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Genetic Disorder Information on the Web

Information furnished by resources described in this guide should not be used as a substitute for consultation with a physician. Questions or concerns regarding a medical condition should be discussed with a professional, such as a physician, genetic counselor, or medical geneticist.

This guide to genetic disorder resources includes portals that direct users to medical information produced and maintained by third-party sources. Even though some Web sites institute review and selection policies to regulate the quality of their links, users must be able to judge the legitimacy of material they encounter on the Web. See the Evaluation Guide for some tips and links to resources for evaluating Web sites.


Types of resources described in this guide:

Overviews of Genetic Disorders

Gateways to Medical Information

Support Groups and Organizations

Bibliographic Databases

Locating Genetic Health Professionals

Gene Tests and Testing Laboratories

Clinical Trials Resources


See the Sample Profiles to access case studies that serve as examples of the kinds of information you can find using the resources described in this guide.

To learn more about the genes and proteins related to a particular genetic disorder, see Gene and Protein Database Guide.



Overviews of Genetic Disorders

These resources provide genetic disorder information that can answer some of the following questions:

  • What is the disorder and how do you get it?
  • How common is the disorder?
  • Does this disorder affect certain populations more than others?
  • What are the symptoms and how is it diagnosed?
  • How is the disorder treated?

GeneReviews from GeneTests

Overview: Developed by the University of Washington and Children's Health System in Seattle, this database is a collection of expert-authored, up-to-date information relating genetic testing to the diagnosis, management, and counseling of individuals and families with inherited disorders. For authoritative information about genetic disorders consult the GeneReviews database. In addition to GeneReviews, this Web site also features directories of genetics laboratories and clinics and online educational materials, such as an illustrated genetics glossary. This resource is funded by the National Institutes of Health, the Health Resources and Services Administration, and the US Department of Energy.

Search Tips: GeneTests no longer requires registration for general users of its Web resources. To search for genetic disorder information, click on GeneReviews from the GeneTests home page, then click on the Proceed to GeneReviews search link on the left to access the GeneReviews search page. At the search page there are several different options for searching this database of genetic disease information.

Information Provided: The summary for each disease in the GeneReviews database is written and reviewed by physicians, so the language is similar to that of a medical text. The intended audience appears to be healthcare professionals and those with some understanding of the genetic mechanisms of disease. In addition to disease characteristics, diagnosis and testing, therapies, and counseling, each entry presents concise summaries of the genetic science behind the disease. Summaries contain the mode of inheritance, the gene involved and its locus, normal and abnormal gene products, and links to genomic databases. Suggested readings, links to selected disease organizations, and a list of cited literature also are included.

Genes and Disease

Overview: This resource is a collection of information on selected genetic diseases provided by the National Center for Biotechnology Information (NCBI). About 80 different genetic disorders are featured, and most result from a mutation in a single gene.

Search Tips: Navigate this site by clicking on chromosome numbers across the top of the main page or on types of genetic disorders listed on the left. Clicking on the chromosome number will display a map of four chromosomes at once, with the names of selected genetic disorders associated with the chromosome. Click on the disorder name to find its entry. A complete listing of all genetic disorders featured at this resource also is provided.

Information Provided: Each entry contains a brief overview of the specific disorder and links directly to related OMIM, PubMed, and LocusLink database records. A Genome View link lets users see where the gene can be found within the human genome. Links to news and other information from reliable sources also are provided.

Your Genes, Your Health

Overview: This Web site is a multimedia guide that describes causes, inheritance, symptoms, diagnoses, treatments, and other features for selected genetic disorders. This site is funded by the Josiah Macy, Jr. Foundation and was created by the Dolan DNA Learning Center Cold Spring Harbor Laboratory in New York.

Search Tips: No search feature is provided for this Web site. Simply select a disorder from the home page.

Information Provided: Although this Web site only features a few genetic disorders, each disorder profile is a rich source of information with illustrations, animations, video and audio clips that describe the disorder, the science behind it, and what it is like to live with the disorder.


Medical Sites

The following medical Web sites provide overviews of a wide variety of medical conditions, and may include overviews for some of the more common genetic disorders.

