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. 2021 Aug 26;29(11):1601–1610. doi: 10.1038/s41431-021-00952-4

Table 3.

Included studies conducted in other monogenic conditions.

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.