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All MoMs are not equal: some statistical properties associated with reporting results in the form of multiples of the median

Bishop, J. C., Dunstan, Frank David John, Nix, Arthur Barry, Reynolds, T. M. and Swift, A. 1993. All MoMs are not equal: some statistical properties associated with reporting results in the form of multiples of the median. American Journal of Human Genetics 52 (2) , pp. 425-430.

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Abstract

The statistical procedure for discriminating between a Down syndrome or neural tube defect (NTD) fetus and a normal fetus relies, to a great extent, on the reporting of maternal serum alpha-fetoprotein (MSAFP), hCG, and uE3 results in the form of multiples of the median (MoMs). Further, threshold MoMs values for MSAFP, such as 2.5 MoMs, are often used to define a reference range to identify an NTD fetus. We show that a constant threshold-MoMs cutoff for MSAFP values actually refers to different percentiles of MSAFP levels at different gestational ages and that the combining of MoMs values between centers and gestational ages, such as suggested by Wald et al. for deriving a patient-specific risk index, is highly questionable. The results presented in this paper are quite general and will apply to all situations where MoMs are used

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
R Medicine > RG Gynecology and obstetrics
R Medicine > RZ Other systems of medicine
Publisher: Elsevier
ISSN: 0002-9297
Related URLs:
Last Modified: 05 Nov 2019 04:11
URI: http://orca.cf.ac.uk/id/eprint/63925

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