Effect of accessibility of a genetic counselor on uptake of preimplantation genetic testing for aneuploidy (PGT‐A) and carrier screening for patients undergoing in vitro fertilization
This retrospective cohort study assessed the accessibility of a genetic counselor on uptake of preimplantation genetic testing for aneuploidy (PGT‐A) and carrier screening in a single academic Reproductive Endocrinology and Infertility (REI) clinic. A total of 420 patients were evaluated with 219 pa...
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Published in | Journal of genetic counseling Vol. 32; no. 4; pp. 906 - 915 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Blackwell Publishing Ltd
01.08.2023
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Subjects | |
Online Access | Get full text |
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Summary: | This retrospective cohort study assessed the accessibility of a genetic counselor on uptake of preimplantation genetic testing for aneuploidy (PGT‐A) and carrier screening in a single academic Reproductive Endocrinology and Infertility (REI) clinic. A total of 420 patients were evaluated with 219 patients counseled by a REI physician only and 201 patients after the addition of a genetic counselor (GC) to the REI clinic team. Cycles initiated before hiring of a GC (pre‐GC) were assessed from June 2018 to December 2018 and after integration of a GC (post‐GC) from March 2019 to August 2019. Additionally, information regarding carrier screening was collected if available in the medical record. Results showed more patients utilized PGT‐A post‐GC (9.5% vs. 5.5%), although the difference between groups did not reach statistical significance (p = 0.12). Individuals who were screened post‐GC or who started screening pre‐GC and continued screening post‐GC were screened for a larger number of conditions than if they were only screened pre‐GC (median pre‐GC = 3, post‐GC = 27, pre‐ and post‐GC = 274; p < 0.0001). The change in practice from using physician‐only counseling to counseling with accessibility to a GC did not change the utilization of PGT‐A in a single clinic. |
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Bibliography: | Prapti Singh and Caitlin E. Martin should be considered co‐first authors. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1059-7700 1573-3599 |
DOI: | 10.1002/jgc4.1701 |