Uptake of non-invasive prenatal testing in Chinese women: money matters.
Eur J Obstet Gynecol Reprod Biol
; 195: 100-102, 2015 Dec.
Article
em En
| MEDLINE
| ID: mdl-26512434
ABSTRACT
OBJECTIVE:
To determine the influence of free invasive prenatal testing on the uptake of non-invasive prenatal testing (NIPT). STUDYDESIGN:
Over a 2-year period at a Chinese tertiary prenatal diagnostic unit, women at risk of fetal trisomy were given the option of NIPT or invasive prenatal testing. Invasive prenatal testing was offered free of charge to women with a local Hukou (household registration); however, women without a local Hukou were charged for invasive prenatal testing. Both women with and without a local Hukou were charged for NIPT.RESULTS:
During the first year, 2647 women with a positive trisomy 21 screening test were referred (474 women with a local Hukou and 2173 women without a local Hukou). Only 1.6% of the women with a local Hukou underwent NIPT, while this proportion was 20.6% in the women without a local Hukou. During the second year, the price of NIPT was reduced. The total number of women referred was 3047 (502 women with a local Hukou and 2545 women without a local Hukou). The uptake of NIPT in women without a local Hukou doubled, but the uptake of NIPT remained stable in women with a local Hukou.CONCLUSION:
The financial impact on the uptake of NIPT should not be underestimated.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Diagnóstico Pré-Natal
/
DNA
/
Testes Genéticos
/
Gastos em Saúde
/
Síndrome de Down
/
Tomada de Decisões
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Região como assunto:
Asia
Idioma:
En
Revista:
Eur J Obstet Gynecol Reprod Biol
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
China