MayoClinic.com

Overview: The mission of MayoClinic.com is to provide tools and up-to-date information that the public can use to better manage their health. Besides providing overviews of diseases and conditions, some of the other features of this Web site include: a searchable database of more that 8,000 prescription and over-the-counter drugs; information and tools for healthy living; and an archive of questions that have been answered by Mayo Clinic health specialists. Options to subscribe to a weekly newsletter, or to register with MayoClinic.com to create a personalized "My Health Interests" page also are available.

Search Tips: To find overviews of a particular disorder, search by keyword in the search box near the upper right corner of the home page or browse the A-Z index of conditions

Information Provided: Each entry for a disease or condition may cover some of the following topics: signs and symptoms, causes, risk factors, when to seek medical advice, screening and diagnosis, complications, treatment, prevention, self-care, and coping skills.

The Merck Manual of Diagnosis and Therapy

Overview: The pharmaceutical company Merck makes the contents of its seventeenth edition of The Merck Manual of Diagnosis and Therapy (also known as The Merck Manual) freely available from its Web site. A printed version of this text is available for purchase. This manual is published in fourteen languages, and is one of the world's most widely used medical references for diseases, diagnosis, prevention, and treatment. It covers thousands of topics organized in a hierarchical structure of 23 sections and 308 chapters.

Search Tips: Before beginning, be sure to read through the Navigation Help. Users can browse Web site using the Table of Contents or search by disorder keyword using the search box available at the top of each page. Since there is no section on genetic disorders, entries for hereditary conditions are dispersed throughout the 23 sections of the text. For example, the entry for cystic fibrosis is found under Chapter 19: Pediatrics, and hemochromatosis is found under "Iron Overload" in Chapter 11: Hematology and Oncology. The quickest way to see if this manual covers a particular genetic disorder is to use the search option.

Information Provided: A chapter for a particular condition will be broken down into sections such as: incidence and etiology; pathology and pathophysiology; symptoms, signs, and complications; diagnosis and laboratory findings; prognosis; treatment. Chapter 286: General Principles of Medical Genetics is a good introduction to some important genetics concepts. The Merck Manual of Diagnosis and Therapy is a reference for health care professionals, so some of the medical terminology may be too specialized for lay audiences.

The Merck Manual of Medical Information--Home Edition

Overview: While the The Merck Manual of Diagnosis and Therapy is targeted to health care professionals, The Merck Manual of Medical Information--Home Edition (2000) provides similar information on disease diagnosis and treatment using language that is more appropriate for general audiences. A printed version of this text is available for purchase. The manual is broken down into 24 sections of 287 chapters. The first few sections of the second edition published in April 2003 are also available online.

Search Tips: The Merck Manual of Medical Information--Home Edition is available in two different versions online: text and interactive. While both versions include the complete content from the printed version of the manual, the interactive version is enhanced with photos, animations, video clips and term pronunciations. Users can browse the text version using the Table of Contents or search by disorder keyword. A link to the interactive version opens a new window from the home page. The interactive version has its own navigation, help features (check out the Quick Start Guide and A Guide for Users before you begin), search interface, and subject index.

Information Provided: While the coverage of genetic disorders is limited, a chapter for a particular condition may include the following sections: symptoms, diagnosis, prognosis, treatment. Links to additional resources and audio clips that demonstrate term pronunciations are available from the interactive version. Chapter 2: Genetics introduces some basic genetic concepts. The interactive version of Chapter 2 includes illustrations, photos, animations.

WebMD Health

Overview: WebMD Health is one of the leading providers of reliable consumer healthcare information on the Web. Some of the many features of WebMD Health include: a NewsCenter for accessing the latest health news headlines; resources for looking up symptoms, disorders, drugs & herbs, and doctors; family genetics information; clinical trials resources; and online tools for assessing and managing your health. By registering with WebMD Health, users can customize the WebMD home page, ask medical experts questions, access chat rooms, or post and reply to WebMD Health discussion boards.

Search Tips: To find overviews of a particular disorder, browse the disease and condition centers, or search by disorder keyword using the Search box at the top of each page.

Information Provided: Each entry for a disease or condition may include some of the following sections: cause, symptoms, what happens, what increases your risk, when to call a doctor, exams and tests, treatment, prevention, home treatment, surgery, other places to get help, references, and credits. Entries for less common disorders may be provided by the National Organization of Rare Disorders.


