Evidence map›Paper›PMID 37270668›Full record

ArticleActa obstetricia et gynecologica Scandinavica2023

Prenatal detection of major congenital malformations in a cohort of 19 367 Danish fetuses with a complete follow-up six months after birth.

Karina Hjort-Pedersen, Annette Wind Olesen, Ester Garne, Lene Sperling

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Karina Hjort-PedersenResearch Unit of Gynecology and Obstetrics, Odense University Hospital, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-6960-2366
Annette Wind OlesenDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-0586-4815
Ester GarneDepartment of Pediatrics and Adolescent Medicine, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark.ORCID 0000-0003-0430-2594
Lene SperlingDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0003-2210-3310

Funding

Department of Gynecology and Obstetrics Odense University Hospital 911335Region of Southern Denmark J.nr. 13/25992University of Southern Denmark 95-101-12 299
6 · The paper itself

Abstract

introductionTo investigate the performance of the second-trimester ultrasound scan regarding ultrasound-detectable congenital malformations in a Danish region. The study sample was population-based, with 6 months of postnatal follow-up. Hospital records and autopsy reports were reviewed in each case to validate the prenatal ultrasound diagnosis. MATERIAL AND

methodsThis population-based cohort study included all fetuses (n = 19.367) alive at the second-trimester scan in four hospitals in a Danish region. The final diagnosis of the malformations was based on hospital records during the 6-month postnatal follow-up. In case of termination or stillbirth, the result from the autopsy report was used to validate the prenatal ultrasound diagnosis.

resultsThe detection rate of congenital malformations in the prenatal screening program was 69%, where 18% was detected on the first-trimester scan and 51% on the second-trimester scan. Another 8% was detected in the third trimester. Specificity was 99.9%. The positive predictive value of the screening program was 94.5%, and the negative predictive value was 99.5%. The overall prevalence of malformations was 16.8 per 1000 fetuses, most frequently in the heart and the urinary tract.

conclusionsThis study shows that the national screening program for congenital malformations can detect many severe malformations and is an effective screening test for malformations.

Indexed as

FetusUltrasonography, PrenatalCohort StudiesDenmarkFemaleFollow-Up StudiesHumansPregnancycongenital malformationgenetic disordergenetic testingprenatal detectionprenatal screeningultrasound

Identifiers

PMID37270668
PMCPMC10378016

What OpenQuestion holds

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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.