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J1 Predictive testing for huntington’s disease (HD) in the UK 1994 – 2014: changes in age distribution and outcome of results
  1. Oliver Quarrell1,
  2. Sheharyar Baig2,
  3. Mark Strong3,
  4. Elisabeth Rosser4,
  5. Nicola Taverner5,
  6. Ruth Glew6,
  7. Zosia Miedzybrodzka7,
  8. Angus Clarke5,
  9. David Craufurd8
  1. 1Sheffield Children’s Hospital, Sheffield, UK
  2. 2Sheffield Teaching Hospitals, Sheffield, UK
  3. 3University of Sheffield, Sheffield, UK
  4. 4Great Ormond Street Hospital for Children, London, UK
  5. 5University of Cardiff, Cardiff, UK
  6. 6Morriston Hospital, Swansea, UK
  7. 7University of Aberdeen, Aberdeen, UK
  8. 8University of Manchester, Manchester, UK

Abstract

Introduction Predictive testing for HD by measurement of the CAG repeat length became available during 1993. A UK HD Predictive Testing Consortium has inter alia collected the number of tests undertaken from 23 UK genetic centres since 1989.

Aims We analysed the age distribution and outcome of results for those presenting for predictive tests in the first full 5-year period (1994–1998) as compared with the last 5 years (2010–2014). In addition, we report on the detection of intermediate and reduced penetrance alleles for the later years of the study.

Method Comparisons were made using the Kolmogorov–Smirnov test for difference in distribution, and the Mann–Whitney test for difference in median.

Results From 1994 to 2014, 8113 predictive tests performed on participants aged ≥18 years and with a prior risk of 50% were recorded in the database. The median age at testing was 37 years with an interquartile range of 29–47 years. There was no significant difference in the median age of participants between the first and last 5-year periods (p = 0.60). Comparison of the age distributions of participants between these two periods showed a statistically significant difference (p < 0.0001), with proportionally more older individuals undertaking the test in the earlier period, and proportionally more younger individuals undertaking the test in the later years. Comparison of the percentage of gene positive results changed from 42% to 49% in these two time periods (p < 0.0001) In the last 5 years of the study period the percentage of intermediate and reduced penetrance alleles was 4.2% and 4.5% respectively.

Conclusion We present data from a large dataset on predictive testing and are able to comment on changes in those presenting for testing over time.

  • Predictive testing
  • age distribution
  • intermediate and reduced penetrance alleles

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