Genetic Disease Overviews Gateways Support Groups Bibliographic Databases
Genetic Health Professionals
Genetic Testing Clinical Trials


Gateways to Medical Information

Access search engines, directories, and reviewed collections of links that serve as portals to government publications, organizations, support groups, and other resources on the Web.

MEDLINEplus

Overview: A good starting point for up-to-date, quality material on diseases and health conditions, MEDLINEplus serves as a gateway to information provided by the National Library of Medicine (NLM), the national Institutes of Health (NIH), and other government and nonprofit health organizations.

Search Tips: Locate specific disorders by typing keywords into the search box on the main page or by selecting the Health Topics link and browsing the alphabetical listing of topics. If you cannot find an entry for a particular genetic disorder, try searching the medical encyclopedia or go to the Health Topics entry for Genetic Disorders; this entry includes links to fact sheets and other online publications about various genetic conditions. To learn more about using MEDLINEplus take the tour or read the Frequently Asked Questions.

Information Provided: Health Topics entries link to government and nonprofit online resources that describe disease characteristics, who is affected, diagnostics, testing, screening, therapies, and treatments. Users are guided to online news articles and other resources.

healthfinder

Overview: Developed by the U.S. Department of Health and Human Services, this site serves as a gateway to online health resources that have been reviewed and chosen according to the healthfinder selection policy. Healthfinder focuses on resources made available to the public by government agencies, nonprofit organizations, and universities.

Search Tips: Users can search this database of health-related information by browsing alphabetical lists of topics or by using the search box located on each page. A directory of organizations also is included. A Spanish version of the site is available. For more about using healthfinder, see the Search Tips page and other resources from the Help page.

Information Provided: Selected links in the healthfinder library come from a wide range of medical resources such as databases, clearing houses, Web sites, online publications, support groups, and trustworthy nonprofit organizations. Each link retrieved in the search shows a healthfinder summary. Each summary includes the URL and a brief description of an organization or online document.

Health on the Net Foundation

Overview: The nonprofit Health on the Net Foundation based in Geneva, Switzerland, provides two types of search services—MedHunt and HONselect. MedHunt is a full-text search engine similar to Alta Vista or Lycos that retrieves only health or medical Web sites. HONselect is a search integrator that lets users retrieve selected material on particular health topics. This foundation also developed the HON Code of Conduct, a system of eight ethical principles, to serve as a guide for those who publish medical content on the Web. Use of this code of conduct is voluntary, and compliance is self-regulated.

Search Tips: For tips on searching MedHunt see the Help file for this resource. In HONselect, users can explore a hierarchy of MeSH terms (official National Library of Medicine (NLM) Medical Subject Headings), select a subject from one of four general categories, or query the database by typing a phrase, word, or part of a word into the search box. For more about using HONselect, see the Help file.

Information Provided: MedHunt query results are retrieved from a catalog of Web pages created by a robot called MARVIN that regularly seeks out health-related Web sites. MedHunt results are links collected by an automatic system and have not undergone a manual review or selection process. Each HONselect search result may include some of the following types of information: Mesh terms and descriptions, links to Web resources, links to journal article citations in MEDLINE, health news, and medical images.

Ask NOAH About: Genetic Disorders

Overview: This section of NOAH: New York Online Access to Health is a work in progress collection of resources relating to genetic diseases. But genetic disease is just one of many Health Topics featured at the NOAH Web site. NOAH was created in 1994 by a group of New York City library organizations as a resource for guiding consumers to high quality health information available in both English and Spanish. The site is managed by a librarian and several volunteer page editors. The guidelines that NOAH uses to select sites is available at Choosing the links: How NOAH selects material.

Search Tips: Simply browse the listing to locate a particular genetic condition.

Information Provided: The amount of information available for each disease may vary. In addition to providing information on specific conditions, NOAH also includes links to resources on genetics basics, genetic testing and counseling, gene therapy, pharmacogenomics, and living with genetic disease.

Open Directory Project: Genetic Disorders

Overview: This Web site, part of the Open Directory Project, is just one of many different categories that contain links annotated and updated by a community of volunteer editors. This category focuses only on genetic disorders.

Search Tips: Simply browse the listing to locate a particular genetic disorder.

