Predictive genetic testing for conditions that present in childhood
Kennedy Institute of Ethics Journal 12 (3):225-244 (2002)
| Abstract | : There is a general consensus in the medical and medical ethics communities against predictive genetic testing of children for late onset conditions, but minimal consideration is given to predictive testing of asymptomatic children for disorders that present later in childhood when presymptomatic treatment cannot influence the course of the disease. In this paper, I examine the question of whether it is ethical to perform predictive testing and screening of newborns and young children for conditions that present later in childhood. I consider the risks and benefits of (1) predictive testing of children from high-risk families; (2) predictive population screening for conditions that are untreatable; and (3) predictive population screening for conditions in which the efficacy of presymptomatic treatment is equivocal. I conclude in favor of parental discretion for predictive genetic testing, but against state-sponsored predictive screening for conditions that do not fulfill public health screening criteria | |||||||||
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K. G. Fulda (2006). Ethical Issues in Predictive Genetic Testing: A Public Health Perspective. Journal of Medical Ethics 32 (3):143-147.
Stephen Robertson & Julian Savelescu (2001). Is There a Case in Favour of Predictive Genetic Testing in Young Children? Bioethics 15 (1):26–49.
Anne Slowther (2008). Predictive Testing and Population Screening. Clinical Ethics 3 (1):11-13.
Cynthia B. Cohen (1998). Wrestling with the Future: Should We Test Children for Adult-Onset Genetic Conditions? Kennedy Institute of Ethics Journal 8 (2):111-130.
P. J. Malpas (2008). Predictive Genetic Testing of Children for Adult-Onset Diseases and Psychological Harm. Journal of Medical Ethics 34 (4):275-278.
Loretta M. Kopelman (2007). Using the Best Interests Standard to Decide Whether to Test Children for Untreatable, Late-Onset Genetic Diseases. Journal of Medicine and Philosophy 32 (4):375 – 394.
A. Boyce & P. Borry (2009). Parental Authority, Future Autonomy, and Assessing Risks of Predictive Genetic Testing in Minors. Journal of Bioethical Inquiry 6 (3).
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