Normative weight-adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in a specific ethnicity.

<h4>Objective</h4>To establish normative weight-adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in southern Thai women, and to compare these reference levels with Caucasian-specific and northern Thai models.<h4>Methods</h4>A...

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Main Authors: Ounjai Kor-Anantakul, Thitima Suntharasaj, Chitkasaem Suwanrath, Tharangrut Hanprasertpong, Savitree Pranpanus, Ninlapa Pruksanusak, Suthiraporn Janwadee, Alan Geater
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0182538&type=printable
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author Ounjai Kor-Anantakul
Thitima Suntharasaj
Chitkasaem Suwanrath
Tharangrut Hanprasertpong
Savitree Pranpanus
Ninlapa Pruksanusak
Suthiraporn Janwadee
Alan Geater
author_facet Ounjai Kor-Anantakul
Thitima Suntharasaj
Chitkasaem Suwanrath
Tharangrut Hanprasertpong
Savitree Pranpanus
Ninlapa Pruksanusak
Suthiraporn Janwadee
Alan Geater
author_sort Ounjai Kor-Anantakul
collection DOAJ
description <h4>Objective</h4>To establish normative weight-adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in southern Thai women, and to compare these reference levels with Caucasian-specific and northern Thai models.<h4>Methods</h4>A cross-sectional study was conducted in 1,150 normal singleton pregnancy women to determine serum pregnancy-associated plasma protein-A (PAPP-A) and free β-human chorionic gonadotropin (β-hCG) concentrations in women from southern Thailand. The predicted median values were compared with published equations for Caucasians and northern Thai women.<h4>Results</h4>The best-fitting regression equations for the expected median serum levels of PAPP-A (mIU/L) and free β- hCG (ng/mL) according to maternal weight (Wt in kg) and gestational age (GA in days) were: [Formula: see text] and [Formula: see text] Both equations were selected with a statistically significant contribution (p< 0.05). Compared with the Caucasian model, the median values of PAPP-A were higher and the median values of free β-hCG were lower in the southern Thai women. And compared with the northern Thai models, the median values of both biomarkers were lower in southern Thai women.<h4>Conclusion</h4>The study has successfully developed maternal-weight- and gestational-age-adjusted median normative models to convert the PAPP-A and free β-hCG levels into their Multiple of Median equivalents in southern Thai women. These models confirmed ethnic differences.
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spelling doaj-art-dfd2f7de439b4305a55e4f858274e0e62025-08-20T02:03:59ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01128e018253810.1371/journal.pone.0182538Normative weight-adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in a specific ethnicity.Ounjai Kor-AnantakulThitima SuntharasajChitkasaem SuwanrathTharangrut HanprasertpongSavitree PranpanusNinlapa PruksanusakSuthiraporn JanwadeeAlan Geater<h4>Objective</h4>To establish normative weight-adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in southern Thai women, and to compare these reference levels with Caucasian-specific and northern Thai models.<h4>Methods</h4>A cross-sectional study was conducted in 1,150 normal singleton pregnancy women to determine serum pregnancy-associated plasma protein-A (PAPP-A) and free β-human chorionic gonadotropin (β-hCG) concentrations in women from southern Thailand. The predicted median values were compared with published equations for Caucasians and northern Thai women.<h4>Results</h4>The best-fitting regression equations for the expected median serum levels of PAPP-A (mIU/L) and free β- hCG (ng/mL) according to maternal weight (Wt in kg) and gestational age (GA in days) were: [Formula: see text] and [Formula: see text] Both equations were selected with a statistically significant contribution (p< 0.05). Compared with the Caucasian model, the median values of PAPP-A were higher and the median values of free β-hCG were lower in the southern Thai women. And compared with the northern Thai models, the median values of both biomarkers were lower in southern Thai women.<h4>Conclusion</h4>The study has successfully developed maternal-weight- and gestational-age-adjusted median normative models to convert the PAPP-A and free β-hCG levels into their Multiple of Median equivalents in southern Thai women. These models confirmed ethnic differences.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0182538&type=printable
spellingShingle Ounjai Kor-Anantakul
Thitima Suntharasaj
Chitkasaem Suwanrath
Tharangrut Hanprasertpong
Savitree Pranpanus
Ninlapa Pruksanusak
Suthiraporn Janwadee
Alan Geater
Normative weight-adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in a specific ethnicity.
PLoS ONE
title Normative weight-adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in a specific ethnicity.
title_full Normative weight-adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in a specific ethnicity.
title_fullStr Normative weight-adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in a specific ethnicity.
title_full_unstemmed Normative weight-adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in a specific ethnicity.
title_short Normative weight-adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in a specific ethnicity.
title_sort normative weight adjusted models for the median levels of first trimester serum biomarkers for trisomy 21 screening in a specific ethnicity
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0182538&type=printable
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