Type | Purpose | When used | Examples/benefits and harms |
Diagnostic testing | To provide definite diagnosis | In a patient with an existing condition | Turner syndrome 45,X |
Accurate diagnosis can lead to proper treatment | |||
Predictive testing | To provide risk assessment for presymptomatic states | Prenatal for reproductive choice decision | Presymptomatic intervention may delay onset |
For adult risk assessment | |||
Presymptomatic testing | To look for the presence of a gene mutation with complete penetrance, that is, having the mutation always leads to having the disease | In families with disease, for adults who choose to have testing after counseling | Huntington disease |
Finding of mutation may lead to prognostic information for individual affecting life planning; negative test may provide relief. Harms include worry, stigmatization, labeling; possible "survivor guilt" or ostracism if negative in family with others positive. |
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