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2014 ; 2
(4
): 212-215
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Clinical Management of Pediatric Genomic Testing
#MMPMID25396100
Holm IA
Curr Genet Med Rep
2014[Dec]; 2
(4
): 212-215
PMID25396100
show ga
As sequencing becomes integrated into clinical medicine, many complex ethical
questions arise regarding the return of genomic information, especially in
pediatrics. Issues center on the best interests of the child, particularly in
return of information about adult-onset conditions. These include the child's
future autonomous decision-making and access to knowledge about treatable
conditions, the child in the family unit, and benefit to family members of
learning information which could impact them personally. This article first
discusses the framework for returning genomic information, and then ethical
issues regarding return of results. Finally it discusses potential harms and
benefits, while recognizing that little is known about what these actually are. A
new era of genomic information is in its infancy; handling genomic information in
a way that provides patients and their families with knowledge that is helpful
without causing distress is the greatest challenge.
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