Information Provided: A collection of annotated links specific to each disorder is provided. A brief description of each disorder can be accessed by clicking on Description in the upper right corner of this Web page.


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Support Groups and Organizations

DIRLINE

Overview: DIRLINE (Directory of Resources Online) is a database of health information organizations maintained by the National Library of Medicine. The database contains more than 10,000 records pertaining to health and biomedicine. Besides covering a variety of diseases and health conditions, the database also includes information on topics such as maternal and child health, health services research and technology assessment. For more information see the DIRLINE Fact Sheet.

Search Tips: The simple search interface can be queried by disorder keywords, including Medical Subject Headings (MeSH), or by organization name or acronym. All records are indexed using MeSH terminology. Besides keyword searching, users also can browse the index to find records grouped by common subject headings.

Information Provided: Each record is highly structured and includes organization name and contact information, Internet address, and a brief abstract.

Genetic Alliance

Overview: Genetic Alliance is a national coalition of consumers, professionals, and genetic support groups that work together to address the common concerns of children, adults, and families living with or at risk for genetic conditions. The Alliance works to support individuals affected by genetic disorders, educate the public, and promote consumer-informed public policies.

Search Tips: With the Online Directory of Genetic Resources, search by condition name, organization name, or service offered to find support groups. An option for browsing the entire directory also is available. Each search will retrieve a list of links to organization profiles. Disease InfoSearch is a new Genetic Alliance resource designed to help general audiences find quality information about specific genetic conditions. More than 60 conditions are featured in Disease InfoSearch. For questions, comments, or referrals for disorders not listed in the database, call the toll-free Helpline at 1-800-336-GENE between 9am and 6pm EST.

Information Provided: The Online Directory of Genetic Resources provides profiles of organizations related to each search. Each profile includes contact information and descriptions of services and materials available from the organization. In addition to providing profiles for support groups and associations for each condition, Disease InfoSearch also links to related resources from Genetic Alliance and other public databases.

National Organization for Rare Disorders

Overview: The National Organization for Rare Disorders (NORD) is supported by more than 140 voluntary health organizations serving people with rare disorders and disabilities. (NORD defines a rare or "orphan"disease as one that affects fewer than 200,000 people in the United States). NORD maintains the Rare Disease Database comprising more than 1100 disorders, an Organizational Database, and an Orphan Drug Designation Database.

Search Tips: To find information about a particular disease, browse the alphabetical Index of Rare Diseases or search the Rare Disease Database by keyword. To find support groups and other associations, search the Organizational Database by disease or organization name. To learn more about new and experimental drugs, search the Orphan Drug Designation Database.

Information Provided: Each organization record provides the name and contact information, Web address (if available), and mission and services. Each entry in the Rare Disease Database features synonyms for disease name, brief abstract describing the disease, and links to support groups. Disease report abstracts are provided for free, but the full-text version of these reports, which are written by medical writers and reviewed by physicians, must be purchased from NORD. Each orphan drug entry includes the drug name, the trade name, and a brief description of the drug's role in disease treatment.


Support Groups and Organizations Arranged Alphabetically by Disease

Directory of Online Genetic Support Groups - Maintained by the Mountain States Genetics Network.

Genetic and Rare Conditions Support Groups Site - Maintained by the Genetics Education Center at the University of Kansas Medical Center.


Support Groups for Chromosomal Disorders

Chromosome Deletion Outreach

Overview: Chromosome Deletion Outreach (CDO), an international nonprofit organization, works to educate and support people affected by disorders arising from chromosome abnormalities such as duplication or deletion. The site provides support and explains how the loss, gain, or rearrangement of genetic material that occurs with many chromosomal disorders can affect a person's health and development.

Search Tips: No search feature is provided for this Web site.

Information Provided: The CDO Web site features family stories, FAQs, Ask the Doctor section, CDO Library that lists articles by disorder type (copies of articles can be requested), research projects on select disorders, and listing of chromosome abnormalities registered with CDO. To learn more about some of the different types of chromosome abnormalities, see CDO's Introduction to Chromosomes.

Unique

Overview: Unique is a support group based in the United Kingdom that focuses on rare chromosome disorders. Membership is free for affected families.

Search Tips: No search feature is provided for this Web site.

