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Cited by 26Prenatal Screening and DiagnosticsMedical and Health Sciences ResearchEthics and bioethics in healthcare

The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.

Refining the ethics of preimplantation genetic diagnosis: A plea for contextualized proportionality

Open access
Dondorp, Wybo, de Wert, Guido·2019·Bioethics

Abstract

Many European countries uphold a ‘high risk of a serious condition’ requirement for limiting the scope of preimplantation genetic diagnosis (PGD). This ‘front door’ rule should be loosened to account for forms of PGD with a divergent proportionality. This applies to both ‘added PGD’ (aPGD), as an add‐on to in vitro fertilization (IVF), and ‘combination PGD’ (cPGD), for a secondary disorder in addition to the one for which the applicants have an accepted PGD indication. Thus loosening up at the front has implications at the back of PGD treatment, where a further PGD rule says that ‘affected embryos’ (in the sense of embryos with the targeted mutation or abnormality) should not be transferred to the womb. This ‘back door’ rule should be loosened to allow for transferring ‘last chance’ affected embryos in aPGD and cPGD cases, provided this does not entail a high risk that the child will have a seriously diminished quality of life.

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Metadata

Authors
Dondorp, W., & de Wert, G.
Affiliations
Maastricht University (NL)
Corresponding author
Dondorp, Wybo
Venue
Bioethics
Publisher
Wiley
Published
2018-11-26
Volume
33
Issue
2
Pages
294-301
ISSN
  • 0269-9702 (ISSN-L)
  • 1467-8519
OpenAlex
W2902643980
Cited by
26
References
4
Citations by year
2026: 2 · 2024: 5 · 2023: 5 · 2022: 4 · 2021: 2 · 2020: 5 · 2019: 3
FWCI
2.76
Type
journal article
Language
en
Open access
Locations
  • Bioethics (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (submittedVersion, cc-by-nc-nd)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
Funders
ZonMw (41111002)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
  • Social Sciences › Law › Medical and Health Sciences Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
Keywords
preimplantation genetic diagnosis, proportionality, in vitro fertilization, quality of life, reproductive technology regulation
MeSH terms
Embryology, Ethics, Medical, Europe, Female, Fertilization in Vitro, Fetal Diseases, Fetus, Genetic Testing, Health Services Accessibility, Humans, Embryo Implantation, Pregnancy, Quality of Life, Comorbidity, Risk Assessment, Preimplantation Diagnosis, Bioethical Issues, Genetic Diseases, Inborn, Early Diagnosis

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