfDNA screening). Key topics included challenges around the pace of change in the prenatal screening market, uncertainty around reimbursement, meeting the need for patient counseling, and potential challenges in interpreting and returning cfDNA screening results. Innovation: Here, we describe the challenges discussed and offer clinical recommendations for practices who are working to meet them. Conclusion: As the spread of prenatal genetic screening continues, providers will increasingly need to update their practice to accommodate new screening modalities.
- Published
- 2017