Document Type
Journal ArticlePublication Date
2006-12-22Keywords
*Diffusion of InnovationGenetic Testing
Humans
Infant, Newborn
Neonatal Screening
Pilot Projects
Predictive Value of Tests
Professional Competence
Reference Standards
United States
Genetics and Genomics
Medical Genetics
Pediatrics
Metadata
Show full item recordAbstract
The term "pilot study" has been used over the years to describe the evaluation of the many elements involved in deciding whether a proposed condition should be added to a newborn screening (NBS) panel, and until recently, was unilaterally used to describe the evaluation of the assay to be used before the condition was officially adopted by a state for its newborn screening panel. Since Guthrie's introduction of screening for PKU, each time a new condition was added to the panel, the screening assay itself was validated through a population-based trial, in which the test was performed with de-identified samples to avoid association between the test result and the infant. This is considered by the laboratory as the "pilot phase" of adding a new condition. To advance the science of NBS, especially to accommodate new technologies that may provide new types of information (genetic versus physiological) for each new condition, pilot programs are essential. Involvement of the clinical community serves to improve these evaluations and provides the needed clinical validation of decisions made as a result of it. This paper describes the historical context of pilot programs in population-based NBS that utilize laboratory-based markers as indicators of concern; specifically, three applications that demonstrate different approaches to the use of pilots in adding conditions to a NBS panel are described.Source
Ment Retard Dev Disabil Res Rev. 2006;12(4):293-300. Link to article on publisher's siteDOI
10.1002/mrdd.20122Permanent Link to this Item
http://hdl.handle.net/20.500.14038/43268PubMed ID
17183570Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1002/mrdd.20122