title: Guidelines for implementation of cystic fibrosis newborn screening programs: Cystic Fibrosis Foundation workshop report.
abstract: Newborn screening for cystic fibrosis offers the opportunity for early intervention and improved outcomes. This summary, resulting from a workshop sponsored by the Cystic Fibrosis Foundation to facilitate implementation of widespread high quality cystic fibrosis newborn screening, outlines the steps necessary for success based on the experience of existing programs. Planning should begin with a workgroup composed of those who will be responsible for the success of the local program, typically including the state newborn screening program director and cystic fibrosis care center directors. The workgroup must develop a screening algorithm based on program resources and goals including mechanisms available for sample collection, regional demographics, the spectrum of cystic fibrosis disease to be detected, and acceptable failure rates of the screen. The workgroup must also ensure that all necessary guidelines and resources for screening, diagnosis, and care be in place prior to cystic fibrosis newborn screening implementation. These include educational materials for parents and primary care providers; systems for screening and for providing diagnostic testing and counseling for screen-positive infants and their families; and protocols for care of this unique population. This summary explores the benefits and risks of various screening algorithms, including complex situations that can occur involving unclear diagnostic results, and provides guidelines and sample materials for state newborn screening programs to develop and implement high quality screening for cystic fibrosis.
authors.affiliation: New England Newborn Screening Program and Department of Pediatrics, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
authors.forename: Anne Marie
authors.initials: AM
authors.lastname: Comeau
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Accurso
authors.forename: Terry B
authors.initials: TB
authors.lastname: White
authors.forename: Preston W
authors.initials: PW
authors.lastname: Campbell
authors.forename: Gary
authors.initials: G
authors.lastname: Hoffman
authors.forename: Richard B
authors.initials: RB
authors.lastname: Parad
authors.forename: Benjamin S
authors.initials: BS
authors.lastname: Wilfond
authors.forename: Margaret
authors.initials: M
authors.lastname: Rosenfeld
authors.forename: Marci K
authors.initials: MK
authors.lastname: Sontag
authors.forename: John
authors.initials: J
authors.lastname: Massie
authors.forename: Philip M
authors.initials: PM
authors.lastname: Farrell
authors.forename: Brian P
authors.initials: BP
authors.lastname: O'Sullivan
mesh_terms: D000465:Algorithms; D003550:Cystic Fibrosis / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D013542:Sweat