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Is Neonatale Screening op Mucoviscidose aangewezen in België?

Is Neonatale Screening op Mucoviscidose aangewezen in België?

Is Neonatale Screening op Mucoviscidose aangewezen in België?

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34 Cystic Fibrosis Neonatal <strong>Screen<strong>in</strong>g</strong> KCE Reports 132<br />

Key Po<strong>in</strong>ts<br />

• Current guidel<strong>in</strong>es for implementation of CF newborn screen<strong>in</strong>g programs<br />

<strong>in</strong>variably stress the importance of carefully consider<strong>in</strong>g each step of the<br />

process, keep<strong>in</strong>g <strong>in</strong> m<strong>in</strong>d that “No system is stronger than its weakest l<strong>in</strong>k”.<br />

It is also necessary to identify and assemble those who will have <strong>op</strong>erational<br />

responsibility.<br />

• Carefully determ<strong>in</strong><strong>in</strong>g the spectrum of CF disease that a NBS program will<br />

aim to identify is one of the first essential tasks.<br />

• Physicians should understand the limits of the screen<strong>in</strong>g and rema<strong>in</strong> vigilant<br />

to identify false-negative cases: suggestive symptoms should still lead them<br />

to suspect a diagnosis of cystic fibrosis.<br />

• Quality assurance programs for the sweat test rema<strong>in</strong> a key component of<br />

any CF NBS program.<br />

• Optimized communication at all steps of the process should be fluent.<br />

• Centralization of outcome data from all CF centres should allow a<br />

monitor<strong>in</strong>g structure to evaluate and modify screen<strong>in</strong>g algorithms if needed

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