Effectiveness of ovarian age as the background risk for aneuploidy screening in an unselected pregnant population.

Abstract:

:The aim of this study was to assess the performance of first-trimester combined screening when replacing the chronological maternal age by Anti-Müllerian hormone (AMH) and antral follicle count (AFC)-derived ovarian ages, as the background risk in trisomy risk estimation. A total of 639 pregnant women who completed first-trimester combined screening together with AMH and AFC determination were included. Trisomy risks were estimated based on three distinct 'maternal ages' as a-priori risk (chronological age, AMH- and AFC-derived ovarian age). The screening performance was assessed using three different approaches: received operator curve; detection rate and false positive rates for a fixed 1/250 threshold; and detection rates for a fixed 3% false positive rate. A non-significant trend was shown for AMH-derived age for both an increased area under the curve (0.986 versus 0.979) and an increased detection rate (from 83% to 100%) for a 1/250 risk threshold. For a 3% false-positive rate, a non-significant trend for increased detection with the use of both AMH- and AFC-derived ovarian ages was observed (from 67% to 83%). These results indicate that, although ovarian derived ages seem to potentially reflect a more precise background risk for fetal trisomies, the improvement in screening performance is only residual.

journal_name

Reprod Biomed Online

authors

Grande M,Sabrià J,Borobio V,Mercadé I,Stergiotou I,Masoller N,Borrell A

doi

10.1016/j.rbmo.2016.07.006

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

500-505

issue

4

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(16)30437-0

journal_volume

33

pub_type

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