Evidence map›Paper›PMID 41852206›Full record

ArticlePrenatal diagnosis2026

First-Trimester Down Syndrome Screening in Renal-Transplanted Pregnant Women: Blood Creatinine Levels Impact False-Positive Rate.

Clément Burgy, Lisa Chanourdie, Béatrice Guyard-Boileau, Anne-Laure Hebral, Annelise Genoux, Marie-Sophie Combis, Paul Guerby, Christophe Vayssiere, Safouane M Hamdi

Abstract read
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Article in Prenatal diagnosis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Clément BurgyLaboratoire de Biochimie, Institut Fédératif de Biologie, CHU de Toulouse, Toulouse, France.
Lisa ChanourdieLaboratoire de Biochimie, Institut Fédératif de Biologie, CHU de Toulouse, Toulouse, France.
Béatrice Guyard-BoileauService d'Obstétrique, Pôle Femme-Mère-Couple, CHU de Toulouse, Toulouse, France.
Anne-Laure HebralService d'Obstétrique, Pôle Femme-Mère-Couple, CHU de Toulouse, Toulouse, France.
Annelise GenouxLaboratoire de Biochimie, Institut Fédératif de Biologie, CHU de Toulouse, Toulouse, France.
Marie-Sophie CombisLaboratoire de Biochimie, Institut Fédératif de Biologie, CHU de Toulouse, Toulouse, France.
Paul GuerbyService de Néphrologie et Transplantation d'organes, CHU de Toulouse, Toulouse, France.ORCID https://orcid.org/0000-0002-2662-4351
Christophe VayssiereService de Néphrologie et Transplantation d'organes, CHU de Toulouse, Toulouse, France.
Safouane M HamdiLaboratoire de Biochimie, Institut Fédératif de Biologie, CHU de Toulouse, Toulouse, France.ORCID https://orcid.org/0000-0002-2434-3441

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOver the past few decades, several thousand pregnancies following kidney transplantation have been monitored but few studies have reported on first-trimester Down syndrome screening. This study aimed to assess the performance of such screening and its relationship with renal function.

methodWe retrieved data on 16 pregnancies after kidney transplantation and 30 controls matched for age, weight and gestational age. First-trimester blood creatinine levels were systematically researched. Among other variables, multiples of the median (MoM) values for free-βhCG, pregnancy-associated plasma protein-A (PAPP-A), nuchal translucency were compared. After statistical review, we combined our cases group with that of a previous study to obtain a cohort of 27 post-transplantation pregnancies to explore correlations between variables.

resultsMedian values of fβ-hCG MoM of cases and controls were significantly different (2.02 vs. 0.92; p < 0.001) whereas those of PAPP-A and NT MoM were not. Screen positive rate (SPR) were respectively 44% and 17% (cut-off 1/1000). Linear regressions were observed for fβ-hCG MoM and creatinine, but not for PAPP-A, in our initial case group (r = 0.699, p = 0.025) and the merged group (r = 0.724, p < 0.001).

conclusionWe confirmed a specific profile for first-trimester screening variables in first-trimester post-transplantation pregnancies and the impact of renal function, through creatinine levels, on SPR.

Indexed as

CreatinineDown SyndromeKidney TransplantationPregnancy Trimester, FirstPrenatal DiagnosisAdultCase-Control StudiesChorionic Gonadotropin, beta Subunit, HumanFalse Positive ReactionsFemaleHumansNuchal Translucency MeasurementPregnancyPregnancy-Associated Plasma Protein-AChorionic Gonadotropin, beta Subunit, HumanCreatininePregnancy-Associated Plasma Protein-A

Identifiers

PMID41852206
PMCPMC13255156

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.