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Uncertain diagnosis after newborn screening for cystic fibrosis: An ethics‐based approach to a clinical dilemma
Author(s) -
Massie John,
Gillam Lynn
Publication year - 2014
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.22933
Subject(s) - cystic fibrosis , medicine , newborn screening , intensive care medicine , dilemma , sweat test , pediatrics , philosophy , epistemology
Summary There is uncertainty about the diagnosis of cystic fibrosis after newborn screening (NBS) for some babies, either because of an intermediate sweat chloride test or inconclusive gene mutation analysis. There is considerable difficulty knowing how best to manage these babies, some of whom will develop cystic fibrosis, but many not. This article offers an ethics‐based approach to this clinical dilemma that should be helpful to clinicians managing the baby with an uncertain diagnosis of cystic fibrosis after NBS. Pediatr Pulmonol. 2014; 49:1–7. © 2013 Wiley Periodicals, Inc.

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