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Download het volledig rapport (302 p.) - KCE

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<strong>KCE</strong> reports vol. 6A Prenatale zorg 220<br />

Study Ref Population Intervention Outcomes Results<br />

understanding of test results<br />

Comments Study<br />

type<br />

Delvaux et al.,<br />

2001<br />

Botkin and<br />

Alemagno,<br />

1992<br />

94 314 couples undergoing<br />

prenatal diagnosis<br />

(amniocenteses) for<br />

reasons not related to CF,<br />

in The University Hospital<br />

in Ghent<br />

95 306 pregnant Caucasian<br />

women (214<br />

respondents), Cleveland<br />

and Ohio<br />

Offering maternal<br />

prenatal screening<br />

with 15 minutes<br />

explaining about CF<br />

and CF screening<br />

self-report<br />

questionnaires<br />

A questionnaire:<br />

Part 1 assessed<br />

demographic<br />

information, attitudes<br />

about the present<br />

pregnancy, history of<br />

Short-term<br />

knowledge of CF<br />

Long-term<br />

knowledge of CF<br />

Attitude towards<br />

carrier screening<br />

and carriership<br />

All participants who reported that<br />

they were worried, all carriers and<br />

95% of the other participants said they<br />

would make the decision to be tested<br />

again<br />

13 female CF carriers were identified,<br />

none of their partners carried an<br />

identifiable mutation<br />

Most couples recalled important<br />

medical and genetic issues<br />

Most couples valued the genetic test<br />

for CF and seemed to cope well with<br />

the results<br />

Risk estimates and actual numbers<br />

were more difficult to process and<br />

recall<br />

From the small number of couples in<br />

which the woman alone was found to<br />

be a carrier, there was little or no<br />

evidence of marked distress<br />

98% said that screening should be<br />

offered before pregnancy<br />

69% would accept screening during<br />

pregnancy<br />

No information<br />

on the decline or<br />

acceptance rate<br />

Active knowledge<br />

was not tested<br />

The hypot<strong>het</strong>ical<br />

nature of this<br />

study limits the<br />

ability to make<br />

confident<br />

predictions of<br />

EL<br />

SV 3<br />

SV 3

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