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The impact of utilization of early aneuploidy screening on amniocenteses available for training in obstetrics and fetal medicine
Prenatal diagnosis, 2013-03, Vol.33 (3), p.242-244
Rose, Nancy C.
Lagrave, Danielle
Hafen, Brent
Jackson, Marc
2013
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Rose, Nancy C.
Lagrave, Danielle
Hafen, Brent
Jackson, Marc
Titel
The impact of utilization of early aneuploidy screening on amniocenteses available for training in obstetrics and fetal medicine
Ist Teil von
Prenatal diagnosis, 2013-03, Vol.33 (3), p.242-244
Ort / Verlag
England: Blackwell Publishing Ltd
Erscheinungsjahr
2013
Quelle
MEDLINE
Beschreibungen/Notizen
ABSTRACT Objective First‐trimester aneuploidy screening has high detection rates and low false‐positive rates. Their use as well as the implementation of non‐invasive prenatal testing may affect specialty training in prenatal diagnosis procedures. Study design Descriptive study of first‐trimester aneuploidy screening and amniocentesis in an obstetric training program. Screening methods were tracked from their introduction in 2004 through 2011. The volume of amniocentesis procedures from 2000 to 2011 was evaluated. Results First‐trimester screening tests increased from 283 to 1225 between 2005 and 2011, whereas genetic amniocenteses declined from 460 to 168 during the same period. The percent of older women who chose a first‐trimester screen test rose from 12.7% to 44.2% Conclusion First‐trimester screening options reduce genetic amniocenteses available for training. Fetal medicine and general obstetrics training programs need to evaluate their clinical experience and determine whether simulation training methods are needed for education. © 2013 John Wiley & Sons, Ltd. What's already known about this topic? It is known that increasing efficiency with all forms of screening decreases the need for definitive prenatal diagnosis procedures. As non‐invasive prenatal testing improves and has increased utilization, it is likely that the volume of prenatal diagnosis procedures will continue to decrease. What does this study add? Because we have essentially 100% ascertainment of all samples in our region, we can actually define how few amniocenteses are available for obstetric training and experience. This manuscript attempts to demonstrate with data the decline in procedures to perhaps begin a dialog on changing how we train fellows for procedures.
Sprache
Englisch
Identifikatoren
ISSN: 0197-3851
eISSN: 1097-0223
DOI: 10.1002/pd.4052
Titel-ID: cdi_proquest_miscellaneous_1439227959
Format
–
Schlagworte
Amniocentesis - trends
,
Amniocentesis - utilization
,
Aneuploidy
,
Biomarkers - blood
,
Female
,
Humans
,
Maternal Age
,
Nuchal Translucency Measurement - trends
,
Nuchal Translucency Measurement - utilization
,
Obstetrics - education
,
Pregnancy
,
Pregnancy Trimester, First
,
Prenatal Diagnosis - trends
,
Prenatal Diagnosis - utilization
,
Tertiary Care Centers
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