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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1992-12-1
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pubmed:abstractText |
To ascertain the value of maternal serum free beta-human choriogonadotropin subunit measurement in Down's syndrome screening and to compare its effectiveness when screening with a variety of biochemical markers, we have evaluated maternal serum free beta-human choriogonadotropin, total human choriogonadotropin, alpha-fetoprotein and unconjugated oestriol in a large multicentre study of over 2800 unaffected cases and 90 affected cases, the largest collection of Down's cases ever reported. Of all the markers identified to date, free beta-human choriogonadotropin is the marker of choice for use in Down's syndrome screening. When used in early gestation (14-16 weeks) in combination with alpha-fetoprotein and maternal age, it will allow the detection of 77% of Down's cases. A side-by-side comparison with the performance of total human choriogonadotropin shows the superior detection efficiency of free beta-human choriogonadotropin. Unconjugated oestriol adds nothing further to the detection rate compared with the use of alpha-fetoprotein and free beta-human choriogonadotropin alone, and its use results in a 1% increase in false positive rate. We conclude that unconjugated oestriol has no value in Down's screening. The superior detection rate obtained using free beta-human choriogonadotropin is a result of superior detection of Down's cases in women under 30 years old, where the free beta-human choriogonadotropin combination detects 100% more cases than does the total human choriogonadotropin combination.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Biological Markers,
http://linkedlifedata.com/resource/pubmed/chemical/Chorionic Gonadotropin,
http://linkedlifedata.com/resource/pubmed/chemical/Chorionic Gonadotropin, beta...,
http://linkedlifedata.com/resource/pubmed/chemical/Estriol,
http://linkedlifedata.com/resource/pubmed/chemical/Peptide Fragments,
http://linkedlifedata.com/resource/pubmed/chemical/alpha-Fetoproteins
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0004-5632
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
29 ( Pt 5)
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
506-18
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:1280026-Biological Markers,
pubmed-meshheading:1280026-Chorionic Gonadotropin,
pubmed-meshheading:1280026-Chorionic Gonadotropin, beta Subunit, Human,
pubmed-meshheading:1280026-Data Interpretation, Statistical,
pubmed-meshheading:1280026-Down Syndrome,
pubmed-meshheading:1280026-Enzyme-Linked Immunosorbent Assay,
pubmed-meshheading:1280026-Estriol,
pubmed-meshheading:1280026-Female,
pubmed-meshheading:1280026-Genetic Testing,
pubmed-meshheading:1280026-Humans,
pubmed-meshheading:1280026-Maternal Age,
pubmed-meshheading:1280026-Peptide Fragments,
pubmed-meshheading:1280026-Prenatal Diagnosis,
pubmed-meshheading:1280026-Radioimmunoassay,
pubmed-meshheading:1280026-Risk Factors,
pubmed-meshheading:1280026-alpha-Fetoproteins
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pubmed:year |
1992
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pubmed:articleTitle |
Free beta human choriogonadotropin in Down's syndrome screening: a multicentre study of its role compared with other biochemical markers.
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pubmed:affiliation |
Clinical Biochemistry Department, Oldchurch Hospital, Romford, Essex, UK.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Multicenter Study
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