Small practices are ready to take on screening for haemoglobin disorders

The present system of antenatal screening for carriers of haemoglobin disorders means that many couples at risk of conceiving a child with a sickle cell disorder or thalassaemia are identified too late for prenatal diagnosis. Modell et al (p 788) investigated the feasibility of improving screening for haemoglobin disorders in London general practices by using a nurse facilitator. The number of requests from the intervention practices almost doubled in the study year; over half the increase was due to singlehanded practitioners working in areas with a high proportion of ethnic minority residents. The authors conclude that carrier screening in primary care is already happening and can be increased but needs to be coupled with early antenatal testing.


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Related Article

A multidisciplinary approach for improving services in primary care: randomised controlled trial of screening for haemoglobin disorders
Michael Modell, Beatrix Wonke, Elizabeth Anionwu, Maren Khan, Sharon See Tai, Michael Lloyd, and Bernadette Modell
BMJ 1998 317: 788-791. [Abstract] [Full Text] [PDF]




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