Original Investigation

Genetic Testing of Neurodevelopmental Disorders in Israel

JAMA Network Open 10.1001/jamanetworkopen.2025.27464

August 19, 2025 at 11:00 AM EDT

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What are the rates of genetic counseling and testing among children with major neurodevelopmental disorders in Israel, and do these differ across subpopulations?In this cohort study of 2 406 763 children, 1.06% were diagnosed with major neurodevelopmental disorders, with a 54% to 80% underdiagnosis of autism among those of low socioeconomic status and minority groups. Overall, 38.7% of patients indicated for chromosomal microarray analysis received genetic counseling, and 24.5% underwent testing; rates were similar across subpopulations.The overall underuse of genetic evaluation for neurodevelopmental disorders and the underdiagnosis of autism in certain subpopulations highlight the need for awareness and equity.

Corresponding Author: Dalit May, MD, PhD (dalitma1@clalit.org.il), and Dorit Shmueli, MD (jrdoritsh@clalit.org.il), Clalit Health Services, Medical Genetics Institute, Shaare Zedek Medical Center, Shmuel Beyth St 12, Jerusalem, Israel, 9103102.

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