Variability in Notification of Positive Newborn Screening Results for Sickle Cell Trait Across the United States
Universal in the United States (US) since 2006, newborn screening (NBS) programs for sickle cell disease (SCD) allow for early identification of the disease and, as an unintentional byproduct, identification of sickle cell trait (SCT). Unlike other carrier states, SCT is highly prevalent and is foun...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Advances in Hematology |
| Online Access: | http://dx.doi.org/10.1155/ah/3854629 |
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| _version_ | 1846107041514389504 |
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| author | Jayla Lynn Scott Jana Christian Manuela Plazas Montana Yvette M. Miller Rakhi P. Naik |
| author_facet | Jayla Lynn Scott Jana Christian Manuela Plazas Montana Yvette M. Miller Rakhi P. Naik |
| author_sort | Jayla Lynn Scott |
| collection | DOAJ |
| description | Universal in the United States (US) since 2006, newborn screening (NBS) programs for sickle cell disease (SCD) allow for early identification of the disease and, as an unintentional byproduct, identification of sickle cell trait (SCT). Unlike other carrier states, SCT is highly prevalent and is found in nearly 3 million Americans, which results in important reproductive implications. Currently, all NBS programs in the US are responsible for their own policies regarding SCT notification, and little is known about how SCT notification practices are performed and how these practices vary across NBS programs. We surveyed NBS programs personnel in all 50 states, the District of Columbia, and the US’ territories of Puerto Rico and Guam (n = 53) using an electronic survey. There was a 100% response rate. All NBS programs (100%) provide notification of SCT status to either a pediatrician or parent: 49% notify the pediatrician only, 45% notify both the pediatrician and parent, and 6% notify the parent only. A total of 98% of NBS programs retain electronic records of SCT status, but only 38% can be directly accessed by pediatricians/primary care doctors. No state operates a publicly available database that allows individuals to access their own records. Only one state provides renotification at reproductive age. In conclusion, there is wide variability in NBS practices for SCT notification. This study demonstrates a need for national guidelines to standardize SCT notification across the US to ensure effective notification and counseling for SCT. |
| format | Article |
| id | doaj-art-16ea0993098947c09bc129a83ace6b0e |
| institution | Kabale University |
| issn | 1687-9112 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Hematology |
| spelling | doaj-art-16ea0993098947c09bc129a83ace6b0e2024-12-27T00:00:08ZengWileyAdvances in Hematology1687-91122024-01-01202410.1155/ah/3854629Variability in Notification of Positive Newborn Screening Results for Sickle Cell Trait Across the United StatesJayla Lynn Scott0Jana Christian1Manuela Plazas Montana2Yvette M. Miller3Rakhi P. Naik4Division of HematologyDivision of HematologyDivision of CardiologyDonor and Client Support CenterDivision of HematologyUniversal in the United States (US) since 2006, newborn screening (NBS) programs for sickle cell disease (SCD) allow for early identification of the disease and, as an unintentional byproduct, identification of sickle cell trait (SCT). Unlike other carrier states, SCT is highly prevalent and is found in nearly 3 million Americans, which results in important reproductive implications. Currently, all NBS programs in the US are responsible for their own policies regarding SCT notification, and little is known about how SCT notification practices are performed and how these practices vary across NBS programs. We surveyed NBS programs personnel in all 50 states, the District of Columbia, and the US’ territories of Puerto Rico and Guam (n = 53) using an electronic survey. There was a 100% response rate. All NBS programs (100%) provide notification of SCT status to either a pediatrician or parent: 49% notify the pediatrician only, 45% notify both the pediatrician and parent, and 6% notify the parent only. A total of 98% of NBS programs retain electronic records of SCT status, but only 38% can be directly accessed by pediatricians/primary care doctors. No state operates a publicly available database that allows individuals to access their own records. Only one state provides renotification at reproductive age. In conclusion, there is wide variability in NBS practices for SCT notification. This study demonstrates a need for national guidelines to standardize SCT notification across the US to ensure effective notification and counseling for SCT.http://dx.doi.org/10.1155/ah/3854629 |
| spellingShingle | Jayla Lynn Scott Jana Christian Manuela Plazas Montana Yvette M. Miller Rakhi P. Naik Variability in Notification of Positive Newborn Screening Results for Sickle Cell Trait Across the United States Advances in Hematology |
| title | Variability in Notification of Positive Newborn Screening Results for Sickle Cell Trait Across the United States |
| title_full | Variability in Notification of Positive Newborn Screening Results for Sickle Cell Trait Across the United States |
| title_fullStr | Variability in Notification of Positive Newborn Screening Results for Sickle Cell Trait Across the United States |
| title_full_unstemmed | Variability in Notification of Positive Newborn Screening Results for Sickle Cell Trait Across the United States |
| title_short | Variability in Notification of Positive Newborn Screening Results for Sickle Cell Trait Across the United States |
| title_sort | variability in notification of positive newborn screening results for sickle cell trait across the united states |
| url | http://dx.doi.org/10.1155/ah/3854629 |
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