title: [Current Practice of Pre- and Postnatal Screening and Future Developments for Evidence Based Guidelines].
abstract: Objectives:In this selective review we provide an overview of the current pre- and postnatal screenings up to 18 years established in Germany to inform physicians of different medical fields (gynecologists, pediatricians, general practitioners, other medical specialists who treat children, adolescents or pregnant females).Current State:Research on screening for different types of cancer has frequently failed to show any benefit. Thus, there is a need to broaden the evidence basis related to medical screenings especially for children and adolescents.Outlook:Potential future developments of pre- and postnatal screenings are illustrated including their social impact. The lack of an early detection of mental health problems is pointed out. An interdisciplinary collaboration and research is required to accumulate evidence with regard to medical screenings and to consider health economic and ethical aspects.
authors.affiliation: LVR-Klinikum Essen, Child and Adolescent Psychiatry, Essen.
authors.forename: J
authors.initials: J
authors.lastname: Hebebrand
authors.affiliation: Ev.Hospital Bielefeld, Children's Hospital, Bielefeld.
authors.forename: E
authors.initials: E
authors.lastname: Hamelmann
authors.affiliation: MedEcon Ruhr, Netzwerk der Gesundheitswirtschaft an der Ruhr, Bochum.
authors.forename: A
authors.initials: A
authors.lastname: Hartmann
authors.affiliation: Ruhr-Universtät Bochum, LWL-Universitätsklinik Hamm für Kinder- und Jugendpsychiatrie, Psychotherapie und Psychosomatik, Bochum.
authors.forename: M
authors.initials: M
authors.lastname: Holtmann
authors.affiliation: Universitätsklinikum Essen, Institut für medizinische Informatik, Biometrie und Epidemiologie, Essen.
authors.forename: K-H
authors.initials: KH
authors.lastname: Jöckel
authors.affiliation: MedEcon Ruhr, Netzwerk der Gesundheitswirtschaft an der Ruhr, Bochum.
authors.forename: U
authors.initials: U
authors.lastname: Kremer
authors.affiliation: Ruhr-Universtät Bochum, LWL-Universitätsklinik Hamm für Kinder- und Jugendpsychiatrie, Psychotherapie und Psychosomatik, Bochum.
authors.forename: T
authors.initials: T
authors.lastname: Legenbauer
authors.affiliation: Ruhr-Universität Bochum, Universitätskinderklinik Bochum, Bochum.
authors.forename: T
authors.initials: T
authors.lastname: Lücke
authors.affiliation: LVR-Klinikum Essen, Child and Adolescent Psychiatry, Essen.
authors.forename: K
authors.initials: K
authors.lastname: Radkowski
authors.affiliation: Kliniken/Institut der Universität Duisburg-Essen, LVR-Klinikum Essen Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Essen.
authors.forename: T
authors.initials: T
authors.lastname: Reinehr
authors.affiliation: Ruhr-Universität Bochum, Universitätskinderklinik Bochum, Bochum.
authors.forename: K
authors.initials: K
authors.lastname: Wand
authors.affiliation: LVR-Klinikum Essen, Child and Adolescent Psychiatry, Essen.
authors.forename: Y
authors.initials: Y
authors.lastname: Mühlig
authors.affiliation: LVR-Klinikum Essen, Child and Adolescent Psychiatry, Essen.
authors.forename: M
authors.initials: M
authors.lastname: Föcker
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D019317:Evidence-Based Medicine / Q000639:trends*; D005260:Female; D005544:Forecasting; D005858:Germany; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D008297:Male; D008403:Mass Screening / Q000639:trends*; D008511:Medicine / Q000639:trends; D011181:Postnatal Care / Q000639:trends*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000639:trends*; D058996:Quality Improvement / Q000639:trends*; D012922:Social Change