Table 3.
Author [ref.] | Study location | Disease state | Focus of study | Proband population | Included relatives | Main findings/conclusions |
---|---|---|---|---|---|---|
Stark et al. [19] | Australia | Rare monogenic disorders | • Clinical and cost impacts of genomic sequencing in infants with suspected monogenic disorders | • Paediatric (number not specified), mean age (range): 8 months (1 week–34 months) | • 88 first-degree relatives |
Relatives: • 90% underwent genetic testing (total cost: AU $28,000) • 2 first-degree relatives changed medical management based on genetic test results (yearly costs: AU $146 and AU $329) • 16 couples accessed reproductive genetic services (total cost: AU $56,904.37) |
Famula et al. [21] | United States | Fragile X syndrome |
• Identification of affected child through newborn screening • Outcome of cascade genetic testing |
• 1 child, aged 3 months | • 3 family members (mother and 2 siblings) |
Relatives: • all 3 relatives found to have full FMR1 (fragile X-associated) variant |
McClaren et al. [17] | Australia | CF | • Uptake of relative carrier testing and factors influencing uptake | • 30 children, ages not reported | • 225 relatives |
Relatives: • 37% underwent carrier testing |
Sorensen et al. [23] | United States | Fragile X syndrome |
• Description of pilot project: newborn screening followed by cascade testing • Detailed description of 3 newborns identified as having Fragile X syndrome premutation |
• 3,024 newborns screened; 14 positive • 3 newborns described in detail, aged 5 months, 5 months, and 6 months |
• 44 relatives of variant-positive probands |
Relatives: • 27/44 (61%) positive |
Moriwaki et al. [32] | Japan | XP-A | • Experience of 1 centre with prenatal diagnosis of XP-A | • 12 children from 9 families, mean age (range): 3.83 (1–11) years | • 10 fetuses in utero |
Fetuses: • 2/10 XP confirmed • 6/10 XP carriers • 2/10 unaffected |
Sorensen et al. [22] | United States | Fragile X syndrome |
• Description of fragile X syndrome sibship • Outcome of cascade genetic testing |
• Brother and sister pair; brother was true proband, aged 9.75 years | First- and second-degree relatives (number not specified) |
Relatives: • Parents both carriers • Third sibling unaffected • Maternal grandmothers obligate carriers |
McClaren et al. [14] | Australia | CF | • Uptake of cascade genetic testing by non-parent adult relatives | • 30 children, ages not reported |
• 59 parents • 716 non-parent first- and second-degree relatives |
Parents: • 64.4% underwent genetic testing Non-parent relatives: • 11.5% underwent genetic testing • 2.7 relatives tested per child • Female relatives 1.61 times more likely than males to undergo cascade testing |
Smith et al. [31] | Australia | SMA | • Carrier frequency of SMA in Australia | • Paediatric (number not specified), ages not reported |
• 117 parents of affected children • 158 individuals with family history • 146 individuals without family history |
• SMA carrier frequency ~1/49 |
Rudolph et al. [33] | Germany | X-linked ocular albinism | • Outcomes of genetic testing and clinical screening | • 1 male, aged 8 months | • 22 relatives |
Family members: • 6 male relatives affected • 6 other relatives identified as obligate carriers |
CF cystic fibrosis, SMA spinal muscular atrophy, XP-A xeroderma pigmentosum complementation group A.