81220 CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)

Name of the Procedure:

CFTR (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (e.g., ACMG/ACOG Guidelines)

Summary

CFTR gene analysis is a genetic test used to identify common variants associated with cystic fibrosis, a hereditary disorder that affects the respiratory and digestive systems. This test follows guidelines established by the American College of Medical Genetics (ACMG) and the American College of Obstetricians and Gynecologists (ACOG).

Purpose

The CFTR gene analysis is used to diagnose cystic fibrosis, determine carrier status, and assist in making informed reproductive decisions. The goals are to confirm a diagnosis, help predict disease severity, and allow for personalized patient care.

Indications

• Recurrent respiratory infections
• Persistent cough with mucus
• Difficulty in breathing
• Infertility in men
• Family history of cystic fibrosis
• Positive newborn screening for cystic fibrosis

Preparation

• No special diet or fasting required.
• Inform your healthcare provider about any medications or supplements you are taking.
• Genetic counseling may be recommended before and after testing for understanding implications and results.

Procedure Description

1. Sample Collection: A blood sample is collected, usually from a vein in the arm, or cells are obtained via a cheek swab or saliva sample.
2. Laboratory Analysis: The sample is sent to a laboratory where DNA is extracted and screened for common CFTR gene mutations as per ACMG/ACOG guidelines.
3. Interpretation: Geneticists analyze the results to determine if any cystic fibrosis gene variants are present.

Duration

The sample collection process typically takes around 10-15 minutes. Laboratory analysis and results interpretation can take 1-2 weeks.

Setting

The sample collection is usually performed in a hospital, doctor's office, or outpatient clinic. The analysis is done in a specialized genetic laboratory.

Personnel

• Phlebotomist or nurse for sample collection
• Geneticist or laboratory technician for conducting the analysis
• Genetic counselor to explain results
• Primary care physician or specialist for follow-up

Risks and Complications

• Minimal risks associated with blood draw, such as bruising or fainting.
• If a cheek swab is used, the risk is negligible.
• Psychological impact of test results, which would be managed through genetic counseling.

Benefits

• Early detection and diagnosis of cystic fibrosis
• Better disease management and treatment planning
• Informed reproductive choices for carriers
• Insight into family health history and carrier status

Recovery

• No physical recovery is needed from the sample collection.
• Psychological support might be required depending on the results.

Alternatives

• Expanded CFTR gene panel testing: Screens for a broader set of mutations.
• Whole genome sequencing: Provides comprehensive genetic information but is more costly and complex.
• Electrophysiology tests such as the sweat chloride test for diagnosing cystic fibrosis through chloride levels in sweat.

Patient Experience

During the procedure, patients might feel a slight discomfort from the needle stick if a blood sample is collected or cheek swab is minimally invasive. There is usually no pain afterward. Patients may experience anxiety while waiting for the results, which can be alleviated with support from healthcare professionals.