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  • Background: In recent years different IRT/PAP protocols have been evaluated, but the individual performance remains unclear. To optimize the IRT/PAP strategy we compared protocols from three regional CF newborn screening centers (Heidelberg, Dresden, and Prague). Methods: We evaluated the effect of elevating the IRT-cut-off from 50 to 65 mu g/l (similar to 97.5th to similar to 99.0th percentile), the need of a failsafe protocol (FS, lRT }= 99.9th percentile) and the relative performance using either two lRT-dependent PAP-cut-offs or one PAP-cut-off. Findings: Elevation of the IRT cut-off to 65 mu g/l (similar to 99.0th percentile) increased the PPV significantly (Dresden: 0.065 vs. 0.080, p <0.0001, Prague: 0.052 vs. 0.074, p <0.0001) without reducing sensitivity. All three IRT/PAP protocols showed a trend towards a higher sensitivity with FS than without and when using one PAP-cut-off instead of two IRT-dependent PAP-cut-offs. Conclusions: For best performance we suggest an IRT/PAP protocol with an lRT-cut-off close to the 99.0th percentile, FS, and a single PAP-cut-off. (C) 2013 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.
  • Background: In recent years different IRT/PAP protocols have been evaluated, but the individual performance remains unclear. To optimize the IRT/PAP strategy we compared protocols from three regional CF newborn screening centers (Heidelberg, Dresden, and Prague). Methods: We evaluated the effect of elevating the IRT-cut-off from 50 to 65 mu g/l (similar to 97.5th to similar to 99.0th percentile), the need of a failsafe protocol (FS, lRT }= 99.9th percentile) and the relative performance using either two lRT-dependent PAP-cut-offs or one PAP-cut-off. Findings: Elevation of the IRT cut-off to 65 mu g/l (similar to 99.0th percentile) increased the PPV significantly (Dresden: 0.065 vs. 0.080, p <0.0001, Prague: 0.052 vs. 0.074, p <0.0001) without reducing sensitivity. All three IRT/PAP protocols showed a trend towards a higher sensitivity with FS than without and when using one PAP-cut-off instead of two IRT-dependent PAP-cut-offs. Conclusions: For best performance we suggest an IRT/PAP protocol with an lRT-cut-off close to the 99.0th percentile, FS, and a single PAP-cut-off. (C) 2013 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved. (en)
Title
  • Comparison of different IRT-PAP protocols to screen newborns for cystic fibrosis in three central European populations
  • Comparison of different IRT-PAP protocols to screen newborns for cystic fibrosis in three central European populations (en)
skos:prefLabel
  • Comparison of different IRT-PAP protocols to screen newborns for cystic fibrosis in three central European populations
  • Comparison of different IRT-PAP protocols to screen newborns for cystic fibrosis in three central European populations (en)
skos:notation
  • RIV/00216208:11130/14:10210611!RIV15-MSM-11130___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 8052
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11130/14:10210611
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Immunoreactive trypsinogen; Pancreatitis associated protein; Biochemical screening; Newborn screening; Cystic fibrosis (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • NL - Nizozemsko
http://linked.open...ontrolniKodProRIV
  • [7C505E4668AE]
http://linked.open...i/riv/nazevZdroje
  • Journal of Cystic Fibrosis
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 13
http://linked.open...iv/tvurceVysledku
  • Votava, Felix
  • Macek, Milan
  • Skalická, Veronika
  • Balaščaková, Miroslava
  • Krulišová, Veronika
  • Gahr, Manfred
  • Hammermann, Jutta
  • Happich, Margit
  • Hoffinann, Georg F.
  • Kohlmueller, Dirk
  • Kulozik, Andreas E.
  • Lindner, Martin
  • Mall, Marcus A.
  • Muckenthaler, Martina
  • Sommerburg, Olaf
  • Stahl, Mirjam
  • Stopsack, Marina
http://linked.open...ain/vavai/riv/wos
  • 000329951600003
issn
  • 1569-1993
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.jcf.2013.06.003
http://localhost/t...ganizacniJednotka
  • 11130
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