Evidence map›Paper›PMID 27739584›Full record

ArticlePrenatal diagnosis2016

Trial by Dutch laboratories for evaluation of non-invasive prenatal testing. Part II-women's perspectives.

Rachèl V van Schendel, G C Lieve Page-Christiaens, Lean Beulen, Catia M Bilardo, Marjon A de Boer, Audrey B C Coumans, Brigitte H Faas, Irene M van Langen, Klaske D Lichtenbelt, Merel C van Maarle and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Prenatal diagnosis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
17.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Health Literacy in Pregnant Women: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  3. Pooled it
  4. Health Literacy among Pregnant Women in a Lifestyle Intervention Trial.International journal of environmental research and public health · 2022
    Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 8 institutions in 1 country.

Rachèl V van SchendelDepartment of Clinical Genetics, Section Community Genetics and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
G C Lieve Page-ChristiaensDepartment of Obstetrics and Gynaecology, University Medical Center Utrecht, Utrecht, The Netherlands.
Lean BeulenDepartment of Obstetrics and Gynaecology, Radboud University Medical Center, Nijmegen, The Netherlands.
Catia M BilardoDepartment of Obstetrics and Gynaecology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Marjon A de BoerDepartment of Obstetrics and Gynaecology, VU University Medical Center, Amsterdam, The Netherlands.
Audrey B C CoumansDepartment of Obstetrics and Gynaecology, Maastricht UMC+, Maastricht, The Netherlands.
Brigitte H FaasDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Irene M van LangenDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Klaske D LichtenbeltDepartment of Medical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Merel C van MaarleDepartment of Clinical Genetics, Academic Medical Center, Amsterdam, The Netherlands.
Merryn V E MacvilleDepartment of Clinical Genetics, Maastricht UMC+, Maastricht, The Netherlands.
Dick OepkesDepartment of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
Eva PajkrtDepartment of Obstetrics and Gynaecology, Academic Medical Centre, Amsterdam, The Netherlands.
Lidewij HennemanDepartment of Clinical Genetics, Section Community Genetics and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
Dutch NIPT Consortium
Academic Medical Center · NLEMGO Institute for Health and Care Research · NLMaastricht University Medical Centre · NLRadboud University Nijmegen · NLUniversity Medical Center Utrecht · NLUniversity of Groningen · NLAmsterdam UMC Location VUmc · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate preferences and decision-making among high-risk pregnant women offered a choice between Non-Invasive Prenatal Testing (NIPT), invasive testing or no further testing.

methodsNationwide implementation study (TRIDENT) offering NIPT as contingent screening test for women at increased risk for fetal aneuploidy based on first-trimester combined testing (>1:200) or medical history. A questionnaire was completed after counseling assessing knowledge, attitudes and participation following the Multidimensional Measure of Informed Choice.

resultsA total of 1091/1253 (87%) women completed the questionnaire. Of these, 1053 (96.5%) underwent NIPT, 37 (3.4%) invasive testing and 1 (0.1%) declined testing. 91.7% preferred NIPT because of test safety. Overall, 77.9% made an informed choice, 89.8% had sufficient knowledge and 90.5% had positive attitudes towards NIPT. Women with intermediate (odds ratio (OR) = 3.51[1.70-7.22], p < 0.001) or high educational level (OR = 4.36[2.22-8.54], p < 0.001) and women with adequate health literacy (OR = 2.60[1.36-4.95], p = 0.004) were more likely to make an informed choice. Informed choice was associated with less decisional conflict and less anxiety (p < 0.001). Intention to terminate the pregnancy for Down syndrome was higher among women undergoing invasive testing (86.5%) compared to those undergoing NIPT (58.4%) (p < 0.001).

conclusionsThe majority of women had sufficient knowledge and made an informed choice. Continuous attention for counseling is required, especially for low-educated and less health-literate women. © 2016 The Authors. Prenatal Diagnosis published by John Wiley & Sons, Ltd.

Indexed as

Attitude to HealthConflict, PsychologicalDecision MakingHealth LiteracyAdultAnxietyChromosome DisordersChromosomes, Human, Pair 13Chromosomes, Human, Pair 18DNADown SyndromeEducational StatusFalse Positive ReactionsFemaleFollow-Up StudiesHumansDNA

Identifiers

PMID27739584
PMCPMC5213994
OpenAlexW2532049355

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.