Concurrent hearing and genetic screening in a general newborn population.

Abstract:

:Newborn hearing screening is not designed to detect delayed-onset prelingual hearing loss or aminoglycoside-antibiotic-induced ototoxicity. Cases with severe to profound hearing loss have been reported to have been missed by newborn hearing screens. The aim of this study was to evaluate the efficacy of concurrent hearing and genetic screening in the general population and demonstrate its benefits in practice. Enrolled newborns received concurrent hearing and genetic screens between September 1, 2015 and January 31, 2018. Of the 239,636 eligible infants (median age, 19 months), 548 (0.23%) had prelingual hearing loss. Genetic screening identified 14 hearing loss patients with positive genotypes and 27 patients with inconclusive genotypes who had passed the hearing screens. In addition, the genetic screen identified 0.23% (570/239,636) of the newborns and their family members as at-risk for ototoxicity, which is undetectable by hearing screens. In conclusion, genetic screening complements newborn hearing screening by improving the detection of infants at risk of hereditary hearing loss and ototoxicity, and by informing genotype-based clinical management for affected infants and their family members. Our findings suggest that the practice should be further validated in other populations and rigorous cost-effectiveness analyses are warranted.

journal_name

Hum Genet

journal_title

Human genetics

authors

Guo L,Xiang J,Sun L,Yan X,Yang J,Wu H,Guo K,Peng J,Xie X,Yin Y,Wang J,Yang H,Shen J,Zhao L,Peng Z

doi

10.1007/s00439-020-02118-6

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

521-530

issue

4

eissn

0340-6717

issn

1432-1203

pii

10.1007/s00439-020-02118-6

journal_volume

139

pub_type

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