The genetic testing of children: some legal and ethical concerns

2020 ◽  
pp. 17-26
Author(s):  
Sheila A.M. McLean
2000 ◽  
Vol 57 (5) ◽  
pp. 370-375 ◽  
Author(s):  
Timothy A Caulfield ◽  
E Richard Gold

2001 ◽  
Vol 3 (1) ◽  
pp. 24-32 ◽  
Author(s):  
Michele A. Carter

This article explores ethical concerns and emerging dilemmas associated with the proliferation of information resulting fromthe extraordinary advances in molecular genetics. It provides an overviewof the ethical and legal challenges associated with predictive testing for inherited disease currently being addressed in the literature. Finally, it offers a framework of ethical principles that can be used to guide nurses and other practitioners in the appropriate application of research findings to the clinical practice setting. The ethical guidelines of self-determination, benefit-burden ratio, and justice promulgated in The Belmont Report are interpreted in the new context of predictive genetic testing. The author concludes by discussing how to balance the technical imperative to advance genetic knowledge for the sake of human health with the ethical imperative to preserve the fundamental rights and liberties of both individuals and communities who are its recipients.


2018 ◽  
Author(s):  
John F. Thompson

AbstractThe use of Direct To Consumer (DTC) genetic testing for predicting health risks and a variety of other phenotypes has been extensively discussed. Additionally, there have been wide ranging discourses on privacy and ethical concerns. Much less attention has been paid to what most people actually use DTC testing for: ancestry determination. Furthermore, comparison of the platforms used by different companies and how they have chosen SNPs to address the questions of health and ancestry have not been broadly reported. When SNPs across three genotyping platforms are compared, only 16-18% of SNPs with reported genotypes are shared across all platforms. Only 110,051 of the more than 600,000 SNPs are called on all three panels examined (Ancestry, 23andMe and MyHeritage). SNPs genotyped on all platforms are highly concordant with only two SNPs having discordant calls. When the SNPs unique to a single panel are examined, it is apparent that each company has its own strategy for choosing SNPs. When each platform is examined, the unique SNPs have different frequencies, ethnic selectivities, and chromosomal locations. Because each company separates the world into different, overlapping geographical regions, it is impossible to do an exact comparison of ancestry results. Factoring in the ways the regions overlap, congruent results are generated for the major contributors to ancestry.


Author(s):  
Alan R. Fleischman

This chapter describes genetic testing and screening in children and presents the many ethical issues associated with these practices. It examines the unique ethical concerns in genetic testing in children with particular emphasis on screening for adult-onset diseases, newborn screening, and whole exome or genome testing. Whole genome testing is now available as a clinical tool for patients with undefined disorders, and has also been offered directly to the public as a way of exploring risk of future disease. In the first decades of the 21st century the ability to examine single-gene disorders has exploded as technology has allowed for more rapid and less expensive analysis of individual gene loci. The chapter also deals with ethical concerns in genetic research, biobanking, and revealing research findings to patients and families.


2022 ◽  
Author(s):  
Kerstin Clasen ◽  
Cihan Gani ◽  
Christopher Schroeder ◽  
Olaf Riess ◽  
Daniel Zips ◽  
...  

Purpose: Willingness-to-pay (WTP) analyses can support allocation processes considering the patients preferences in personalized medicine. However, genetic testing especially might imply ethical concerns that have to be considered. Methods: A WTP questionnaire was designed to compare preferences for imaging and genetic testing in cancer patients and to evaluate potential ethical concerns. Results: Comparing the options of imaging and genetics showed comparable WTP values. Ethical concerns about genetic testing seemed to be minor. Treatment success was the top priority irrespective of the diagnostic modality. In general, the majority of patients considered personalized medicine to be beneficial. Conclusion: Most patients valued personalized approaches and rated the benefits of precision medicine of overriding importance irrespective of modality or ethical concerns.


2009 ◽  
Vol 40 (12) ◽  
pp. 12 ◽  
Author(s):  
HOWARD P. LEVY
Keyword(s):  

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