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Respiratory physicians and clinic coordinators' attitudes to population-based cystic fibrosis carrier screening. | LitMetric

Respiratory physicians and clinic coordinators' attitudes to population-based cystic fibrosis carrier screening.

J Cyst Fibros

Department of Paediatrics, University of Melbourne, Melbourne, 3052, Australia; Murdoch Children's Research Institute, Melbourne, 3052, Australia; Department of Respiratory Medicine, Royal Children's Hospital, Melbourne, 3052, Australia. Electronic address:

Published: January 2014

AI Article Synopsis

  • A study examined the attitudes of Australian healthcare professionals towards population-based cystic fibrosis (CF) carrier screening using a questionnaire sent to respiratory physicians and CF clinic coordinators.
  • About 46.8% of physicians and 63.3% of coordinators supported the screening, with support linked to perceptions of carrier risk, negative test reassurance, and awareness of CF treatment regimens.
  • Concerns about potential discrimination and challenges in predicting clinical outcomes were noted as key barriers to support, but overall, there is moderate backing for the screening which suggests that challenges could be addressed.

Article Abstract

Background: Attitudes of Australian CF healthcare professionals toward population-based cystic fibrosis (CF) carrier screening were examined.

Method: A purpose-designed questionnaire was distributed to 111 respiratory physicians and 30 CF clinic coordinators throughout Australia.

Results: Seventy-one questionnaires (52 physicians and 19 coordinators (46.8%, 63.3% respectively)) were returned. Forty respondents (56.3%) supported population-based carrier screening for CF. Support for screening was associated with rating the factors: carrier risk being 1 in 25 (OR 1.72 (1.12, 2.65)), reassurance when both partners test negative (OR 1.67 (1.12, 2.46)) and the daily treatment regimen for CF patients (OR 1.59 (1.05, 2.42)) as important. Opposition to screening was associated with identifying potential discrimination against carriers as a disadvantage (OR 0.3 (0.12, 0.88)), and limitations of predicting clinical outcomes as a barrier (OR 0.46 (0.25, 0.83)).

Conclusions: There is moderate support for population-based carrier screening for CF by Australian CF healthcare professionals. Perceived barriers to implementation are surmountable.

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Source
http://dx.doi.org/10.1016/j.jcf.2013.06.009DOI Listing

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