Evidence map›Paper›PMID 30756401›Full record

ArticlePrenatal diagnosis2019

Expanded carrier screening for autosomal recessive conditions in health care: Arguments for a couple-based approach and examination of couples' views.

Mirjam Plantinga, Erwin Birnie, Juliette Schuurmans, Anne H Buitenhuis, Elise Boersma, Anneke M Lucassen, Marian A Verkerk, Irene M van Langen, Adelita V Ranchor

Abstract read
In one paragraph

Article in Prenatal diagnosis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Ethical issues in reproductive genetic carrier screening.The Medical journal of Australia · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Mirjam PlantingaDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0003-3350-9842
Erwin BirnieDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Juliette SchuurmansDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Anne H BuitenhuisDepartment of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Elise BoersmaDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Anneke M LucassenClinical Ethics and Law, Faculty of Medicine, University of Southampton, Southampton, UK.
Marian A VerkerkDepartment of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Irene M van LangenDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Adelita V RanchorDepartment of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExpanded carrier screening (ECS) is aimed at detecting carrier states for autosomal recessive (AR) or X-linked conditions in couples from the general population planning a pregnancy. ECS is currently usually offered on an individual basis despite the fact that, for AR conditions, only carrier couples are at risk of affected offspring. In this paper, we present a couple-based ECS test-offer for AR conditions, where results are offered as couple-results only, and describe how couples view such an offer. METHODS AND

resultsAn online survey covering attitudes, perceived difficulty, and intention to take up couple-based ECS was used to examine couples' views. Results show that in 76% of the participating couples there is no objection at all towards receiving couple-results only. Most couples display similar views. Observed discrepancies usually involved one of the couple members having a positive view, whilst the other was neutral. Although views stayed strikingly stable after discussion, the partner's opinion was regarded as important in deciding whether or not to have testing.

conclusionThis study shows that most couples do not object to receiving couple rather than individual ECS results, have similar views towards the offer, and are able to discuss differences in views and intentions.

Indexed as

Family CharacteristicsGenetic Carrier ScreeningAdultCooperative BehaviorFemaleHumansMaleMarriageYoung Adult

Identifiers

PMID30756401
PMCPMC6593986

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.