Information Provided: The site includes contacts for Unique, describes the group's goals and services, and lists chromosome disorders registered with Unique. Visitors can download the PDF file "The Little Yellow Book," which provides a basic understanding of chromosomes and rare chromosome disorders.


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Genetic Testing Clinical Trials



Bibliographic Databases

CHID

Overview: Developed by health-related agencies of the US federal government, the Combined Health Information Database (CHID) is a bibliographic database of health and education resources. The database is updated four times a year. Although CHID plans to add new health topics, it currently covers only a limited number that are listed on the Database Topics page.

Search Tips: Users can query the database by disorder name using the simple or detailed search interface. Boolean operators, phrase searching, and wildcard search features are supported. See the Help page for more on searching.

Information Provided: Please note that this is not a full-text database. Each record describes a document using the following types of fields: title, author, format, audience code, availability, sponsor, abstract, and descriptors. Some resources described in the records may be available in full-text online, but many may need to be ordered or accessed through libraries.

PubMed

Overview: Developed by the National Center for Biotechnology Information (NCBI) at the National Library of Medicine, PubMed is an information-retrieval system that offers free access to the MEDLINE database of citations to biomedical literature. PubMed is part of the NCBI Entrez system, which can access other bioscience databases that store sequence, structure, and mapping data. The MEDLINE database comprises more than 12 million records from thousands of life science journals dating back to 1966.

Search Tips: As part of the Entrez search-and-retrieval system, PubMed provides a variety of services and features for optimizing a search strategy or manipulating search results. Some of these are Boolean operators; phrase searching; truncation; Search Fields and Qualifiers; as well as the Limit, Preview/Index, and History options. The Boolean operators AND, OR, and NOT must be entered in uppercase. Due to the detailed nature of this search-and-retrieval system, new users should take the PubMed Tutorial or review the PubMed Overview, PubMed Help, or FAQs before beginning a search.

Information Provided: Cited articles primarily are from scholarly, peer-reviewed journals and intended for biomedical researchers, so they may include highly scientific and technical jargon. Users can view search results in a variety of formats. Many citations contain abstracts and links to full-text articles at the Web sites of participating publishers. In addition, some records will link to other biological databases maintained by NCBI. If the full-text version of an article is not available online, PubMed users can order the article through NLM's Loansome Doc document-ordering system (registration and service fee usually required) or try searching journal collections at their closest university or medical library.


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Locating Genetic Health Professionals

If you have been diagnosed with a genetic disease or have been recommended for genetic testing, your doctor should refer you to a genetic counselor or medical geneticist. With specialized backgrounds in medical genetics and counseling, genetic counselors work with medical personnel (usually M.D. Medical Geneticists) to give information, answer questions, and offer support to persons and families who have genetic disorders, are undergoing gene testing, or may be at risk for inheriting genetic disorders. They conduct one-on-one counseling in helping people understand the disease, its implications for their lives and the lives of family members, and their testing and treatment options. For more about what genetic counselors do, see the Human Genome Management Information System (HGMIS) Genetic Counseling page or What is a Genetics Consultation? provided by GeneTests.

National Resources for Locating Genetic Counselors By Area

National Society of Genetic Counselors: Use ResourceLink or browse the FAQs about Genetic Counseling for the Consumer.

American Board of Genetic Counseling: Search the Membership Directory, a combined listing of members of the American Society of Human Genetics, Genetics Society of America, American College of Medical Genetics, American Board of Medical Genetics, and American Board of Genetic Counseling. For a list of all members in a particular city or state, enter the location without entering any names.

Canadian Association of Genetic Counselors: Read or download a list (requires Adobe Acrobat Reader to view) of Genetic Centres across Canada.

Medical Geneticists are M.D.'s, Ph.D.'s, or M.D.-Ph.D.'s with specialized training in the diagnosis of genetic disorders. To find a medical geneticist in your region, contact the American College of Medical Genetics (ACMG) or search the Membership Directory. For a list of all members in a particular city or state, enter the location without entering any names.


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Genetic Testing Clinical Trials


Gene Tests and Testing Laboratories

PLEASE NOTE: Genetic testing is a complex medical technique that is not without its risks and limitations. The possibility of laboratory errors, difficulties associated with interpreting test results, lack of treatment options for certain genetic disorders, and the absence of federal regulation related to handling personal genetic data all are factors that may outweigh the benefits associated with taking a particular genetic test. Please see our sections on Gene Testing and Genetics Privacy and Legislation.

