Implementation of a national rapid prenatal exome sequencing service in England: evaluation of service outcomes and factors associated with regional variation
This study showed that of those referred, pES testing provided a diagnosis for one in three pregnancies with a fetal anomaly across England during the study period when other tests had been non-informative. Women who opted for a termination of pregnancy underwent the procedure at relatively late gestations. Earlier referral for pES, streamlining pathways, and faster turnaround times may help results to be available at an earlier gestation to allow families more time to make decisions around continuing or terminating their pregnancy. The variation in service outcomes between regional services needs to be investigated further to understand the reasons for these differences.
Authors
- Corinne Mallinson
- Steven A. Hardy (ORCID: https://orcid.org/0000-0002-7527-8512)
- Gabriella Melis (ORCID: https://orcid.org/0000-0001-7532-2563)
- Mark Blyth (ORCID: https://orcid.org/0000-0002-1552-5366)
- Catherine Franklin (ORCID: https://orcid.org/0000-0002-9011-1606)
- Stephanie K. Allen (ORCID: https://orcid.org/0000-0003-1511-613X)
- Rema Ramakrishnan (ORCID: https://orcid.org/0000-0002-6784-8319)
- Lyn S. Chitty (ORCID: https://orcid.org/0000-0002-4857-7138)
- Melissa K. Hill (ORCID: https://orcid.org/0000-0003-3900-1425)
- Jennifer M. Broughan (ORCID: https://orcid.org/0000-0002-4450-2147)
- Wing Han Wu
- Marian Knight (ORCID: https://orcid.org/0000-0002-1984-4575)
- Rhiannon Mellis (ORCID: https://orcid.org/0000-0001-9905-0654)
Institutions
- National Health Service (GB)
- Great Ormond Street Hospital (GB)
- Great Ormond Street Hospital for Children NHS Foundation Trust (GB)
- University of Oxford (GB)
- National Cancer Registration Service (GB)
- Birmingham Women’s and Children’s NHS Foundation Trust (GB)
- University College London (GB)
Publication Details
- Journal
- Frontiers in Genetics
- Published
- 2024-11-06
- DOI
- https://doi.org/10.3389/fgene.2024.1485306
- Citations
- 5
- Primary Topic
- Prenatal Screening and Diagnostics
- Type
- article
- Field-Weighted Citation Impact
- 5.55
Funders
- National Institute for Health and Care Research