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Against Newborn Screening for Type 1 Diabetes—Reply
Olli Simell, MD, PhD
Arch Pediatr Adolesc Med. 2007;161(6):617-618.
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In reply
We wish to thank Dr Ross for her interest in our study. We absolutely agree that newborn screening for genetic risk for type 1 diabetes mellitus should not be offered as a part of general screening programs before safe and effective preventive measures have been developed. However, in carefully constructed research framework with appropriate counseling facilities and close follow-up schedules, the situation is very different.
The existing data indicate that parental anxiety is not significantly elevated after receiving the risk information and seems to further dissipate over time 1-4; however, there is considerable variation depending on the ethnic background and education level of the parents, for example.1 In the extremely ethnically homogeneous and uniformly well-educated Finnish population, which is the target in the Type 1 Diabetes Prediction and Prevention study, these problems are probably smaller than in many other countries. However, the worry about . . . [Full Text of this Article] AUTHOR INFORMATION
RELATED LETTER
Against Newborn Screening for Type 1 Diabetes
Lainie Friedman Ross
Arch Pediatr Adolesc Med. 2007;161(6):616-617.
EXTRACT
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RELATED ARTICLE
Parental Reactions to Information About Increased Genetic Risk of Type 1 Diabetes Mellitus in Infants
Paula Simonen, Tapio Korhonen, Tuula Simell, Päivi Keskinen, Maarit Kärkkäinen, Mikael Knip, Jorma Ilonen, and Olli Simell
Arch Pediatr Adolesc Med. 2006;160(11):1131-1136.
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