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Chang JL, Goldberg AN, Alt JA, Alzoubaidi M, Ashbrook L, Auckley D, Ayappa I, Bakhtiar H, Barrera JE, Bartley BL, Billings ME, Boon MS, Bosschieter P, Braverman I, Brodie K, Cabrera-Muffly C, Caesar R, Cahali MB, Cai Y, Cao M, Capasso R, Caples SM, Chahine LM, Chang CP, Chang KW, Chaudhary N, Cheong CSJ, Chowdhuri S, Cistulli PA, Claman D, Collen J, Coughlin KC, Creamer J, Davis EM, Dupuy-McCauley KL, Durr ML, Dutt M, Ali ME, Elkassabany NM, Epstein LJ, Fiala JA, Freedman N, Gill K, Boyd Gillespie M, Golisch L, Gooneratne N, Gottlieb DJ, Green KK, Gulati A, Gurubhagavatula I, Hayward N, Hoff PT, Hoffmann OM, Holfinger SJ, Hsia J, Huntley C, Huoh KC, Huyett P, Inala S, Ishman SL, Jella TK, Jobanputra AM, Johnson AP, Junna MR, Kado JT, Kaffenberger TM, Kapur VK, Kezirian EJ, Khan M, Kirsch DB, Kominsky A, Kryger M, Krystal AD, Kushida CA, Kuzniar TJ, Lam DJ, Lettieri CJ, Lim DC, Lin HC, Liu SY, MacKay SG, Magalang UJ, Malhotra A, Mansukhani MP, Maurer JT, May AM, Mitchell RB, Mokhlesi B, Mullins AE, Nada EM, Naik S, Nokes B, Olson MD, Pack AI, Pang EB, Pang KP, Patil SP, Van de Perck E, Piccirillo JF, Pien GW, Piper AJ, Plawecki A, Quigg M, Ravesloot MJ, Redline S, Rotenberg BW, Ryden A, Sarmiento KF, Sbeih F, Schell AE, Schmickl CN, Schotland HM, Schwab RJ, Seo J, Shah N, Shelgikar AV, Shochat I, Soose RJ, Steele TO, Stephens E, Stepnowsky C, Strohl KP, Sutherland K, Suurna MV, Thaler E, Thapa S, Vanderveken OM, de Vries N, Weaver EM, Weir ID, Wolfe LF, Tucker Woodson B, Won CH, Xu J, Yalamanchi P, Yaremchuk K, Yeghiazarians Y, Yu JL, Zeidler M, Rosen IM. International Consensus Statement on Obstructive Sleep Apnea. Int Forum Allergy Rhinol 2023;13:1061-1482. [PMID: 36068685 PMCID: PMC10359192 DOI: 10.1002/alr.23079] [Citation(s) in RCA: 34] [Impact Index Per Article: 34.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 08/12/2022] [Accepted: 08/18/2022] [Indexed: 11/08/2022]

Affiliation(s)

