使用母亲的种族和体重在检测开放神经管缺陷的血清查中提供了公平的表现
Geralyn Messerlian1,2, Sydney Webb Strickland3, Jordan Willbur3
1Department of Pathology and Laboratory Medicine, Women & Infants Hospital and the Alpert Medical School at Brown University, Providence, RI, United States.
Clinical chemistry
|July 5, 2024
概括
在针对开放神经管缺陷 (ONTD) 的产前查中,考虑到母亲的种族,确保了公平的表现. 对黑人来说,种族无关的查不成比例地增加了假阳性和后续护理.
科学领域:
- 在产前查.
- 孕产妇健康 孕产妇健康
- 生物化学 生物化学
背景情况:
- 母体血清α-fetoprotein (AFP) 查是开放的神经管缺陷 (ONTD) 的标准.
- 历史数据表明,与白人相比,黑人个体的AFP和孕产妇体重更高.
- 最近的研究质疑ONTD查中种族和体重调整的必要性.
研究的目的:
- 为了比较产前查ONTD的性能,并没有考虑到母亲的种族.
- 评估种族不可知与种族特定分析对屏幕阳性率的影响.
主要方法:
- 对13316份产前查记录进行了回顾性分析.
- 包括母体体重和自我报告的种族 (黑人或白人).
- 计算妊娠年龄特定的中位数和中位数的体重调整倍数,无论是种族特定的还是种族不可知的.
主要成果:
- 黑人个体的母体AFP水平比白人个体高6至11%.
- 种族特异性分析显示,黑人 (1.00%) 和白人 (0.74%) 个体的查阳性率相似 (P=0.14).
- 种族不可知分析结果显示,与白人相比,黑人个体的查阳性率是黑人个体的2.4倍 (P<0.001).
结论:
- 在ONTD产前查中考虑母亲的种族和体重可以确保公平的表现.
- 种族无关的查方法导致查阳性率的增加.
- 种族不可知论的方法不成比例地增加了黑人个人对随访护理的需求.
相关概念视频
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K
Neurulation
41.8K
Neurulation is the embryological process which forms the precursors of the central nervous system and occurs after gastrulation has established the three primary cell layers of the embryo: ectoderm, mesoderm, and endoderm. In humans, the majority of this system is formed via primary neurulation, in which the central portion of the ectoderm—originally appearing as a flat sheet of cells—folds upwards and inwards, sealing off to form a hollow neural tube. As development proceeds, the...
41.8K


