The evaluation of cascade testing for familial hypercholesterolemia

@article{Morris2012TheEO,
  title={The evaluation of cascade testing for familial hypercholesterolemia},
  author={Joan K. Morris and David S. Wald and Nicholas J. Wald},
  journal={American Journal of Medical Genetics Part A},
  year={2012},
  volume={158A}
}
Familial hypercholesterolemia (FH) is an autosomal dominant disorder with a high risk of coronary heart disease at a young age that can be reduced by cholesterol‐lowering drugs. Computer simulation was used to estimate the screening performance of three strategies of cascade testing for FH (a process of searching for relatives with FH once an individual is diagnosed with FH): (i) testing parents, siblings, and children (1st degree relatives) of an FH index case, (ii) testing (i) and testing 1st… 
Familial Hypercholesterolaemia in the Era of Genetic Testing
TLDR
Further work is required to evaluate the cardiovascular disease risk in patients with genetically diagnosed FH and to determine whether a risk-based approach to the treatment of FH is appropriate.
The genetics and screening of familial hypercholesterolaemia
TLDR
The genetic basis of familial hypercholesterolaemia is discussed, examining the distribution of variants known to be associated with the condition across the exons of the genes LDLR, ApoB, PCSK9 and LDLRAP1.
Prevention of Atherosclerotic Cardiovascular Disease in Children with Familial Hypercholesterolemia
TLDR
Identifying youth with FH offers the opportunity for early intervention to prevent ASCVD and identify affected relatives through reverse cascade screening.
Clinical management of familial hypercholesterolemia: new insights from international guidelines and recent studies
TLDR
Current, let alone future, therapies are extremely effective in reducing both LDL-C and CVD events in patients with FH, which should be a feature of preventative CVD medicine programmes.
Cascade screening based on genetic testing is cost-effective: evidence for the implementation of models of care for familial hypercholesterolemia.
Genotype-guided diagnosis in familial hypercholesterolemia: population burden and cascade screening
  • P. Hopkins
  • Medicine
    Current opinion in lipidology
  • 2017
TLDR
How genetic testing has provided major new insights regarding the population burden of familial hypercholesterolemia (FH) is reviewed and the role of genetic testing in cascade screening for FH and an updated MEDPED algorithm for the clinical diagnosis of FH are presented.
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References

SHOWING 1-10 OF 28 REFERENCES
Cost-effectiveness analysis of the genetic screening program for familial hypercholesterolemia in The Netherlands.
TLDR
Systematic genetic screening of family members of persons diagnosed with FH is cost-effective in The Netherlands and should be considered for other settings.
Application of molecular genetics for diagnosing familial hypercholesterolemia in Norway: results from a family-based screening program.
TLDR
It is concluded that molecular genetic methods represent a feasible and highly efficient tool in a family-based strategy to diagnose FH.
Child–parent screening for familial hypercholesterolaemia: screening strategy based on a meta-analysis
  • M. Warner
  • Medicine
    Annals of clinical biochemistry
  • 2008
TLDR
An ambitious meta-analysis of 13 independent studies, including a total of 1907 people with FH and 16,221 controls, presents clear age-related differences in the ability to distinguish between affected and unaffected individuals based upon serum cholesterol measurements.
Child-parent screening for familial hypercholesterolaemia: screening strategy based on a meta-analysis
TLDR
The proposed strategy of screening children and parents for familial hypercholesterolaemia could have considerable impact in preventing the medical consequences of this disorder in two generations simultaneously.
Familial hypercholesterolaemia in Portugal.
Are patients with familial hypercholesterolaemia well managed in lipid clinics? An audit of eleven clinics from the Department of Health Familial Hypercholesterolaemia Cascade Testing project
TLDR
FH patients are well cared for in lipid clinics in England, are being given appropriate lifestyle advice and medication, but an increase in recording of LDL-cholesterol levels may lead to improvements in their management.
Outcome of case finding among relatives of patients with known heterozygous familial hypercholesterolaemia
TLDR
By performing cholesterol tests on 200 relatives, 121 new patients with familial hypercholesterolaemia were discovered, and only a few of these patients would have been detected had cholesterol testing been restricted to those with other risk factors for coronary heart disease.
Cascade screening for familial hypercholesterolaemia: implications of a pilot study for national screening programmes
TLDR
Cascade screening conducted by a specialist hospital clinic within its population catchment area did not substantially increase the prevalence of diagnosed familial hypercholesterolaemia and, accordingly, clinic staff need to approach relatives directly.
Family tracing to identify patients with Familial Hypercholesterolaemia: the second Audit of the Department of Health Familial Hypercholesterolaemia Cascade Testing Project
TLDR
Cascade testing for FH in the UK is feasible, acceptable and likely to be cost-effective if it is a routine aspect of clinical care, however, national implementation would require an integrated infrastructure, so that all individuals have access to testing, and specialist services for the management of young people.
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