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Attitudes of families affected by adrenoleukodystrophy toward prenatal diagnosis, presymptomatic and carrier testing, and newborn screening.
[adrenomyeloneuropathy]
Families
affected
by
adrenoleukodystrophy
(
ALD
)
and
adrenomyeloneuropathy
(
AMN
)
were
surveyed
to
elicit
attitudes
toward
prenatal
,
presymptomatic
and
carrier
testing
,
and
newborn
screening
in
order
to
determine
the
level
of
support
that
these
families
have
for
current
and
future
genetic
testing
protocols
.
Identifying
attitudes
toward
genetic
testing
,
including
newborn
screening
,
is
especially
important
because
of
new
data
regarding
therapeutic
options
and
the
possible
addition
of
ALD
to
newborn
screening
regimens
.
The
Kennedy
Krieger
Institute
(
KKI
)
database
identified
327
prospective
participants
.
Families
that
were
willing
to
participate
in
the
study
received
an
anonymous
questionnaire
for
completion
.
Frequencies
were
generated
using
SPSS
software
for
Windows
.
Questionnaires
were
returned
from
128
families
for
a
response
rate
of
39
%
.
Sons
who
were
at
risk
for
inheriting
the
ALD
gene
would
be
tested
by
93
%
of
respondents
,
and
89
.
3
%
would
ideally
have
this
testing
performed
prenatally
or
in
the
newborn
period
.
Eighty
-
nine
percent
would
test
an
at
-risk
daughter
and
51
.
2
%
would
ideally
have
this
testing
performed
prenatally
or
shortly
after
birth
.
ALD
newborn
screening
for
males
and
females
was
supported
by
90
%
of
respondents
.
If
newborn
screening
for
ALD
/
AMN
commences
,
or
there
is
a
new
diagnosis
of
ALD
,
genetic
professionals
need
to
be
prepared
to
have
extensive
conversations
with
families
regarding
the
benefits
and
limitations
of
current
therapeutic
and
genetic
testing
options
.
Diseases
Validation
Diseases presenting
"the possible addition of ald to newborn screening regimens"
symptom
adrenomyeloneuropathy
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