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Attitudes of Genetic Counselors Towards Genetic Susceptibility Testing in Children
Author(s) -
Mackoff Rishona L.,
Iverson Ellen F.,
Kiekel Preston,
Dorey Frederick,
Upperman Jeffrey S.,
Metzenberg Aida B.
Publication year - 2010
Publication title -
journal of genetic counseling
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 52
eISSN - 1573-3599
pISSN - 1059-7700
DOI - 10.1007/s10897-010-9298-9
Subject(s) - genetic testing , genetic counseling , medicine , intervention (counseling) , public health , autonomy , disease , family medicine , human genetics , test (biology) , psychology , genetics , psychiatry , nursing , pathology , biology , paleontology , political science , gene , law
Genetic susceptibility research and testing is leading to an era of personalized medicine. Genetic counselors act as liaisons between the medical genetics community and the public. Understanding the opinions of genetic counselors will be important in developing testing guidelines. Attitudes towards genetic susceptibility testing in children were assessed for 216 NSGC members. Genetic counselors were likely to support testing if the results would determine: disease progression or prognosis, likelihood of survival after a specific treatment, or risk for an adverse drug reaction. Genetic counselors were unlikely to support testing to determine susceptibility to later disease development or in the absence of available intervention. There was a strong positive correlation between attitudes associated with desire to test their own child, if at risk and their support for genetic testing in any child at risk. Respondents strongly favored parent/guardian and child's rights over doctor or insurance rights. They indicated assent should be obtained prior to testing, when appropriate, and that a copy of results should be kept in a permanent medical record. Respondents expressed concerns about insurance discrimination, testing in the absence of medical necessity, and taking away a child's autonomy.