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Download het volledig rapport (302 p.) - KCE

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<strong>KCE</strong> reports vol. 6A Prenatale zorg 218<br />

Study Ref Populatio<br />

n<br />

Interventio<br />

n<br />

Outcomes Results Comments Study type EL<br />

Gastro-intestinal tract<br />

and pancreas<br />

Enzyme replacement<br />

Gastric acid suppression<br />

High calorie oral<br />

supplement<br />

Nocturnal gastrostomy<br />

feeding<br />

Nocturnal jejunostomy<br />

feeding<br />

Liver Ursodeoxycholate (a<br />

choleretic agent)<br />

Liver transplant<br />

General Protein repair therapy<br />

What are the screening models to identify carrier-couples?<br />

Study Ref Population Intervention Outcomes Results Comment<br />

Richards and<br />

Haddow, 2003<br />

92 Screening models Two-step (sequential) model:<br />

Mutation analysis is performed initially on<br />

the woman´s sample, with counselling<br />

offered to the couple whenever a mutation<br />

is identified. The male partners of women<br />

with identified mutations then are offered<br />

testing. When both partners carry<br />

identifiable mutations, they are offered<br />

further counselling and diagnosis.<br />

One-step (couple) model:<br />

Both the woman and her partner opt for<br />

screening at the onset, and both must<br />

submit samples before laboratory testing is<br />

initiated. Testing is performed on the<br />

womanÊs sample first: if this reveals an<br />

s<br />

Study type EL<br />

RV 4

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