Evidence map›Paper›PMID 38790198›Full record

ArticleGenes2024

Prenatal Genome-Wide Cell-Free DNA Screening: Three Years of Clinical Experience in a Hospital Prenatal Diagnostic Unit in Spain.

Laia Pedrola Vidal, Mónica Roselló Piera, Carla Martín-Grau, Juan S Rubio Moll, Rosa Gómez Portero, Beatriz Marcos Puig, Jose V Cervera Zamora, Ramiro Quiroga, Carmen Orellana Alonso

Abstract read
In one paragraph

Article in Genes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

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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

9 authors.

Laia Pedrola VidalGenetics Unit, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain.ORCID 0000-0002-3031-6124
Mónica Roselló PieraGenetics Unit, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain.
Carla Martín-GrauTranslational Genetics Research Group, Instituto de Investigación Sanitaria La Fe (IISLAFE), 46026 Valencia, Spain.ORCID 0000-0002-0442-819X
Juan S Rubio MollObstetrics and Gynecology Unit, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain.
Rosa Gómez PorteroObstetrics and Gynecology Unit, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain.
Beatriz Marcos PuigObstetrics and Gynecology Unit, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain.
Jose V Cervera ZamoraGenetics Unit, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain.ORCID 0000-0001-8252-1106
Ramiro QuirogaObstetrics and Gynecology Unit, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain.
Carmen Orellana AlonsoGenetics Unit, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain.

Funding

Instituto de Investigación Sanitaria La Fe (IISLAFE) through a grant from Illumina, Inc. N/A
6 · The paper itself

Abstract

Genome-wide prenatal cell-free DNA (cfDNA) screening can be used to screen for a wide range of fetal chromosomal anomalies in pregnant patients. In this study, we describe our clinical experience with a genome-wide cfDNA assay in screening for common trisomies, sex chromosomal aneuploidies (SCAs), rare autosomal aneuploidies (RAAs), and copy-number variations (CNVs) in about 6000 patients over a three-year period at our hospital's Prenatal Diagnostic Unit in Spain. Overall, 204 (3.3%) patients had a high-risk call, which included 76 trisomy 21, 21 trisomy 18, 7 trisomy 13, 29 SCAs, 31 RAAs, 31 CNVs, and 9 cases with multiple anomalies. The diagnostic outcomes were obtained for the high-risk cases when available, allowing for the calculation of positive predictive values (PPVs). Calculated PPVs were 95.9% for trisomy 21, 77.8% for trisomy 18, 66.7% for trisomy 13, 10.7% for RAAs, and 10.7% for CNVs. Pregnancy and birth outcomes were also collected for the majority of RAA and CNV cases. Adverse perinatal outcomes for some of these cases included preeclampsia, fetal growth restriction, preterm birth, reduced birth weight, and major congenital structural abnormalities. In conclusion, our study showed strong performance for genome-wide cfDNA screening in a large cohort of pregnancy patients in Spain.

Indexed as

Cell-Free Nucleic AcidsDNA Copy Number VariationsAdultAneuploidyChromosome DisordersFemaleHumansNoninvasive Prenatal TestingPregnancyPrenatal DiagnosisSpainTrisomyCell-Free Nucleic Acidscopy-number variationsgenome-wideprenatal cfDNA screeningrare autosomal aneuploidiestrisomy

Identifiers

PMID38790198
PMCPMC11121632

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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.