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Nationwide survey for current clinical status of amniocentesis and maternal serum marker test in Japan
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نویسنده
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Miyake Hidehiko ,Yamada Shigehito ,Fujii Yosuke ,Sawai Hideaki ,Arimori Naoko ,Yamanouchi Yasuko ,Ozasa Yuka ,Kanai Makoto ,Sago Haruhiko ,Sekizawa Akihiko ,Takada Fumio ,Masuzaki Hideaki ,Matsubara Yoichi ,Hirahara Fumiki ,Kugu Koji
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منبع
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journal of human genetics - 2016 - دوره : 61 - شماره : 10 - صفحه:879 -884
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چکیده
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Prenatal testing has been provided in japan over the past several decades. however, it is difficult to assess the clinical status of amniocentesis (ac) and maternal serum markers (msm) because obstetricians can perform these tests without registration. this study aims to investigate the current clinical status of ac and msm in japan. we conducted a questionnaire study that was intended for a total of 5622 japanese obstetrics/gynecology facilities during october 2013 to january 2014. the response rate was 40.8% (2295/5622). of the 2295 facilities, 864 performed msm (37.7%), 619 performed ac (27.0%) and 412 performed both (18.0%). the average number of msm tests was 2.0 per month (range 0–52), and the average number of ac tests was 2.4 per month (range 0–30). involvement of genetic professionals, such as clinical geneticists (cgs) and certified genetic counselors (cgcs), contribute to a content-rich explanation and management of difficult issues and lengthened the explanation time. nevertheless, relatively few facilities employed these specialists (msm: 96/864 and ac: 128/619). this is the first study to highlight the current clinical status of ac and msm tests in japan. active involvement of cgs and cgcs can provide more appropriate genetic counseling for prenatal tests.
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آدرس
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Kyoto University Hospital, Japan, Kyoto University Hospital, Japan, Kyoto University Graduate School of Medicine, Unit of Statistical Genetics, Japan, Hyogo College of Medicine, Department of Obstetrics and Gynecology, Japan, Niigata University, Japan, Kawasaki University of Medical Welfare, Department of Social Work, Japan, Tokyo Medical and Dental University Medical Hospital, Department of Nursing, Japan, Shinshu University School of Health Sciences, Department of Family and Child Nursing, Japan, National Center for Child Health and Development, Japan, Showa University, Department of Obstetrics and Gynecology, Japan, Kitasato University Graduate School of Medical Sciences, Department of Medical Genetics and Genomics, Japan, Nagasaki University, Department of Obstetrics and Gynecology, Japan, National Research Institute for Child Health and Development, Japan, National Hospital Organization Yokohama Medical Center, Japan, Tokyo Metropolitan Bokutoh Hospital, Department of Obstetrics and Gynecology, Japan
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Authors
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