MATERNAL SERUM ALPHA-FETOPROTEIN SCREENING - THE NEED TO USE RACE ETHNIC SPECIFIC MEDIANS IN ASIANS

被引:13
作者
OBRIEN, JE [1 ]
DRUGAN, A [1 ]
CHERVENAK, FA [1 ]
JOHNSON, MP [1 ]
ISADA, NB [1 ]
HALLAK, M [1 ]
EVANS, MI [1 ]
机构
[1] METPATH INC,TETERBORO,NJ
关键词
MATERNAL SERUM ALPHA-FETOPROTEIN; RACE-SPECIFIC NORM; ASIANS;
D O I
10.1159/000263854
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objectives. We questioned whether race-specific databases for maternal serum alpha-fetoprotein (MSAFP) screening should be added to those already available for African-American and white patients. Study design. We analyzed 138,272 MSAFP samples. The geographic origin of the samples was New York metropolitan area. Patients were classified as white, African-American, Hispanic or Asian. The usual adjustments were made and groups compared. Statistical analysis included ANOVA and multiple comparison test. Results. MSAFP values are highest (p < 0.05) for Asians, followed by African-Americans, Hispanics, and whites, although the difference between Hispanic and white was not significant. Conclusions. Four separate databases are definable if specimen quantity is sufficient. Race/ethnic specific databases are more likely to yield the most accurate detection of abnormal MSAFP values, and therefore, fetal anomalies.
引用
收藏
页码:367 / 370
页数:4
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