Advancing newborn screening in Spain: a consensus-based proposal for a uniform panel

Objective: Newborn screening (NBS) is a vital public health initiative that enables early detection of congenital disorders. Spain currently lacks a standardized national panel, leading to regional disparities in the conditions screened. Therefore, the aim of this study is to present the development...

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Detalles Bibliográficos
Autores: García-Villoria, J., Delgado-Pecellín, C., López, R. M., González-Lamuño Leguina, Domingo
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:dnet:ucreareposit::38311313fa22663eb5e3573b8082a1cc
Acceso en línea:https://hdl.handle.net/10902/40441
Access Level:acceso abierto
Palabra clave:Newborn screening
SUSP
Metabolic disease
Congenital disease
Descripción
Sumario:Objective: Newborn screening (NBS) is a vital public health initiative that enables early detection of congenital disorders. Spain currently lacks a standardized national panel, leading to regional disparities in the conditions screened. Therefore, the aim of this study is to present the development and proposed implementation of the Spanish Uniform Screening Panel (SUSP), a standardized national newborn screening framework designed to harmonize screening practices across Spain. Materials and Methods: This manuscript presents the Spanish Uniform Screening Panel (SUSP), developed through a nationwide consensus by all metabolic screening centers in Spain and Portugal. The panel is based on biomarkers currently in use and distinguishes between primary and secondary conditions. The methodology includes a review of existing biomarkers, classification criteria, and a proposal for a national advisory process. Results: The panel comprises 85 conditions, including 41 primary and 44 secondary conditions, upported by standardized nomenclature and ORPHA codes. Diseases without current pilot data or operational biomarkers were excluded, but are discussed with a pathway for future inclusion. A roadmap is also proposed for genomic NBS integration. Conclusions: The Spanish Uniform Screening Panel (SUSP) represents a milestone in the national newborn screening strategy. Through a collaborative consensus process involving all regional screening centers and based on real-world biomarker usage, this proposal addresses long-standing disparities. It lays the groundwork for equitable, evidence-based screening across Spain. This harmonized approach ensures consistency, facilitates national reporting and evaluation, and strengthens Spain's capacity to adapt to future technological advances.