Evidence map›Paper›PMID 33806256›Full record

ArticleGenes2021

Performance of Cell-Free DNA Screening for Fetal Common Aneuploidies and Sex Chromosomal Abnormalities: A Prospective Study from a Less Developed Autonomous Region in Mainland China.

Yunli Lai, Xiaofan Zhu, Sheng He, Zirui Dong, Yanqing Tang, Fuben Xu, Yun Chen, Lintao Meng, Yuli Tao, Shang Yi and 5 more

Open access · goldAbstract read
In one paragraph

Article in Genes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
6.0field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

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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 2 institutions in 2 countries.

Yunli LaiBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Xiaofan ZhuDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, China.
Sheng HeBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Zirui DongDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-3626-6500
Yanqing TangBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Fuben XuBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Yun ChenBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Lintao MengBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Yuli TaoBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Shang YiBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Jiasun SuBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Hongqian HuangBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Jingsi LuoBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Tak Yeung LeungDepartment of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, China.
Hongwei WeiBirth Defects Prevention and Control Institute of Guangxi Zhuang Autonomous Region, Nanning 530000, China.
Guangxi Maternal and Child Health Hospital · CNChinese University of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate the performance of noninvasive prenatal screening (NIPS) in the detection of common aneuploidies in a population-based study, a total of 86,262 single pregnancies referred for NIPS were prospectively recruited. Among 86,193 pregnancies with reportable results, follow-up was successfully conducted in 1160 fetuses reported with a high-risk result by NIPS and 82,511 cases (95.7%) with a low-risk result. The screen-positive rate (SPR) of common aneuploidies and sex chromosome abnormalities (SCAs) provided by NIPS were 0.7% (586/83,671) and 0.6% (505/83,671), respectively. The positive predictive values (PPVs) for Trisomy 21, Trisomy 18, Trisomy 13 and SCAs were calculated as 89.7%, 84.0%, 52.6% and 38.0%, respectively. In addition, less rare chromosomal abnormalities, including copy number variants (CNVs), were detected, compared with those reported by NIPS with higher read-depth. Among these rare abnormalities, only 23.2% (13/56) were confirmed by prenatal diagnosis. In total, four common trisomy cases were found to be false negative, resulting in a rate of 0.48/10,000 (4/83,671). In summary, this study conducted in an underdeveloped region with limited support for the new technology development and lack of cost-effective prenatal testing demonstrates the importance of implementing routine aneuploidy screening in the public sector for providing early detection and precise prognostic information.

Indexed as

AneuploidySex Chromosome AberrationsAdolescentAdultCell-Free Nucleic AcidsChinaFemaleFetusHumansMaleMiddle AgedNoninvasive Prenatal TestingPregnancyPrenatal DiagnosisProspective StudiesTrisomyCell-Free Nucleic Acidscell-free DNAcommon aneuploidiesfollow-up informationless developed regionnoninvasive prenatal screeningrare chromosomal abnormalities

Identifiers

PMID33806256
PMCPMC8067030
OpenAlexW3137366961

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.