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Clinical strategy study on prenatal screening and diagnostic model for Down syndrome
Exploring efficient and easily implementable prenatal screening strategies aims at birth defect prevention and control. However, there have been limited economic evaluations of non-invasive prenatal screening (NIPS) strategies in China. Furthermore, these studies were predominantly confined to local...
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Published in: | Scientific reports 2024-09, Vol.14 (1), p.22269-11, Article 22269 |
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creator | Luo, Wei Liu, Sha He, Bin Han, Daiwen Yuan, Lixing Zhao, Kai Tang, Jun Pang, Ling Zou, Fene Liu, Jianlong Liu, Hongqian Bai, Ting Jing, Xiaosha Xia, Tianyu Deng, Cechuan Liu, Yunyun Cheng, Jing Wei, Xiang Xing, Lingling Luo, Yuan Zhou, Quanfang Zhu, Qian Liu, Shanling |
description | Exploring efficient and easily implementable prenatal screening strategies aims at birth defect prevention and control. However, there have been limited economic evaluations of non-invasive prenatal screening (NIPS) strategies in China. Furthermore, these studies were predominantly confined to local or geographically proximate provinces and lacked universality and representativeness. This study assesses the health economics of current prenatal screening strategies and NIPS as first-line screening programs, analyzing their efficacy to determine an optimal strategy. From the perspective of health economics, cost-effectiveness, cost-benefit, and single-factor sensitivity were conducted for five different screening strategies using a decision tree model. Among pregnant women aged |
doi_str_mv | 10.1038/s41598-024-73183-4 |
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However, there have been limited economic evaluations of non-invasive prenatal screening (NIPS) strategies in China. Furthermore, these studies were predominantly confined to local or geographically proximate provinces and lacked universality and representativeness. This study assesses the health economics of current prenatal screening strategies and NIPS as first-line screening programs, analyzing their efficacy to determine an optimal strategy. From the perspective of health economics, cost-effectiveness, cost-benefit, and single-factor sensitivity were conducted for five different screening strategies using a decision tree model. Among pregnant women aged < 35 years who underwent only one screening for foetal Down syndrome (DS), the detection rate, false positive rate and positive predictive value of NIPS for foetuses with DS were superior to those of the other four serological screening methods. Although applying NIPS as first-line screening method yields the highest efficacy and benefits, it currently lacks cost-effectiveness when compared to serological screening and sequential NIPS screening strategies.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-024-73183-4</identifier><identifier>PMID: 39333230</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/2056 ; 692/53/2423 ; 692/700/3934 ; Adult ; Birth defects ; China - epidemiology ; Congenital defects ; Cost analysis ; Cost-Benefit Analysis ; Down syndrome ; Down Syndrome - diagnosis ; Down's syndrome ; Economics ; Female ; Health economics ; Humanities and Social Sciences ; Humans ; multidisciplinary ; Non-invasive prenatal screening ; Noninvasive Prenatal Testing - methods ; Pregnancy ; Prenatal diagnosis ; Prenatal Diagnosis - economics ; Prenatal Diagnosis - methods ; Science ; Science (multidisciplinary) ; Serological screening ; Serology</subject><ispartof>Scientific reports, 2024-09, Vol.14 (1), p.22269-11, Article 22269</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c422t-fe33015456a57610063b2d9f052b500c2e86ee5a7456d24d1a9ff177af09879b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3110578482/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3110578482?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39333230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luo, Wei</creatorcontrib><creatorcontrib>Liu, Sha</creatorcontrib><creatorcontrib>He, Bin</creatorcontrib><creatorcontrib>Han, Daiwen</creatorcontrib><creatorcontrib>Yuan, Lixing</creatorcontrib><creatorcontrib>Zhao, Kai</creatorcontrib><creatorcontrib>Tang, Jun</creatorcontrib><creatorcontrib>Pang, Ling</creatorcontrib><creatorcontrib>Zou, Fene</creatorcontrib><creatorcontrib>Liu, Jianlong</creatorcontrib><creatorcontrib>Liu, Hongqian</creatorcontrib><creatorcontrib>Bai, Ting</creatorcontrib><creatorcontrib>Jing, Xiaosha</creatorcontrib><creatorcontrib>Xia, Tianyu</creatorcontrib><creatorcontrib>Deng, Cechuan</creatorcontrib><creatorcontrib>Liu, Yunyun</creatorcontrib><creatorcontrib>Cheng, Jing</creatorcontrib><creatorcontrib>Wei, Xiang</creatorcontrib><creatorcontrib>Xing, Lingling</creatorcontrib><creatorcontrib>Luo, Yuan</creatorcontrib><creatorcontrib>Zhou, Quanfang</creatorcontrib><creatorcontrib>Zhu, Qian</creatorcontrib><creatorcontrib>Liu, Shanling</creatorcontrib><title>Clinical strategy study on prenatal