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Mainstreaming genomics in paediatrics
  1. Danielle Bogue1,
  2. Charlotte Douglas2,
  3. Edward Miller1,
  4. Katrina Tatton-Brown1,3,
  5. Ngozi Edi-Osagie4,5
  1. 1National Genomics Education Programme, NHS England, Birmingham, UK
  2. 2Royal College of Paediatrics and Child Health, London, UK
  3. 3South West Thames Regional Genetics Service, St George’s University Hospitals NHS Foundation Trust, London, UK
  4. 4Newborn Intensive Care Unit, Manchester University NHS Foundation Trust, Manchester, UK
  5. 5Genomics Working Group, Royal College of Paediatrics and Child Health, London, UK
  1. Correspondence to Dr Danielle Bogue; danielle.bogue{at}nhs.net

Abstract

Worldwide, approximately 80% of rare diseases are thought to have an inherited component. Of these, around 75% of the individuals are children. Therefore, the application of genomic technologies in paediatric care is inevitable. Genomic testing approaches such as whole genome sequencing have the potential to diagnose, and therefore treat, children and young people living with rare conditions. The prospective power of genomic screening, enabling interventions before a child’s health deteriorates, is arguably even more profound. However, despite the obvious benefits of the use of genomics in paediatrics, there are considerable challenges and complexities associated with the successful integration and mainstreaming of genomic testing, including the impact on ways of working, developing an understanding and knowledge of genomics, and navigating the associated NHS (National Health Service) genomics infrastructure. Here, we set out current frameworks, practical education and training resources, and future strategies which could be adopted to support the paediatric workforce in embedding genomics into clinical practice to ultimately improve child health outcomes.

  • Genetics
  • Paediatrics
  • Child Health
  • Technology

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Footnotes

  • X @DanniBogue

  • Contributors Guarantor: KT-B. KT-B and NE-O devised the main conceptual ideas. DB, CD and EM wrote the manuscript. All authors have contributed to subsequent revisions and have reviewed and approved the final version of the manuscript. DB, CD and EM are coauthors.

  • Funding The authors declare funding for this article, and the GEP/RCPCH collaboration, from legacy Health Education England. No award/grant number.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.