Evidence map›Paper›PMID 34155647›Full record

ReviewVox sanguinis2022

Recommendation for validation and quality assurance of non-invasive prenatal testing for foetal blood groups and implications for IVD risk classification according to EU regulations.

Frederik Banch Clausen, Åsa Hellberg, Gregor Bein, Peter Bugert, Dieter Schwartz, Tadeja Dovc Drnovsek, Kirstin Finning, Katarzyna Guz, Katri Haimila, Christine Henny and 18 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Vox sanguinis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Noninvasive fetal blood group antigen genotyping.Blood transfusion = Trasfusione del sangue · 2025
    Review
  5. FetalBiomedicines · 2023
    Article
  6. Article
  7. Review
  8. Laboratory Monitoring of Mother, Fetus, and Newborn in Hemolytic Disease of Fetus and Newborn.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2021
    Review
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

28 authors at 20 institutions in 18 countries.

Frederik Banch ClausenLaboratory of Blood Genetics, Department of Clinical Immunology, Copenhagen University Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-2487-5373
Åsa HellbergcfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-7000-1899
Gregor BeinInstitute for Clinical Immunology and Transfusion Medicine, Justus-Liebig-University, Giessen, Germany.
Peter BugertInstitute of Transfusion Medicine and Immunology, Heidelberg University, Medical Faculty Mannheim, German Red Cross Blood Service Baden Württemberg - Hessen, Mannheim, Germany.
Dieter SchwartzDepartment of Blood Group Serology and Transfusion Medicine, Medical University of Vienna, Vienna, Austria.
Tadeja Dovc DrnovsekBlood Transfusion Centre of Slovenia, Ljubljana, Slovenia.
Kirstin FinningNational Health Service Blood and Transplant, International Blood Group Reference Laboratory, UK.
Katarzyna GuzInstitute of Hematology and Transfusion Medicine, Warsaw, Poland.
Katri HaimilaFinnish Red Cross Blood Service, Helsinki, Finland.ORCID https://orcid.org/0000-0001-8904-666X
Christine HennyInterregional Blood Transfusion SRC, Berne, Switzerland.
Helen O'BrienClinical Services and Research, Australian Red Cross Lifeblood, Brisbane, Australia.
Agnieszka OrzinskaInstitute of Hematology and Transfusion Medicine, Warsaw, Poland.
Kirsten SørensenDepartment of Immunology and Transfusion Medicine, Oslo University Hospital, Oslo, Norway.
Steinunn ThorlaciusThe Blood Bank, Landspitali University Hospital, Reykjavik, Iceland.
Agneta WikmanClinical Immunology and Transfusion Medicine Karolinska University Hospital and CLINTEC Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-8810-7974
Gregory Andrew DenommecfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-8727-1679
Willy Albert FlegelcfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-1631-7198
Christoph GassnercfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.
Masja de HaascfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.
Catherine HylandcfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.
Yanli JicfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-6792-5612
William J LanecfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-1097-5229
Núria NoguéscfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.
Martin L OlssoncfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0003-1647-9610
Thierry PeyrardcfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.
C Ellen van der SchootcfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.
Christof WeinstockcfDNA subgroup from the International Society of Blood Transfusion (ISBT) Working Party on Red Cell Immunogenetics and Blood Group Terminology (RCIBGT), Amsterdam, The Netherlands.
Tobias LeglerDepartment of Transfusion Medicine, University Medical Center Göttingen, Göttingen, Germany.
Dutch Blood Transfusion Society · NLInstytut Hematologii i Transfuzjologi · PLAustralian Red Cross Lifeblood · AUBlood Transfusion Centre of Slovenia · SIBrigham and Women's Hospital · USFinnish Red Cross · FIHeidelberg University · DEInstitut National de la Transfusion Sanguine · FRJustus-Liebig-Universität Gießen · DEKarolinska University Hospital · SELeiden University Medical Center · NLLund University · SEMedical University of Vienna · ATNational Health Service · GBOslo University Hospital · NOQueensland University of Technology · AUReykjavík University · ISSanquin · NLSwiss Red Cross · CHUniversitätsmedizin Göttingen · DE

Funding

Laboratory Services Section, Department of Transfusion Medicine Core ReportZICCL002128 · CLC · CLINICAL CENTER · PI FLEGEL, WILLY · 2020 to 2025
$0k
Intramural NIH HHS ZIC CL002128
6 · The paper itself

Abstract

BACKGROUND AND

objectivesNon-invasive assays for predicting foetal blood group status in pregnancy serve as valuable clinical tools in the management of pregnancies at risk of detrimental consequences due to blood group antigen incompatibility. To secure clinical applicability, assays for non-invasive prenatal testing of foetal blood groups need to follow strict rules for validation and quality assurance. Here, we present a multi-national position paper with specific recommendations for validation and quality assurance for such assays and discuss their risk classification according to EU regulations. MATERIALS AND

methodsWe reviewed the literature covering validation for in-vitro diagnostic (IVD) assays in general and for non-invasive foetal RHD genotyping in particular. Recommendations were based on the result of discussions between co-authors.

resultsIn relation to Annex VIII of the In-Vitro-Diagnostic Medical Device Regulation 2017/746 of the European Parliament and the Council, assays for non-invasive prenatal testing of foetal blood groups are risk class D devices. In our opinion, screening for targeted anti-D prophylaxis for non-immunized RhD negative women should be placed under risk class C. To ensure high quality of non-invasive foetal blood group assays within and beyond the European Union, we present specific recommendations for validation and quality assurance in terms of analytical detection limit, range and linearity, precision, robustness, pre-analytics and use of controls in routine testing. With respect to immunized women, different requirements for validation and IVD risk classification are discussed.

conclusionThese recommendations should be followed to ensure appropriate assay performance and applicability for clinical use of both commercial and in-house assays.

Indexed as

Blood Group AntigensFemaleFetal BloodFetusGenotypeHumansPregnancyPrenatal DiagnosisRh-Hr Blood-Group SystemBlood Group AntigensRh-Hr Blood-Group Systemblood groupcell-free DNAEUfoetal RHD genotypingHDFNquality assurancevalidation

Identifiers

PMID34155647
PMCPMC10686716
OpenAlexW3174884581

What OpenQuestion holds

Textmetadata
LicenceTDM
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.