screening and diagnostic model for Down syndrome</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Exploring efficient and easily implementable prenatal screening strategies aims at birth defect prevention and control. However, there have been limited economic evaluations of non-invasive prenatal screening (NIPS) strategies in China. Furthermore, these studies were predominantly confined to local or geographically proximate provinces and lacked universality and representativeness. This study assesses the health economics of current prenatal screening strategies and NIPS as first-line screening programs, analyzing their efficacy to determine an optimal strategy. From the perspective of health economics, cost-effectiveness, cost-benefit, and single-factor sensitivity were conducted for five different screening strategies using a decision tree model. Among pregnant women aged < 35 years who underwent only one screening for foetal Down syndrome (DS), the detection rate, false positive rate and positive predictive value of NIPS for foetuses with DS were superior to those of the other four serological screening methods. Although applying NIPS as first-line screening method yields the highest efficacy and benefits, it currently lacks cost-effectiveness when compared to serological screening and sequential NIPS screening strategies.</description><subject>692/308/2056</subject><subject>692/53/2423</subject><subject>692/700/3934</subject><subject>Adult</subject><subject>Birth defects</subject><subject>China - epidemiology</subject><subject>Congenital defects</subject><subject>Cost analysis</subject><subject>Cost-Benefit Analysis</subject><subject>Down syndrome</subject><subject>Down Syndrome - diagnosis</subject><subject>Down's syndrome</subject><subject>Economics</subject><subject>Female</subject><subject>Health economics</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>multidisciplinary</subject><subject>Non-invasive prenatal screening</subject><subject>Noninvasive Prenatal Testing - methods</subject><subject>Pregnancy</subject><subject>Prenatal diagnosis</subject><subject>Prenatal Diagnosis - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luo, Wei</au><au>Liu, Sha</au><au>He, Bin</au><au>Han, Daiwen</au><au>Yuan, Lixing</au><au>Zhao, Kai</au><au>Tang, Jun</au><au>Pang, Ling</au><au>Zou, Fene</au><au>Liu, Jianlong</au><au>Liu, Hongqian</au><au>Bai, Ting</au><au>Jing, Xiaosha</au><au>Xia, Tianyu</au><au>Deng, Cechuan</au><au>Liu, Yunyun</au><au>Cheng, Jing</au><au>Wei, Xiang</au><au>Xing, Lingling</au><au>Luo, Yuan</au><au>Zhou, Quanfang</au><au>Zhu, Qian</au><au>Liu, Shanling</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical strategy study on prenatal screening and diagnostic model for Down syndrome</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2024-09-27</date><risdate>2024</risdate><volume>14</volume><issue>1</issue><spage>22269</spage><epage>11</epage><pages>22269-11</pages><artnum>22269</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Exploring efficient and easily implementable prenatal screening strategies aims at birth defect prevention and control. However, there have been limited economic evaluations of non-invasive prenatal screening (NIPS) strategies in China. Furthermore, these studies were predominantly confined to local or geographically proximate provinces and lacked universality and representativeness. This study assesses the health economics of current prenatal screening strategies and NIPS as first-line screening programs, analyzing their efficacy to determine an optimal strategy. From the perspective of health economics, cost-effectiveness, cost-benefit, and single-factor sensitivity were conducted for five different screening strategies using a decision tree model. Among pregnant women aged < 35 years who underwent only one screening for foetal Down syndrome (DS), the detection rate, false positive rate and positive predictive value of NIPS for foetuses with DS were superior to those of the other four serological screening methods. Although applying NIPS as first-line screening method yields the highest efficacy and benefits, it currently lacks cost-effectiveness when compared to serological screening and sequential NIPS screening strategies.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>39333230</pmid><doi>10.1038/s41598-024-73183-4</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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subjects | 692/308/2056 692/53/2423 692/700/3934 Adult Birth defects China - epidemiology Congenital defects Cost analysis Cost-Benefit Analysis Down syndrome Down Syndrome - diagnosis Down's syndrome Economics Female Health economics Humanities and Social Sciences Humans multidisciplinary Non-invasive prenatal screening Noninvasive Prenatal Testing - methods Pregnancy Prenatal diagnosis Prenatal Diagnosis - economics Prenatal Diagnosis - methods Science Science (multidisciplinary) Serological screening Serology |
title | Clinical strategy study on prenatal screening and diagnostic model for Down syndrome |
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