Carrier screening for cystic fibrosis among Maryland obstetricians before and after the 1997 NIH Consensus Conference.

Carrier screening for cystic fibrosis among Maryland obstetricians before and after the 1997 NIH Consensus Conference.
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1997 年 NIH 共识会议前后对马里兰州产科医生进行囊性纤维化携带者筛查。

DOI:
10.1089/109065701753145565
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发表时间:
2001
期刊:
Genetic testing
影响因子:
--
通讯作者:
Holtzman,NA
Holtzman,NA
中科院分区:
--
文献类型:
--
作者:
Doksum,T;Bernhardt,BA;Holtzman,NA

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1997年美国国立卫生研究院(NIH)关于囊性纤维化(CF)检测的共识会议建议,为所有孕妇和计划怀孕的夫妇提供携带者筛查。我们 调查了492名马里兰州妇产科医生在共识会议前后:(1)评估产科医生是否改变了他们关于CF携带者检测的实践,(2)确定相关因素 随着实践模式的变化,包括对陈述的认识和对CF的了解。五十六百分之(275)回答了第一次邮件问卷和107产科医生回答了两份问卷。 在1998年,只有18%的第二次问卷调查的受访者熟悉国家卫生研究院的声明,但43%的人报告说,与没有家族史的患者讨论测试,这一比例显著增加 从1997年开始,只有20%的人报告说讨论了测试。不到三分之一的人正确回答了关于CF和载体测试的六个选择题。在多变量分析中,知识 在与没有家族史的患者举行CF会议后,对NIH共识声明的熟悉程度与开始讨论CF携带者检测无关。
The 1997 National Institutes of Health (NIH) Consensus Conference on Cystic Fibrosis (CF) testing recommended that carrier screening be offered to all pregnant women and couples planning a pregnancy. We surveyed 492 Maryland Ob-Gyns before and after the consensus conference to: (1) assess whether obstetricians changed their practice regarding CF carrier testing, and (2) identify the factors associated with changing practice patterns, including awareness of the statement, and knowledge about CF. Fifty-six percent (275) responded to the first mail questionnaire and 107 obstetricians responded to both questionnaires. In 1998, only 18% of respondents to the second questionnaire were familiar with the NIH statement, but 43% reported discussing testing with patients with no family history, a significant increase from 1997, when only 20% reported discussing testing. Less than one-third correctly answered six multiple-choice knowledge questions about CF and carrier testing. In multivariate analysis, knowledge and familiarity with the NIH consensus statement were not associated with beginning to discuss CF carrier testing after the CF conference with their patients without a family history.
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