Returning a Genomic Result for an Adult-Onset Condition to the Parents of a Newborn: Insights From the BabySeq Project
- PMID: 30600270
- PMCID: PMC6433124
- DOI: 10.1542/peds.2018-1099H
Returning a Genomic Result for an Adult-Onset Condition to the Parents of a Newborn: Insights From the BabySeq Project
Abstract
The return of information from genomic sequencing in children, especially in early life, brings up complex issues around parental autonomy, the child's future autonomy, the best interest standard, and the best interests of the family. These issues are particularly important in considering the return of genomic results for adult-onset-only conditions in children. The BabySeq Project is a randomized trial used to explore the medical, behavioral, and economic impacts of integrating genomic sequencing into the care of newborns who are healthy or sick. We discuss a case in which a variant in a gene for an actionable, adult-onset-only condition was detected, highlighting the ethical issues surrounding the return of such finding in a newborn to the newborn's parents.
Copyright © 2019 by the American Academy of Pediatrics.
Conflict of interest statement
POTENTIAL CONFLICT OF INTEREST: Dr Green is co-founder, advisor, and equity holder in Genome Medical, Inc; the other authors have indicated they have no conflicts of interest to disclose.
References
-
- Green RC, Rehm HL, Kohane IS. Clinical genome sequencing In: Ginsburg GS, Willard HF, eds. Genomic and Personalized Medicine. Vol 1 2nd ed. San Diego, CA: Elsevier Inc; 2013:102–122
-
- Biesecker LG, Green RC. Diagnostic clinical genome and exome sequencing. N Engl J Med. 2014;370(25):2418–2425 - PubMed
-
- Baylor College of Medicine. Medical genetics laboratories: whole genome laboratory (WGL). 2012. Available at: www.bcm.edu/geneticlabs/index.cfm?PMID=21319. Accessed June 13, 2012
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
Molecular Biology Databases