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Universal State Newborn Screening Programs Can Reduce Health Disparities

Universal State Newborn Screening Programs Can Reduce Health Disparities Opinion Universal State Newborn Screening Programs VIEWPOINT Can Reduce Health Disparities Fifty years after the advent of state newborn screen- geography. If there is good reason to screen for a specific Jeffrey P. Brosco, MD, PhD ing (NBS) programs for a metabolic condition, there is condition, why should infants in one state receive the Mailman Center for evidence that the decision to mandate universal screen- benefits while infants in neighboring states do not? Simi- Child Development, ing can reduce health disparities. When in-hospital lar reasoning also prevailed in the recent decision to add Department of screening for phenylketonuria began in the early 1960s, critical congenital heart disease (CCHD) to the RUSP. A Pediatrics, University of Miami, Miami, Florida. most hospitals simply added the procedure to the list of point-of-care procedure such as pulse oximetry does not routine clinical practices for newborns, such as giving vi- require a state laboratory, and it could have simply been Scott D. Grosse, PhD tamin K. For a variety of reasons, including fear of missed added to best practices in newborn clinical care. Al- National Center on cases, advocates managed to get state governments in- though CCHD can be detected either during prenatal ul- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

Universal State Newborn Screening Programs Can Reduce Health Disparities

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/lp/american-medical-association/universal-state-newborn-screening-programs-can-reduce-health-sFKbZ06BBy
Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/jamapediatrics.2014.2465
pmid
25402722
Publisher site
See Article on Publisher Site

Abstract

Opinion Universal State Newborn Screening Programs VIEWPOINT Can Reduce Health Disparities Fifty years after the advent of state newborn screen- geography. If there is good reason to screen for a specific Jeffrey P. Brosco, MD, PhD ing (NBS) programs for a metabolic condition, there is condition, why should infants in one state receive the Mailman Center for evidence that the decision to mandate universal screen- benefits while infants in neighboring states do not? Simi- Child Development, ing can reduce health disparities. When in-hospital lar reasoning also prevailed in the recent decision to add Department of screening for phenylketonuria began in the early 1960s, critical congenital heart disease (CCHD) to the RUSP. A Pediatrics, University of Miami, Miami, Florida. most hospitals simply added the procedure to the list of point-of-care procedure such as pulse oximetry does not routine clinical practices for newborns, such as giving vi- require a state laboratory, and it could have simply been Scott D. Grosse, PhD tamin K. For a variety of reasons, including fear of missed added to best practices in newborn clinical care. Al- National Center on cases, advocates managed to get state governments in- though CCHD can be detected either during prenatal ul-

Journal

JAMA PediatricsAmerican Medical Association

Published: Jan 1, 2015

References