GeneTests

Overview: GeneTests provides reliable, up-to-date genetic counseling and testing information for consumers and healthcare professionals. In addition to providing disorder information through GeneReviews (see description above), the GeneTests Web site also features a Laboratory Directory and a US Clinic Directory. Educational materials are also available. Laboratory and clinic directories are not comprehensive, and inclusion in them is voluntary.

Search Tips: The Laboratory Directory is searchable by disease name, official gene symbol, gene locus, disease feature, OMIM number, laboratory services, director name, laboratory name, and location. An advanced search option also is available. Search the US Clinic Directory by selecting a state, service, and specialty from the lists provided. An International Clinic Directory is also available.

Information Provided: Before searching directories, browse the Educational Materials for a general introduction to genetic testing, consultation, and considerations when ordering a genetic test. The Laboratory Directory is a database of laboratories all over the world, with an emphasis on those in North America. For searches that return disorder names, click on the Testing link to access laboratory information. Each laboratory entry provides contact information, testing methodology, diseases tested, Web site (if available), and information on ordering and using tests.

The Clinic Directories provide contact information for clinics that focus on the genetics and prenatal diagnosis of inherited disorders. Each genetics clinic entry includes the clinic name, contact information, Web site (if available), specialties, and diseases for which the clinic provides services.

European Directory of DNA Diagnostic Laboratories

Overview: The European Directory of DNA Diagnostic Laboratories (EDDNAL) is a directory database of European laboratories that conduct DNA-based diagnostic tests. It shows contact names and addresses and details services on more than 500 genetic diseases.

Search Tips: From the home page, select Search at the top of the page to search for laboratories by disease name, disease OMIM number, laboratory contact person, laboratory, or country.

Information Provided: Each entry includes the laboratory name, address, and contacts. Some laboratory entries also include links to the laboratory Web site, a link to a list of disorders tested at the laboratory, and a link to a list of publications and research interests.


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Genetic Health Professionals
Genetic Testing Clinical Trials



Clinical Trials Resources

PLEASE NOTE: Clinical trials are research studies that test new medical treatments on human subjects. Volunteering for these studies is an important personal decision. Before beginning your search, learn more about what clinical trials are, what questions to ask, and what to expect from the ClincalTrials.gov Resource Information or the National Cancer Institute's "Participating in a Trial: Questions to Consider."

ClinicalTrials.gov

Overview: ClinicalTrials.gov was developed by the National Library of Medicine at the National Institutes of Health (NIH) in collaboration with other NIH institutes and the Food and Drug Administration. The site provides information on clinical trials sponsored by federal agencies such as NIH as well worldwide trials sponsored by the pharmaceutical industry. Most clinical trials in the database are located in the US and Canada.

Search Tips: Visitors can search for clinical trials by typing terms into the basic search box on the main page or using the Focused Search, which offers more options for refining a search strategy. Listings of clinical trials organized by condition or sponsor also are available.

Information Provided: Each entry for a particular clinical trial describes the study's purpose, eligibility requirements for participants, location, contacts, and links.

CenterWatch

Overview: In addition to furnishing information about clinical trials to patients and healthcare or research professionals, CenterWatch publishes newsletters, books, and directories and conducts custom research for patients and professionals. Through the Web site, CenterWatch presents one set of resources targeted to patients and the general public and another to industry professionals.

Search Tips: The Trial Listings link on the home page leads to a screen where users can browse listings of conditions or query the database of clinical trials. Keyword searches support wildcards, phrase searching, and Boolean operators (AND, OR, and NOT). To search for clinical trials available worldwide see CenterWatch World. See the CenterWatch QuickSearch Help page for more about searching the database.

Information Provided: Each clinical-trial entry contains a brief summary and contacts. Many entries have a Web-based form for requesting information about the study. The Email Notification Service automatically sends an e-mail when CenterWatch adds a new trial of interest. Other features targeted to patients include introductory material about clinical trials, searchable drug directories, links to additional resources, and an online book store.


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Genetic Testing Clinical Trials


Last Reviewed: May 23, 2003

Feedback and comments about this site, contact site designer, Jennifer Bownas of HGMIS. To order a poster, click here.


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