Jolie L. Chang University of California, San Francisco, California, USA
Andrew N. Goldberg University of California, San Francisco, California, USA
Jeremiah A. Alt University of Utah, Salt Lake City, Utah, USA
Mohammed Alzoubaidi Northwestern University, Chicago, Illinois, USA
Liza Ashbrook University of California, San Francisco, California, USA
Dennis Auckley Case Western Reserve University, Cleveland, Ohio, USA
Indu Ayappa Icahn School of Medicine at Mount Sinai, New York, New York, USA
Hira Bakhtiar Norwalk Hospital, Norwalk, Connecticut, USA
José E. Barrera Uniformed Services University, Washington D.C., USA
Bethany L. Bartley Harvard Medical School, Boston, Massachusetts, USA
Martha E. Billings University of Washington, Seattle, Washington, USA
Maurits S. Boon Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
Pien Bosschieter Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands
Itzhak Braverman Hillel Yaffe Medical Center, Hadera Technion, Faculty of Medicine, Hadera, Israel
Kara Brodie University of California, San Francisco, California, USA
Cristina Cabrera-Muffly University of Colorado School of Medicine, Aurora, Colorado, USA
Ray Caesar Stone Oak Orthodontics, San Antonio, Texas, USA
Michel B. Cahali University of Sao Paulo, São Paulo, Brazil
Yi Cai University of California, San Francisco, California, USA
Michelle Cao Stanford University, Palo Alto, California, USA
Robson Capasso Stanford University, Palo Alto, California, USA
Sean M. Caples Mayo Clinic, Rochester, Minnesota, USA
Lana M. Chahine University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Corissa P. Chang University of Pennsylvania, Philadelphia, Pennsylvania, USA
Katherine W. Chang Washington University, St. Louis, Missouri, USA
Nilika Chaudhary Brigham and Women’s Hospital, Boston, MA, USA
Crystal S. J. Cheong National University Hospital, Singapore
Susmita Chowdhuri Wayne State University and John D. Dingell VA Medical Center, Detroit, Michigan, USA
Peter A. Cistulli Faculty of Medicine and Health, University of Sydney, Sydney, Australia
David Claman University of California, San Francisco, California, USA
Jacob Collen Uniformed Services University, Bethesda, Maryland, USA
Kevin C. Coughlin University of Tennessee, Memphis, Tennessee, USA
Jennifer Creamer Uniformed Services University, Bethesda, Maryland, USA
Eric M. Davis University of Virginia, Charlottesville, Virginia, USA
Kara L. Dupuy-McCauley Mayo Clinic, Rochester, Minnesota, USA
Megan L. Durr Kaiser Permanente, Oakland, California, USA
Mohan Dutt University of Michigan, Ann Arbor, Michigan, USA
Mazen El Ali University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Nabil M. Elkassabany University of Virginia, Charlottesville, Virginia, USA
Lawrence J. Epstein Harvard Medical School, Boston, Massachusetts, USA
Justin A. Fiala Northwestern University, Chicago, Illinois, USA
Neil Freedman University of Chicago, Chicago, Illinois, USA
Kirat Gill Stanford University, Palo Alto, California, USA
M. Boyd Gillespie University of Tennessee, Memphis, Tennessee, USA
Lea Golisch University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
Nalaka Gooneratne University of Pennsylvania, Philadelphia, Pennsylvania, USA
Daniel J. Gottlieb Harvard Medical School, Boston, Massachusetts, USA
Katherine K. Green University of Colorado, Aurora, Colorado, USA
Arushi Gulati University of California, San Francisco, California, USA
Indira Gurubhagavatula University of Pennsylvania, Philadelphia, Pennsylvania, USA
Nathan Hayward Monash Health, Victoria, Australia
Paul T. Hoff University of Michigan, Ann Arbor, Michigan, USA
Oliver M.G. Hoffmann University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
Steven J. Holfinger Ohio State University, Columbus, Ohio, USA
Jennifer Hsia University of Minnesota, Minneapolis, Minnesota, USA
Colin Huntley Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania, USA
Kevin C. Huoh University of California, Irvine, California, USA
Phillip Huyett Harvard Medical School, Boston, Massachusetts, USA
Sanjana Inala Icahn School of Medicine at Mount Sinai, New York, New York, USA
Stacey L. Ishman University of Cincinnati, Cincinnati, Ohio, USA
Tarun K. Jella Case Western Reserve University, Cleveland, Ohio, USA
Aesha M. Jobanputra Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
Andrew P. Johnson University of Colorado School of Medicine, Aurora, Colorado, USA
Mithri R. Junna Mayo Clinic, Rochester, Minnesota, USA
Jenna T. Kado University of Toledo, Toledo, Ohio, USA
Thomas M. Kaffenberger University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Vishesh K. Kapur University of Washington, Seattle, Washington, USA
Eric J. Kezirian University of Southern California, Los Angeles, California, USA
Meena Khan Ohio State University, Columbus, Ohio, USA
Douglas B. Kirsch University of North Carolina School of Medicine, Charlotte
Alan Kominsky Cleveland Clinic Head and Neck Institute, Cleveland, Ohio, USA
Meir Kryger Yale School of Medicine, New Haven, Connecticut, USA
Andrew D. Krystal University of California, San Francisco, California, USA
Clete A. Kushida Stanford University, Palo Alto, California, USA
Thomas J. Kuzniar University of Chicago, Chicago, Illinois, USA
Derek J. Lam Oregon Health and Science University, Portland, Oregon, USA
Christopher J. Lettieri Uniformed Services University, Bethesda, Maryland, USA
Diane C. Lim University of Miami, Miami, Florida, USA
Hsin-Ching Lin Chang Gung University, Kaohsiung, Taiwan
Stanley Y.C. Liu Stanford University, Palo Alto, California, USA
Stuart G. MacKay University of Wollongong, Wollongong, Australia
Ulysses J. Magalang Ohio State University, Columbus, Ohio, USA
Atul Malhotra University of California, San Diego, California, USA
Meghna P. Mansukhani Mayo Clinic, Rochester, Minnesota, USA
Joachim T. Maurer University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany
Anna M. May Case Western Reserve University, Cleveland, Ohio, USA
Ron B. Mitchell University of Texas, Southwestern and Children’s Medical Center Dallas, Texas, USA
Babak Mokhlesi Rush University Medical Center, Chicago, IL, USA
Anna E. Mullins University of Chicago, Chicago, Illinois, USA
Eman M. Nada Stony Brook University, New York, New York, USA
Sreelatha Naik Geisinger Health System, Danville, California, USA
Brandon Nokes University of California, San Diego, California, USA
Michael D. Olson Mayo Clinic, Rochester, Minnesota, USA
Allan I. Pack University of Pennsylvania, Philadelphia, Pennsylvania, USA
Edward B. Pang University of Glasgow, Glasgow, UK
Kenny P. Pang Paragon Medical Centre, Singapore
Susheel P. Patil Case Western Reserve University, Cleveland, Ohio, USA
Eli Van de Perck University of Antwerp, Belgium
Jay F. Piccirillo Washington University, St. Louis, Missouri, USA
Grace W. Pien Johns Hopkins University, Baltimore, Maryland, USA
Amanda J. Piper University of Sydney, Sydney, Australia
Andrea Plawecki Henry Ford Health, Detroit, Michigan, USA
Mark Quigg University of Virginia, Charlottesville, Virginia, USA
Madeline J.L. Ravesloot OLVG, Amsterdam, The Netherlands
Susan Redline Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Brian W. Rotenberg Western University, Ontario, Canada
Armand Ryden Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, USA
Kathleen F. Sarmiento University of California, San Francisco, California, USA
Firas Sbeih Cleveland Clinic Head and Neck Institute, Cleveland, Ohio, USA
Amy E. Schell University of Colorado, Aurora, Colorado, USA
Christopher N. Schmickl University of California, San Diego, California, USA
Helena M. Schotland Icahn School of Medicine at Mount Sinai, New York, New York, USA
Richard J. Schwab University of Pennsylvania, Philadelphia, Pennsylvania, USA
Jiyeon Seo University of California, Los Angeles, California, USA
Neomi Shah Icahn School of Medicine at Mount Sinai, New York, New York, USA
Anita Valanju Shelgikar University of Michigan, Ann Arbor, Michigan, USA
Isaac Shochat Hillel Yaffe Medical Center, Hadera, Israel
Ryan J. Soose University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Toby O. Steele University of California, Davis, California, USA
Erika Stephens University of California, San Francisco, California, USA
Carl Stepnowsky University of California, San Diego, California, USA
Kingman P. Strohl Case Western Reserve University, Cleveland, Ohio, USA
Kate Sutherland University of Sydney, Sydney, Australia
Maria V. Suurna Weill Cornell Medicine, New York, New York, USA
Erica Thaler University of Pennsylvania, Philadelphia, Pennsylvania, USA
Sritika Thapa Yale School of Medicine, New Haven, Connecticut, USA
Olivier M. Vanderveken University of Antwerp, Belgium
Nico de Vries Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands
Edward M. Weaver University of Washington, Seattle, Washington, USA
Ian D. Weir Yale School of Medicine, New Haven, Connecticut, USA
Lisa F. Wolfe Northwestern University, Chicago, Illinois, USA
B. Tucker Woodson Medical College of Wisconsin, Milwaukee, Wisconsin, USA
Christine H.J. Won Yale School of Medicine, New Haven, Connecticut, USA
Josie Xu University of Toronto, Ontario, Canada
Pratyusha Yalamanchi University of Michigan, Ann Arbor, Michigan, USA
Kathleen Yaremchuk Henry Ford Health, Detroit, Michigan, USA
Yerem Yeghiazarians University of California, San Francisco, California, USA
Jason L. Yu Emory University, Georgia, USA
Michelle Zeidler University of California, Los Angeles, California, USA
Ilene M. Rosen University of Pennsylvania, Philadelphia, Pennsylvania, USA

