Evidence map›Paper›PMID 29420407›Full record

ReviewObstetrics and gynecology2018

Maternal Malignancy Evaluation After Discordant Cell-Free DNA Results.

Laura M Carlson, Emily Hardisty, Catherine C Coombs, Neeta L Vora

Abstract readCase ReportsReview
In one paragraph

Review in Obstetrics and gynecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
  2. Observational
  3. Non-invasive prenatal testing: when results suggests maternal cancer.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2023
    Article
  4. Review
  5. Review
  6. Article
  7. More than an Incidentaloma: The Nonreportable NIPT.Case reports in obstetrics and gynecology · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Identifying occult maternal malignancies from 1.93 million pregnant women undergoing noninvasive prenatal screening tests.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  14. Article
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

4 authors.

Laura M CarlsonDepartment of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, and the Department of Internal Medicine, Division of Hematology/Oncology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Emily Hardisty
Catherine C Coombs
Neeta L Vora

Funding

UNC BIRCWH CAREER DEVELOPMENT PROGRAMK12HD001441 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BOGGESS, KIM A · 2000 to 2019
$9.3M
Early Genomic DiagnosisK23HD088742 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VORA, NEETA L · 2017 to 2020
$685k
NICHD NIH HHS K12 HD001441NICHD NIH HHS K23 HD088742
6 · The paper itself

Abstract

Cell-free DNA screening for fetal aneuploidy is a commonly used testing strategy in pregnancies at high risk for fetal aneuploidy. The use of cell-free DNA screening is expanding to the low-risk population, because the detection rate for trisomy 21 surpasses that of traditional screening modalities. Although the sensitivity and specificity of cell-free DNA are superior to traditional screening, false-positive results do occur and may indicate an adverse maternal health condition, including maternal mosaicism or, rarely, malignancy. The risk of maternal cancer is significantly elevated when more than one aneuploidy is detected that is discordant from fetal karyotype. Given this risk as well as the rising incidence of cancer in pregnancy, patient counseling and malignancy evaluation should be considered in women when more than one aneuploidy is detected. We reviewed the published literature and developed an algorithm to evaluate women when these results are identified.

Indexed as

Maternal Serum Screening TestsAdultAlgorithmsAneuploidyBiomarkersCarcinoid TumorCell-Free Nucleic AcidsDecision Support TechniquesFemaleHumansPregnancyPregnancy Complications, NeoplasticRisk AssessmentThymus NeoplasmsBiomarkersCell-Free Nucleic Acids

Identifiers

PMID29420407
PMCPMC5823781

What OpenQuestion holds

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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.