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Saturday, December 28, 2013

Trailers (70): National nuchal translucency education and quality monitoring program

D’Alton et al. Implementation of a national nuchal translucency education and quality monitoring program

Why should you read about this topic?

Because it is important to know about the efforts to standardize and improve the accuracy of the nuchal translucency measurements.

What were the authors trying to do?

Describe the efforts to educate and monitor the quality of the NT measurements provided to pregnant women.

Who participated and in what setting?

Leaders and participants in the Nuchal Translucency Quality Review Program

What was the study design?

Current commentary

What were the main outcome measures?

Median nuchal translucency measurement multiples of the median and standard deviation of the nuchal translucency measurements

What were the results?

The majority of providers’ median MoM fell between 0.9-1.1.

What is the most interesting image in the paper?

Figure 3

What were the study strengths and weaknesses?

Strengths:  robust educational, quality monitoring, and remedial program.  Weaknesses: accuracy of diagnosis of aneuploidy not studied or publicly reported

What does the study contribute for your practice?

The National Translucency Quality Review Program is critically important for non-invasive prenatal testing in the US.