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Bardi F, Bosschieter P, Verheij J, Go A, Haak M, Bekker M, Sikkel E, Coumans A, Pajkrt E, Bilardo C. Is there still a role for nuchal translucency measurement in the changing paradigm of first trimester screening? Prenat Diagn 2019;40:197-205. [PMID: 31697852 PMCID: PMC7027496 DOI: 10.1002/pd.5590] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Revised: 08/05/2019] [Accepted: 09/30/2019] [Indexed: 12/17/2022]

Abstract

Objectives

To give an overview of the genetic and structural abnormalities occurring in fetuses with nuchal translucency (NT) measurement exceeding the 95th percentile at first‐trimester screening and to investigate which of these abnormalities would be missed if cell‐free fetal DNA (cfDNA) were used as a first‐tier screening test for chromosomal abnormalities.

Methods

This is a national study including 1901 pregnancies with NT≥95th percentile referred to seven university hospitals in the Netherlands between 1 January 2010 and 1 January 2016. All cases with unknown pregnancy outcome were excluded. Results of detailed ultrasound examinations, karyotyping, genotyping, pregnancy and neonatal outcomes, investigation by a clinical geneticist and post‐mortem investigations were collected.

Results

In total, 821 (43%) pregnancies had at least one abnormality. The rate of abnormalities was 21% for fetuses with NT between 95^th and 99^th percentile and 62% for fetuses with NT≥99^th percentile. Prevalence of single‐gene disorders, submicroscopic, chromosomal and structural abnormalities was 2%, 2%, 30% and 9%, respectively.

Conclusion

Although cfDNA is superior to the combined test, especially for the detection of trisomy 21, 34% of the congenital abnormalities occurring in fetuses with increased NT may remain undetected in the first trimester of pregnancy, unless cfDNA is used in combination with fetal sonographic assessment, including NT measurement.

What's already known about this topic?

Nuchal translucency is associated with a wide range of chromosomal and structural abnormalities.

What does this study add?

If cell‐free DNA were used as the only first trimester screening test, 34% of fetal congenital abnormalities would be missed in the first trimester of pregnancy.

In high‐risk pregnancies with increased nuchal translucency (NT≥95^th percentile), 23% of abnormalities are found in fetuses with NT between 95^th and 99^th percentile.

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