In pediatric genetics, what is the typical approach to returning secondary/incidental findings that are adult-onset?

• A. Always disclose to the child and family
• B. Only disclose if the finding is directly related to pediatric-onset conditions
• C. Typically, actionable adult-onset findings are not disclosed to minors unless there is immediate pediatric relevance; guidelines vary
• D. Never disclose incidental findings

Answer: (C)

In pediatric genetics, the main idea is to consider whether information can affect the child’s health now. For incidental findings that point to adult-onset conditions, the typical practice is not to disclose them to minors unless there is immediate relevance to the child’s current medical care. This approach protects the child’s future autonomy and avoids unnecessary anxiety or impact on their life while there is no immediate health action needed. Guidelines from different groups can vary, and some systems may have specific policies about returning adult-onset results after the child reaches adulthood or under particular circumstances, but the common practice is to reserve disclosure for findings with immediate pediatric relevance.