Re: Triscreen question

From: Bernard Cristalli (bcrist@club-internet.fr)
Thu May 13 14:25:54 1999


the age only is a risk. Well, 1 on 100 is not much, it makes 99 chances and one risk. But if you are the 100th it makes 100% bad luck and you got it for a lifetime.

--
Hugo D. Ribot Jr. a écrit:

> Ladies & Gentlemen: > > I hope this isn't so obvious it's stupid, but do y'all consider it a "positive > screen" if you have a patient age 38, who doesn't want amniocentesis, yet does > have triscreen, and report states: > MSAFP 43.6 ng/ml > Adj. MoM 1.1 > Unconj. E3 0.53 ng/ml > Adj. Mom 0.8 > Intact HcG 33502 miu/ml > Adj. Mom 1.1 > > Age Risk Down Syndrome: 1 in 100 - increased risk > Triple Test Risk Down Syndrome 1 in 197 - screen positive > > Or do you reassure the patient that the triscreen was "negative" because it > showed a numerically smaller risk than the one she has due to the age curve? > > Thanks for all opinions, especially Maternal-Fetal folks/biostatisticians/etc. > > Hugo > > Hugo D. Ribot Jr., M.D. > Cartersville, GA > Private practice since 1990

--
Bernard Cristalli MD CNGOF AMACOG
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm
http://www.cliniquedelessonne.fr/




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