title: Newborn screening for cystic fibrosis.
abstract: Since the late 1970s when the potential of the immunoreactive trypsinogen assay for early identification of infants with cystic fibrosis was first recognised, the performance of newborn blood spot screening (NBS) has been continually assessed and its use has gradually expanded. NBS for cystic fibrosis is a cost-effective strategy and, if standards of care are fully implemented and robust management pathways are in place, has a positive effect on clinical outcomes. In the past decade, NBS has undergone rapid expansion and an unprecedented number of infants with cystic fibrosis have access to early diagnosis and care. Cystic fibrosis NBS has now moved on from the development phase and is entering an era of consolidation. In the future, research should focus on the rationalisation and optimisation of existing programmes, with particular attention to bioethical implications such as unwanted detection of carriers and inconclusive diagnoses.
authors.affiliation: Cystic Fibrosis Centre, Azienda Ospedaliera Universitaria Integrata, Verona, Italy. Electronic address: carlo.castellani@ospedaleuniverona.it.
authors.forename: Carlo
authors.initials: C
authors.lastname: Castellani
authors.affiliation: Department of Respiratory Medicine, Royal Children's Hospital, Melbourne, Australia.
authors.forename: John
authors.initials: J
authors.lastname: Massie
authors.affiliation: Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
authors.forename: Marci
authors.initials: M
authors.lastname: Sontag
authors.affiliation: Institute of Child Health, University of Liverpool, Alder Hey Children's Hospital, Liverpool, UK.
authors.forename: Kevin W
authors.initials: KW
authors.lastname: Southern
mesh_terms: D003362:Cost-Benefit Analysis; D003550:Cystic Fibrosis / Q000175:diagnosis* / Q000191:economics; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D007124:Immunoenzyme Techniques / Q000191:economics / Q000379:methods / Q000639:trends*; D007231:Infant, Newborn; D008297:Male; D015997:Neonatal Screening / Q000191:economics / Q000379:methods / Q000639:trends*; D014362:Trypsinogen
chemical_list: D014362:Trypsinogen