The timely detection of rare diseases is crucial, and using a range of approaches will be key to reducing the diagnostic odyssey
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References
Bauskis, A., Strange, C., Molster, C. & Fisher, C. Orphanet J. Rare Dis.17, 233 (2022)
Lancet Glob. Health12, e341 (2024)
Amberger, J. S., Bocchini, C. A., Scott, A. F. & Hamosh, A. Nucleic Acids Res.47, D1038–D1043 (2019)
Stark, Z. & Scott, R. H. Nat. Rev. Genet.24, 755–766 (2023)
Raffle, A. E., Mackie, A. & Gray, J. A. M. Screening: Evidence and Practice (Oxford Univ. Press, 2019)
Horton, R. et al. BMJ384, e077060 (2024)
Bick, D. et al. Am. J. Med. Genet. C Semin. Med. Genet.187, 48–54 (2021)
Minten, T. et al. Genet. Med.27, 101443 (2025)
Kingdom, R. & Wright, C. F. Front. Genet.13, 920390 (2022)
Boardman, F. & Clark, C. Soc. Sci. Med.301, 114972 (2022)
UK National Screening Committee. EquipoISE – a Multi-Disease In-Service Evaluation within the UK Newborn Blood Spot Screening Programme: Extended Bloodspot ISE (2025)
Kingsmore, S. F., Nofsinger, R. & Ellsworth, K. NPJ Genom. Med.9, 17 (2024)
Boycott, K. M., Azzariti, D. R., Hamosh, A. & Rehm, H. L. Hum. Mutat.43, 659–667 (2022)
Vogt, H., Green, S., Ekstrøm, C. T. & Brodersen, J. BMJ366, l5270 (2019)
Genetic Alliance UK. Time to Decide: Learning from International Approaches to Newborn Screening Decision-Making (2025)
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Authors and Affiliations
Clinical and Biomedical Sciences, University of Exeter Medical School, Exeter, UK
Caroline F. Wright, Amicia Phillips, Emma L. Baple & Leigh Jackson
Unique, The Stables, Oxted, Surrey, UK
Sarah L. Wynn
Genetic Alliance UK, London, UK
Nick Meade
South West Genomic Medicine Service, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK
Emma L. Baple
Centre for Human Genetics, University of Oxford, Oxford, UK
Anneke M. Lucassen
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- Anneke M. LucassenView author publications
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Wright, C.F., Phillips, A., Wynn, S.L. et al. Reducing the diagnostic odyssey in rare disease: why screening is not the only answer.
Nat Med (2026). https://doi.org/10.1038/s41591-026-04542-z
Published:28 July 2026
Version of record:28 July 2026
DOI
:https://doi.org/10.1038/s41591-026-04542-z


