AI Article Synopsis

  • The study aimed to assess the feasibility of a contingent test for Down's syndrome screening in early pregnancy, focusing on its sensitivity and false positive rate.
  • A total of 10,452 pregnant women participated, with the contingent test identifying an intermediate risk group, resulting in a sensitivity of 70.8% and a false positive rate of 2%.
  • Ultimately, while the contingent test lowered the false positive rate, its sensitivity was deemed insufficient for effective Down's syndrome screening.

Article Abstract

Objectives: To evaluate the possibility of implementing a contingent test as a screening method for Down's syndrome (DS) in the first trimester of pregnancy, and assess its sensitivity (Sen) and false positive rate (FPR).

Methods: Prospective study covering a 4-year study period (July 2006-June 2010). Pregnant women were offered a combined test (CT) as the first step of a contingent test. An intermediate risk group is identified in the CT (1/101 and 1/1000) and offered an ultrasound assessment of secondary s (nasal bone, ductus venosus, tricuspid regurgitation).

Results: CTs were performed on 10,452 pregnant women (24 cases of DS). In the intermediate risk group, which had 7 cases of DS, we performed secondary ultrasound marker assessment on 98.1% (1,017/1,036). The CT and the contingent test had a Sen of 83% (95% CI; 67.9-98) (20/24) and 70.8% (95% CI; 52.6-88.9) (17/24) with an FPR of 3% (95% CI; 2.7-3.3) (316/10,430) and 2% (95% CI; 1.7-2.3) (220/10,408), respectively.

Conclusions: With the contingent test, we managed to reduce the FPR, but the Sen was too low for use as a screening method for DS.

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Source
http://dx.doi.org/10.3109/14767058.2012.684168DOI Listing

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