Evidence map›Paper›PMID 27750376›Full record

ArticlePrenatal diagnosis2016

Trial by Dutch laboratories for evaluation of non-invasive prenatal testing. Part I-clinical impact.

Dick Oepkes, G C Lieve Page-Christiaens, Caroline J Bax, Mireille N Bekker, Catia M Bilardo, Elles M J Boon, G Heleen Schuring-Blom, Audrey B C Coumans, Brigitte H Faas, Robert-Jan H Galjaard and 11 more

Abstract 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 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

72 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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12 more citing papers are in PubMed but not listed here.

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

21 authors.

Dick OepkesDepartment of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
G C Lieve Page-ChristiaensDepartment of Obstetrics and Gynaecology, University Medical Center Utrecht, Utrecht, The Netherlands.
Caroline J BaxDepartment of Obstetrics and Gynaecology, VU University Medical Center, Amsterdam, The Netherlands.
Mireille N BekkerDepartment of Obstetrics and Gynaecology, University Medical Center Utrecht, Utrecht, The Netherlands.
Catia M BilardoDepartment of Obstetrics and Gynaecology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Elles M J BoonDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
G Heleen Schuring-BlomDepartment of Genetics, University Medical Center Utrecht, Utrecht, 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.
Robert-Jan H GaljaardDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.
Attie T GoDepartment of Obstetrics and Gynecology, Erasmus Medical Center, Rotterdam, The Netherlands.
Lidewij HennemanDepartment of Clinical Genetics, VU University Medical Center, Amsterdam, The Netherlands.
Merryn V E MacvilleDepartment of Clinical Genetics, Maastricht UMC+, Maastricht, The Netherlands.
Eva PajkrtDepartment of Obstetrics and Gynaecology, Academic Medical Centre, Amsterdam, The Netherlands.
Ron F SuijkerbuijkDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Karin Huijsdens-van AmsterdamDepartment of Clinical Genetics, Academic Medical Center, Amsterdam, The Netherlands.
Diane Van OpstalDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.
E J Joanne VerweijDepartment of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
Marjan M WeissDepartment of Clinical Genetics, VU University Medical Center, Amsterdam, The Netherlands.
Erik A SistermansDepartment of Clinical Genetics, VU University Medical Center, Amsterdam, The Netherlands.
and for the Dutch NIPT Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the clinical impact of nationwide implementation of genome-wide non-invasive prenatal testing (NIPT) in pregnancies at increased risk for fetal trisomies 21, 18 and 13 (TRIDENT study).

methodWomen with elevated risk based on first trimester combined testing (FCT ≥ 1:200) or medical history, not advanced maternal age alone, were offered NIPT as contingent screening test, performed by Dutch University Medical laboratories. We analyzed uptake, test performance, redraw/failure rate, turn-around time and pregnancy outcome.

resultsBetween 1 April and 1 September 2014, 1413/23 232 (6%) women received a high-risk FCT result. Of these, 1211 (85.7%) chose NIPT. One hundred seventy-nine women had NIPT based on medical history. In total, 1386/1390 (99.7%) women received a result, 6 (0.4%) after redraw. Mean turn-around time was 14 days. Follow-up was available in 1376 (99.0%) pregnancies. NIPT correctly predicted 37/38 (97.4%) trisomies 21, 18 or 13 (29/30, 4/4 and 4/4 respectively); 5/1376 (0.4%) cases proved to be false positives: trisomies 21 (n = 2), 18 (n = 1) and 13 (n = 2). Estimated reduction in invasive testing was 62%.

conclusionIntroduction of NIPT in the Dutch National healthcare-funded Prenatal Screening Program resulted in high uptake and a vast reduction of invasive testing. Our study supports offering NIPT to pregnant women at increased risk for fetal trisomy. © 2016 The Authors. Prenatal Diagnosis published by John Wiley & Sons, Ltd. © 2016 The Authors. Prenatal Diagnosis published by John Wiley & Sons, Ltd.

Indexed as

AdultChromosome DisordersChromosomes, Human, Pair 13Chromosomes, Human, Pair 18DNADown SyndromeFalse Negative ReactionsFalse Positive ReactionsFemaleFollow-Up StudiesHigh-Throughput Nucleotide SequencingHumansNetherlandsNuchal Translucency MeasurementPregnancyPregnancy Trimester, FirstDNA

Identifiers

PMID27750376
PMCPMC5214231

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.