Evidence map›Paper›PMID 34846986›Full record

ArticleThe American journal of bioethics : AJOB2023

Non-Invasive Prenatal Testing for "Non-Medical" Traits: Ensuring Consistency in Ethical Decision-Making.

Hilary Bowman-Smart, Christopher Gyngell, Cara Mand, David J Amor, Martin B Delatycki, Julian Savulescu

Abstract read
In one paragraph

Article in The American journal of bioethics : AJOB, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Hilary Bowman-SmartMurdoch Children's Research Institute.ORCID 0000-0002-2142-9696
Christopher GyngellMurdoch Children's Research Institute.ORCID 0000-0002-1340-3947
Cara MandMurdoch Children's Research Institute.
David J AmorMurdoch Children's Research Institute.ORCID 0000-0001-7191-8511
Martin B DelatyckiMurdoch Children's Research Institute.ORCID 0000-0002-8769-2569
Julian SavulescuMurdoch Children's Research Institute.ORCID 0000-0003-1691-6403

Funding

Wellcome Trust 104848Wellcome Trust 203132
6 · The paper itself

Abstract

The scope of noninvasive prenatal testing (NIPT) could expand in the future to include detailed analysis of the fetal genome. This will allow for the testing for virtually any trait with a genetic contribution, including "non-medical" traits. Here we discuss the potential use of NIPT for these traits. We outline a scenario which highlights possible inconsistencies with ethical decision-making. We then discuss the case against permitting these uses. The objections include practical problems; increasing inequities; increasing the burden of choice; negative impacts on the child, family, and society; and issues with implementation. We then outline the case for permitting the use of NIPT for these traits. These include arguments for reproductive liberty and autonomy; questioning the labeling of traits as "non-medical"; and the principle of procreative beneficence. This summary of the case for and against can serve as a basis for the development of a consistent and coherent ethical framework.

Indexed as

Genetic TestingPrenatal DiagnosisChildDissent and DisputesFemaleFetusHumansPregnancyReproductionabortionbiotechnologygenetics (clinical)Reproductive technologies

Identifiers

PMID34846986
PMCPMC7614328

What OpenQuestion holds

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Registered trials

None linked

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.