PMID- 15371911
OWN - NLM
STAT- MEDLINE
DCOM- 20050222
LR  - 20191108
IS  - 1098-3600 (Print)
IS  - 1098-3600 (Linking)
VI  - 6
IP  - 5
DP  - 2004 Sep-Oct
TI  - Practice patterns of obstetrician-gynecologists regarding preconception and 
      prenatal screening for cystic fibrosis.
PG  - 450-5
AB  - OBJECTIVE: To assess practices of obstetrician-gynecologists regarding carrier 
      screening for cystic fibrosis (CF). METHODS: A questionnaire investigating 
      practice patterns and opinions pertaining to CF screening was mailed to 1165 
      members of the American College of Obstetricians and Gynecologists (ACOG), of 
      whom 565 participate in the Collaborative Ambulatory Research Network (CARN) and 
      600 were randomly selected. RESULTS: Of the questionnaires, 64% were returned. 
      Statistical analyses were limited to the 632 respondents whose primary medical 
      specialty was gynecology (Gyn Only) or obstetrics and gynecology (ObGyn). CARN 
      membership was not a significant factor on any nondemographic measure. Almost 
      one-half of physicians do not ask nonpregnant patients their family history of CF 
      or provide them with information about CF screening. The majority of ObGyns 
      (88.7%) ask obstetric patients their family history of CF, and offer CF carrier 
      screening. Almost two-thirds (65.8%) offer screening to all prenatal patients. 
      Among those ObGyns who selectively offer CF screening to pregnant patients, only 
      27.4% utilized all of the selection criteria in the guidelines. Liability for not 
      offering screening, familiarity with CF, and the ability to interpret a positive 
      screening test were important physician concerns. CONCLUSION: The results 
      indicate a need for minimizing the complexity of clinical guidelines for 
      population-based genetic screening, prospective assessment of implementation and 
      focused continuing education for providers.
FAU - Morgan, Maria A
AU  - Morgan MA
AD  - American College of Obstetricians and Gynecologists, Research Department, 
      Washington, DC 20024, USA.
FAU - Driscoll, Deborah A
AU  - Driscoll DA
FAU - Mennuti, Michael T
AU  - Mennuti MT
FAU - Schulkin, Jay
AU  - Schulkin J
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - Genet Med
JT  - Genetics in medicine : official journal of the American College of Medical 
      Genetics
JID - 9815831
SB  - IM
MH  - Cystic Fibrosis/*diagnosis
MH  - Female
MH  - *Genetic Testing
MH  - *Gynecology
MH  - Humans
MH  - *Obstetrics
MH  - *Practice Patterns, Physicians'
MH  - Preconception Care
MH  - Pregnancy
MH  - *Prenatal Diagnosis
MH  - Surveys and Questionnaires
EDAT- 2004/09/17 05:00
MHDA- 2005/02/23 09:00
CRDT- 2004/09/17 05:00
PHST- 2004/09/17 05:00 [pubmed]
PHST- 2005/02/23 09:00 [medline]
PHST- 2004/09/17 05:00 [entrez]
AID - 00125817-200409000-00010 [pii]
AID - 10.1097/01.gim.0000139509.04177.4b [doi]
PST - ppublish
SO  - Genet Med. 2004 Sep-Oct;6(5):450-5. doi: 10.1097/01.gim.0000139509.04177.4b.