Dataset Information

Analysis of retest reliability for pregnant women undergoing cfDNA testing with a no-call result.

ABSTRACT:

Background

Determining the reasons for unreportable or no-call cell-free DNA (cfDNA) test results has been an ongoing issue, and a consensus on subsequent management is still lacking. This study aimed to explore potential factors related to no-call cfDNA test results and to discuss whether retest results are reliable.

Methods and results

This was a retrospective study of women with singleton pregnancies undergoing cfDNA testing in 2021. Of the 9871 pregnant patients undergoing cfDNA testing, 111 had a no-call result, and their results were compared to those of 170 control patients. The no-call rate was 1.12% (111/9871), and the primary cause for no-call results was data fluctuation (88.29%, 98/111). Medical conditions were significantly more frequent in the no-call group than in the reportable results group (P < 0.001). After retesting, 107 (107/111, 96.40%) patients had a result, and the false-positive rate (FPR) of retesting was 10.09% (10.09%, 11/109). In addition, placental lesions were more frequent in the no-call group than in the reportable results group (P = 0.037), and 4 patients, all in the no-call group, experienced pregnancy loss.

Conclusions

Pregnant women with medical conditions are more likely to have a no-call result. A retest is suggested for patients with a no-call result, but retests have a high FPR. In addition, pregnant women with a no-call result are at increased risk of adverse pregnancy outcomes. In conclusion, more attention should be given to pregnant women for whom a no-call cfDNA result is obtained.

SUBMITTER: He S

PROVIDER: S-EPMC10460704 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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Publications

Analysis of retest reliability for pregnant women undergoing cfDNA testing with a no-call result.

He Shuqiong S Zhang Qian Q Chen Meihuan M Chen Xuemei X Liang Bin B Lin Na N Huang Hailong H Xu Liangpu L

Molecular biology reports 20230803 9

<h4>Background</h4>Determining the reasons for unreportable or no-call cell-free DNA (cfDNA) test results has been an ongoing issue, and a consensus on subsequent management is still lacking. This study aimed to explore potential factors related to no-call cfDNA test results and to discuss whether retest results are reliable.<h4>Methods and results</h4>This was a retrospective study of women with singleton pregnancies undergoing cfDNA testing in 2021. Of the 9871 pregnant patients undergoing cfD ...[more]

PMID: 37535243

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Dataset Information

Analysis of retest reliability for pregnant women undergoing cfDNA testing with a no-call result.

Background

Methods and results

Conclusions

Publications

Analysis of retest reliability for pregnant women undergoing cfDNA testing with a no-call result.

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