The Danish Fetal Medicine Database: establishment, organisation and quality assessment of the first trimester screening programme for trisomy 21 in Denmark 2008-2012
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
The Danish Fetal Medicine Database : establishment, organisation and quality assessment of the first trimester screening programme for trisomy 21 in Denmark 2008-2012. / Ekelund, Charlotte K; Petersen, Olav B; Jørgensen, Finn S; Kjaergaard, Susanne; Larsen, Torben; Olesen, Annette W; Skibsted, Lillian; Skovbo, Peter; Sommer, Steffen; Sperling, Lene; Stavnstrup, Benedicte; Størup, Birgitte; Zingenberg, Helle; Uldbjerg, Niels; Miltoft, Caroline B; Noergaard, Lasse; Wulff, Camilla B; Tabor, Ann; The Danish Fetal Medicine Research Group.
In: Acta Obstetrica et Gynecologica, Vol. 94, No. 6, 06.2015, p. 577–583.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - The Danish Fetal Medicine Database
T2 - establishment, organisation and quality assessment of the first trimester screening programme for trisomy 21 in Denmark 2008-2012
AU - Ekelund, Charlotte K
AU - Petersen, Olav B
AU - Jørgensen, Finn S
AU - Kjaergaard, Susanne
AU - Larsen, Torben
AU - Olesen, Annette W
AU - Skibsted, Lillian
AU - Skovbo, Peter
AU - Sommer, Steffen
AU - Sperling, Lene
AU - Stavnstrup, Benedicte
AU - Størup, Birgitte
AU - Zingenberg, Helle
AU - Uldbjerg, Niels
AU - Miltoft, Caroline B
AU - Noergaard, Lasse
AU - Wulff, Camilla B
AU - Tabor, Ann
AU - The Danish Fetal Medicine Research Group
N1 - © 2015 Nordic Federation of Societies of Obstetrics and Gynecology.
PY - 2015/6
Y1 - 2015/6
N2 - OBJECTIVE: To describe the establishment and organization of the Danish Fetal Medicine Database and to report national results of first-trimester combined screening for trisomy 21 in the 5-year period 2008-2012.DESIGN: National register study using prospectively collected first-trimester screening data from the Danish Fetal Medicine Database.POPULATION: Pregnant women in Denmark undergoing first-trimester screening for trisomy 21.METHODS: Data on maternal characteristics, biochemical and ultrasonic markers are continuously sent electronically from local fetal medicine databases (Astraia Gmbh software) to a central national database. Data are linked to outcome data from the National Birth Register, the National Patient Register and the National Cytogenetic Register via the mother's unique personal registration number. First-trimester screening data from 2008 to 2012 were retrieved.MAIN OUTCOME MEASURES: Screening performance was assessed for the years 2008-2012 by calculating detection rates and screen-positive rates.RESULTS: A total of 268 342 first-trimester risk assessments for trisomy 21 were performed in singleton pregnancies. Participation rate in first-trimester screening was >90%. The national screen-positive rate increased from 3.6% in 2008 to 4.7% in 2012. The national detection rate of trisomy 21 was reported to be between 82 and 90% in the 5-year period.CONCLUSION: A national fetal medicine database has been successfully established in Denmark. Results from the database have shown that at a national level first-trimester screening performance for trisomy 21 is high with a low screen-positive rate and a high detection rate.
AB - OBJECTIVE: To describe the establishment and organization of the Danish Fetal Medicine Database and to report national results of first-trimester combined screening for trisomy 21 in the 5-year period 2008-2012.DESIGN: National register study using prospectively collected first-trimester screening data from the Danish Fetal Medicine Database.POPULATION: Pregnant women in Denmark undergoing first-trimester screening for trisomy 21.METHODS: Data on maternal characteristics, biochemical and ultrasonic markers are continuously sent electronically from local fetal medicine databases (Astraia Gmbh software) to a central national database. Data are linked to outcome data from the National Birth Register, the National Patient Register and the National Cytogenetic Register via the mother's unique personal registration number. First-trimester screening data from 2008 to 2012 were retrieved.MAIN OUTCOME MEASURES: Screening performance was assessed for the years 2008-2012 by calculating detection rates and screen-positive rates.RESULTS: A total of 268 342 first-trimester risk assessments for trisomy 21 were performed in singleton pregnancies. Participation rate in first-trimester screening was >90%. The national screen-positive rate increased from 3.6% in 2008 to 4.7% in 2012. The national detection rate of trisomy 21 was reported to be between 82 and 90% in the 5-year period.CONCLUSION: A national fetal medicine database has been successfully established in Denmark. Results from the database have shown that at a national level first-trimester screening performance for trisomy 21 is high with a low screen-positive rate and a high detection rate.
U2 - 10.1111/aogs.12581
DO - 10.1111/aogs.12581
M3 - Journal article
C2 - 25597330
VL - 94
SP - 577
EP - 583
JO - Acta Obstetricia et Gynecologica Scandinavica
JF - Acta Obstetricia et Gynecologica Scandinavica
SN - 0001-6349
IS - 6
ER -
ID: 137159573