Evidence map›Paper›PMID 36099005›Full record

ArticleJournal of clinical laboratory analysis2022

The accuracy and feasibility of noninvasive prenatal testing in a consecutive series of 20,626 pregnancies with different clinical characteristics.

Yunyun Zheng, Jia Li, Jianfang Zhang, Hong Yang

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
6.1field-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

11 citing papers in PubMed, 17 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

4 authors at 1 institution in 1 country.

Yunyun ZhengDepartment of Obstetrics and Gynecology, XiJing Hospital of Air Force Medical University, Xi'an, China.
Jia LiDepartment of Obstetrics and Gynecology, XiJing Hospital of Air Force Medical University, Xi'an, China.
Jianfang ZhangDepartment of Obstetrics and Gynecology, XiJing Hospital of Air Force Medical University, Xi'an, China.ORCID https://orcid.org/0000-0001-5074-4647
Hong YangDepartment of Obstetrics and Gynecology, XiJing Hospital of Air Force Medical University, Xi'an, China.ORCID https://orcid.org/0000-0003-4786-6402
Xijing Hospital · CN

Funding

National Key Research & Development Program of China 2016YFC1000700National Key Research & Development Program of China 2016YFC1000703
6 · The paper itself

Abstract

backgroundTo evaluate the accuracy and feasibility of noninvasive prenatal testing (NIPT) according to the results of NIPT and pregnancy outcomes with different indications.

methodsBetween October 2014 and December 2020, 20,626 pregnant women who received NIPT were included in this study. The positive predictive value (PPV) of trisomy 21, 18, and 13 (T21, T18, T13), sex chromosome abnormalities (SCAs), other chromosomal aneuploidies, and chromosomal microdeletion/microduplication were calculated. The positive results of NIPT were confirmed by amniocentesis, Karyotype analysis, and chromosome microarray analysis (CMA).

resultsIn total, 263 positive cases (263/20,626, 1.28%) were detected by NIPT, of which T21, T18, and T13 were 69, 26, and 9 cases, respectively. Sex chromosome abnormalities (SCAs), other chromosomal aneuploidies, and copy number variants (CNVs) were 69, 12, and 38 cases, respectively. There were true positive in 49 of T21, 13 of T18, 1 of T13, 32 of SCAs, 1 of other chromosomal aneuploidies, and 15 of CNVs. The NIPT sensitivity of T21, T18, T13, SCAs, other chromosomal aneuploidies, and CNVs was all 100%, the specialty was 99.90%, 99.94%, 99.96%, 99.82%, 99.95%, 99.89%, and the PPV was 71.01%, 50.00%, 11.11%, 46.38%, 8.33%, 39.47%, respectively. The PPV was high in T21, moderate in T18 and SCAs, and low in T13 and other chromosomal abnormalities.

conclusionNIPT has high accuracy, specificity and and can effectively avoid the occurrence of birth defects, but it cannot replace prenatal diagnosis. The accuracy, specificity, and sensitivity of NIPT in detecting sex chromosomes, chromosome microdeletion/microduplication, and other chromosomal abnormalities should be improved.

Indexed as

Noninvasive Prenatal TestingAneuploidyChromosome AberrationsFeasibility StudiesFemaleHumansPregnancyPregnancy OutcomePrenatal DiagnosisSex Chromosome AberrationsTrisomy 18 Syndromeaccuracychromosomal microdeletion/microduplicationchromosome aneuploidiescopy number variantsfeasibilitynoninvasive prenatal testingsex chromosome abnormalities

Identifiers

PMID36099005
PMCPMC9550972
OpenAlexW4295427557

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Registered trials

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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.