Evidence map›Paper›PMID 31697852›Full record

ArticlePrenatal diagnosis2020

Is there still a role for nuchal translucency measurement in the changing paradigm of first trimester screening?

Francesca Bardi, Pien Bosschieter, Joke Verheij, Attie Go, Monique Haak, Mireille Bekker, Esther Sikkel, Audrey Coumans, Eva Pajkrt, Caterina Bilardo

Open access · hybridAbstract read
In one paragraph

Article in Prenatal diagnosis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
12.0field-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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Guideline
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  4. Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2026
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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

10 authors at 7 institutions in 1 country.

Francesca BardiDepartment of Obstetrics and Gynaecology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0001-5311-2207
Pien BosschieterDepartment of Obstetrics and Gynaecology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Joke VerheijDepartment of Clinical Genetics. University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Attie GoDepartment of Obstetrics and Gynaecology, Erasmus Medical Center Rotterdam, Rotterdam, the Netherlands.
Monique HaakDepartment of Obstetrics and Gynaecology, University Medical Center Leiden, Leiden, the Netherlands.
Mireille BekkerDepartment of Obstetrics and Gynaecology, University Medical Center Utrecht, Utrecht, the Netherlands.
Esther SikkelDepartment of Obstetrics and Gynaecology, Radboud University Medical Centre Nijmegen, Nijmegen, the Netherlands.
Audrey CoumansDepartment of Obstetrics and Gynaecology, Maastricht University Medical Center, Maastricht, the Netherlands.
Eva PajkrtDepartment of Obstetrics and Gynecology, Amsterdam University Medical Centers, location AMC, Amsterdam, the Netherlands.
Caterina BilardoDepartment of Obstetrics and Gynaecology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0003-1894-0626
University Medical Center Groningen · NLAmsterdam University Medical Centers · NLErasmus MC · NLLeiden University Medical Center · NLMaastricht University Medical Centre · NLRadboud University Nijmegen · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo give an overview of the genetic and structural abnormalities occurring in fetuses with nuchal translucency (NT) measurement exceeding the 95th percentile at first-trimester screening and to investigate which of these abnormalities would be missed if cell-free fetal DNA (cfDNA) were used as a first-tier screening test for chromosomal abnormalities.

methodsThis is a national study including 1901 pregnancies with NT≥95th percentile referred to seven university hospitals in the Netherlands between 1 January 2010 and 1 January 2016. All cases with unknown pregnancy outcome were excluded. Results of detailed ultrasound examinations, karyotyping, genotyping, pregnancy and neonatal outcomes, investigation by a clinical geneticist and post-mortem investigations were collected.

resultsIn total, 821 (43%) pregnancies had at least one abnormality. The rate of abnormalities was 21% for fetuses with NT between 95

conclusionAlthough cfDNA is superior to the combined test, especially for the detection of trisomy 21, 34% of the congenital abnormalities occurring in fetuses with increased NT may remain undetected in the first trimester of pregnancy, unless cfDNA is used in combination with fetal sonographic assessment, including NT measurement.

Indexed as

Nuchal Translucency MeasurementAbnormal KaryotypeAdolescentAdultAneuploidyChromosome DisordersCongenital AbnormalitiesDiGeorge SyndromeDown SyndromeEctodermal DysplasiaFaciesFailure to ThriveFemaleHeart Defects, CongenitalHumansLEOPARD Syndrome

Identifiers

PMID31697852
PMCPMC7027496
OpenAlexW2988420331

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.