A Voluntary Statewide Newborn Screening Pilot for Spinal Muscular Atrophy: Results from Early Check

Prior to statewide newborn screening (NBS) for spinal muscular atrophy (SMA) in North Carolina, U.S.A., we offered voluntary screening through the Early Check (EC) research study. Here, we describe the EC experience from October 2018 through December 2020. We enrolled a total of 12,065 newborns and...

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Main Authors: Katerina S. Kucera (Author), Jennifer L. Taylor (Author), Veronica R. Robles (Author), Kristin Clinard (Author), Brooke Migliore (Author), Beth Lincoln Boyea (Author), Katherine C. Okoniewski (Author), Martin Duparc (Author), Catherine W. Rehder (Author), Scott M. Shone (Author), Zheng Fan (Author), Melissa Raspa (Author), Holly L. Peay (Author), Anne C. Wheeler (Author), Cynthia M. Powell (Author), Donald B. Bailey (Author), Lisa M. Gehtland (Author)
Format: Book
Published: MDPI AG, 2021-03-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Katerina S. Kucera  |e author 
700 1 0 |a Jennifer L. Taylor  |e author 
700 1 0 |a Veronica R. Robles  |e author 
700 1 0 |a Kristin Clinard  |e author 
700 1 0 |a Brooke Migliore  |e author 
700 1 0 |a Beth Lincoln Boyea  |e author 
700 1 0 |a Katherine C. Okoniewski  |e author 
700 1 0 |a Martin Duparc  |e author 
700 1 0 |a Catherine W. Rehder  |e author 
700 1 0 |a Scott M. Shone  |e author 
700 1 0 |a Zheng Fan  |e author 
700 1 0 |a Melissa Raspa  |e author 
700 1 0 |a Holly L. Peay  |e author 
700 1 0 |a Anne C. Wheeler  |e author 
700 1 0 |a Cynthia M. Powell  |e author 
700 1 0 |a Donald B. Bailey  |e author 
700 1 0 |a Lisa M. Gehtland  |e author 
245 0 0 |a A Voluntary Statewide Newborn Screening Pilot for Spinal Muscular Atrophy: Results from Early Check 
260 |b MDPI AG,   |c 2021-03-01T00:00:00Z. 
500 |a 10.3390/ijns7010020 
500 |a 2409-515X 
520 |a Prior to statewide newborn screening (NBS) for spinal muscular atrophy (SMA) in North Carolina, U.S.A., we offered voluntary screening through the Early Check (EC) research study. Here, we describe the EC experience from October 2018 through December 2020. We enrolled a total of 12,065 newborns and identified one newborn with 0 copies of <i>SMN1</i> and two copies of <i>SMN2</i>, consistent with severe early onset of SMA. We also detected one false positive result, likely stemming from an unrelated blood disorder associated with a low white blood cell count. We evaluated the timing of NBS for babies enrolled prenatally (<i>n</i> = 932) and postnatally (<i>n</i> = 11,133) and reasons for delays in screening and reporting. Although prenatal enrollment led to faster return of results (median = 13 days after birth), results for babies enrolled postnatally were still available within a timeframe (median = 21 days after birth) that allowed the opportunity to receive essential treatment early in life. We evaluated an SMA q-PCR screening method at two separate time points, confirming the robustness of the assay. The pilot project provided important information about SMA screening in anticipation of forthcoming statewide expansion as part of regular NBS. 
546 |a EN 
690 |a newborn screening 
690 |a spinal muscular atrophy 
690 |a genetics 
690 |a <i>SMN1</i> gene 
690 |a pilot study 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n International Journal of Neonatal Screening, Vol 7, Iss 1, p 20 (2021) 
787 0 |n https://www.mdpi.com/2409-515X/7/1/20 
787 0 |n https://doaj.org/toc/2409-515X 
856 4 1 |u https://doaj.org/article/ba63968da0e7435f8c7b06b3c82ea9f7  |z Connect to this object online.