2020
DOI: 10.3389/fimmu.2020.577853
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The Landscape of Severe Combined Immunodeficiency Newborn Screening in the United States in 2020: A Review of Screening Methodologies and Targets, Communication Pathways, and Long-Term Follow-Up Practices

Abstract: Severe combined immunodeficiency (SCID) is T cell development disorders in the immune system and can be detected at birth. As of December 2018, all 53 newborn screening (NBS) programs within the United States and associated territories offer universal screening for SCID. The Association of Public Health Laboratories (APHL), along with the Immune Deficiency Foundation (IDF), surveyed public health NBS system laboratory and follow-up coordinators regarding their NBS program's screening methodologies and targets,… Show more

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Cited by 6 publications
(5 citation statements)
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“…By 2019, all states, almost all provinces, and at least 20 countries had included some version of SCID and other T-cell lymphocyte deficiencies (a secondary RUSP target) in their NBS program (often supported by the Jeffrey Modell Foundation) [ 55 ]. A 2020 report reviewed the status of USA NBS for SCID, including methodologies and follow-up practices [ 56 ], and a 2021 review analyzed the way that SCID NBS has changed the disorder presentation and provided important lessons for public health programs, immunologists, and transplant specialists globally [ 57 ]. A review of the history of SCID NBS discussing SCID subtypes, T-cell receptor excision circle (TREC) assay limitations, and diagnostic/management considerations for infants with a positive NBS was published in 2021 [ 58 ], and in 2022, a report reviewed the success of molecular NBS for SCID and the ability of NBS to determine the SCID population prevalence [ 59 ].…”
Section: Resultsmentioning
confidence: 99%
“…By 2019, all states, almost all provinces, and at least 20 countries had included some version of SCID and other T-cell lymphocyte deficiencies (a secondary RUSP target) in their NBS program (often supported by the Jeffrey Modell Foundation) [ 55 ]. A 2020 report reviewed the status of USA NBS for SCID, including methodologies and follow-up practices [ 56 ], and a 2021 review analyzed the way that SCID NBS has changed the disorder presentation and provided important lessons for public health programs, immunologists, and transplant specialists globally [ 57 ]. A review of the history of SCID NBS discussing SCID subtypes, T-cell receptor excision circle (TREC) assay limitations, and diagnostic/management considerations for infants with a positive NBS was published in 2021 [ 58 ], and in 2022, a report reviewed the success of molecular NBS for SCID and the ability of NBS to determine the SCID population prevalence [ 59 ].…”
Section: Resultsmentioning
confidence: 99%
“…Only the systematic long-term follow-up for children detected through NBS enables the evaluation of the true NBS benefits for those affected, their families, and society [ 10 , 33 , 35 , 81 , 122 , 158 , 163 , 164 ]. Long-term follow-up is particularly important for mild disease variants with unclear treatment benefits [ 18 , 88 , 165 , 166 ].…”
Section: Resultsmentioning
confidence: 99%
“…Patients with severe IEIs require hematopoietic cell transplantation or other curative approaches, with earlier intervention resulting in better outcomes (Bakhtiar et al, 2021; Bergsten et al, 2020; Burroughs et al, 2020; Chiesa et al, 2020; Lucchini et al, 2018). Measuring T cell receptor excision circles (TRECs) and kappa-deleting element recombination circles (KRECs) in DBS samples can identify patients with T and B cell lymphopenias, respectively, and facilitates early treatment intervention and reduction of overall medical costs (Borte et al, 2012; Chan and Puck, 2005; Elsink et al, 2020; King et al, 2021; Nakagawa et al, 2011; Sheller et al, 2020). These results indicate that feasible NBS-based methods to detect other severe IEIs could improve patient outcomes.…”
Section: Discussionmentioning
confidence: 99%