Patient preference regarding first-trimester aneuploidy risk assessment - 18/08/11
, Heather T. Gold, PhD b, Frank A. Chervenak, MD a, Laurence McCullough, PhD c, Abigail K. Alt, BA a, Stephen T. Chasen, MD a
Reprint requests: Geeta Sharma, MD, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Columbia University Medical Center, 622 W 168th St, PH-16, New York, NY 10032.Abstract |
Objective |
We assessed patient views regarding disclosure of first-trimester Down syndrome risk assessment results compared with withholding results until a single, more accurate second-trimester screening result is available.
Study design |
A prospective, institutional review board–approved, voluntary, anonymous survey was presented to patients with singleton pregnancies who were undergoing first-trimester nuchal translucency and biochemical screening at our institution. Options included immediate (sequential testing) or later disclosure (integrated testing). Descriptions and a comparison of the options were included in the survey.
Results |
One hundred one women completed the questionnaires; 69.3% of the patients preferred sequential testing, compared with 30.7% of the patients who were either unsure or preferred integrated testing. Older patients and those patients with better background knowledge of screening tests preferred earlier disclosure of screening results (P=.035 and P=.026, respectively). Patients who preferred earlier disclosure also preferred termination of a Down syndrome pregnancy (P=.013).
Conclusion |
Older patients and those patients with a better understanding of screening tests preferred immediate disclosure of first-trimester risk assessment results; these women were more likely to prefer to terminate an affected pregnancy.
Le texte complet de cet article est disponible en PDF.Key words : Aneuploidy, Preference, Nuchal translucency
Plan
| Presented at the Fifty-Second Annual Meeting of the American College of Obstetricians and Gynecologists, Philadelphia, Pa, May 1-5, 2004. |
Vol 193 - N° 4
P. 1429-1436 - octobre 2005 Retour au numéro
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