Eficacia del diagnóstico prenatal no invasivo por células fetales libres en sangre materna 1990-2014. Revisión sistemática

ANTECEDENTES: El aislamiento de células fetales libres o ADN fetal en sangre materna abre una ventana de posibilidades diagnósticas no invasivas para patologías monogénicas y cromosómicas, además de permitir la identificación del sexo y del RH fetal. Actualmente existen múltiples estudios que evalúa...

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Fecha de publicación:
2015
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Universidad del Rosario
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Repositorio EdocUR - U. Rosario
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spa
OAI Identifier:
oai:repository.urosario.edu.co:10336/10537
Acceso en línea:
https://doi.org/10.48713/10336_10537
http://repository.urosario.edu.co/handle/10336/10537
Palabra clave:
Diagnóstico prenatal
Método no invasivo
células fetales libres
revision sistemática
Ginecología & otras especialidades médicas
Epidemiología
Obstetricia
Embarazo
Prenatal diagnosis
fetal cells
non invasive
systematic review
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License
Abierto (Texto completo)
id EDOCUR2_8462a0219ae086320197d3bc74453ced
oai_identifier_str oai:repository.urosario.edu.co:10336/10537
network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
dc.title.spa.fl_str_mv Eficacia del diagnóstico prenatal no invasivo por células fetales libres en sangre materna 1990-2014. Revisión sistemática
title Eficacia del diagnóstico prenatal no invasivo por células fetales libres en sangre materna 1990-2014. Revisión sistemática
spellingShingle Eficacia del diagnóstico prenatal no invasivo por células fetales libres en sangre materna 1990-2014. Revisión sistemática
Diagnóstico prenatal
Método no invasivo
células fetales libres
revision sistemática
Ginecología & otras especialidades médicas
Epidemiología
Obstetricia
Embarazo
Prenatal diagnosis
fetal cells
non invasive
systematic review
title_short Eficacia del diagnóstico prenatal no invasivo por células fetales libres en sangre materna 1990-2014. Revisión sistemática
title_full Eficacia del diagnóstico prenatal no invasivo por células fetales libres en sangre materna 1990-2014. Revisión sistemática
title_fullStr Eficacia del diagnóstico prenatal no invasivo por células fetales libres en sangre materna 1990-2014. Revisión sistemática
title_full_unstemmed Eficacia del diagnóstico prenatal no invasivo por células fetales libres en sangre materna 1990-2014. Revisión sistemática
title_sort Eficacia del diagnóstico prenatal no invasivo por células fetales libres en sangre materna 1990-2014. Revisión sistemática
dc.contributor.advisor.none.fl_str_mv Amaya-Amaya, Jenny
dc.subject.spa.fl_str_mv Diagnóstico prenatal
Método no invasivo
células fetales libres
revision sistemática
topic Diagnóstico prenatal
Método no invasivo
células fetales libres
revision sistemática
Ginecología & otras especialidades médicas
Epidemiología
Obstetricia
Embarazo
Prenatal diagnosis
fetal cells
non invasive
systematic review
dc.subject.ddc.none.fl_str_mv Ginecología & otras especialidades médicas
dc.subject.decs.spa.fl_str_mv Epidemiología
Obstetricia
Embarazo
dc.subject.keyword.eng.fl_str_mv Prenatal diagnosis
fetal cells
non invasive
systematic review
description ANTECEDENTES: El aislamiento de células fetales libres o ADN fetal en sangre materna abre una ventana de posibilidades diagnósticas no invasivas para patologías monogénicas y cromosómicas, además de permitir la identificación del sexo y del RH fetal. Actualmente existen múltiples estudios que evalúan la eficacia de estos métodos, mostrando resultados costo-efectivos y de menor riesgo que el estándar de oro. Este trabajo describe la evidencia encontrada acerca del diagnóstico prenatal no invasivo luego de realizar una revisión sistemática de la literatura. OBJETIVOS: El objetivo de este estudio fue reunir la evidencia que cumpla con los criterios de búsqueda, en el tema del diagnóstico fetal no invasivo por células fetales libres en sangre materna para determinar su utilidad diagnóstica.  MÉTODOS: Se realizó una revisión sistemática de la literatura con el fin de determinar si el diagnóstico prenatal no invasivo por células fetales libres en sangre materna es efectivo como método de diagnóstico.  RESULTADOS: Se encontraron 5,893 artículos que cumplían con los criterios de búsqueda; 67 cumplieron los criterios de inclusión: 49.3% (33/67) correspondieron a estudios de corte transversal, 38,8% (26/67) a estudios de cohortes y el 11.9% (8/67) a estudios casos y controles. Se obtuvieron resultados de sensibilidad, especificidad y tipo de prueba. CONCLUSIÓN: En la presente revisión sistemática, se evidencia como el diagnóstico prenatal no invasivo es una técnica feasible, reproducible y sensible para el diagnóstico fetal, evitando el riesgo de un diagnóstico invasivo.
publishDate 2015
dc.date.accessioned.none.fl_str_mv 2015-06-09T18:54:08Z
dc.date.available.none.fl_str_mv 2015-06-09T18:54:08Z
dc.date.created.none.fl_str_mv 2015-05-27
dc.date.issued.none.fl_str_mv 2015
dc.type.eng.fl_str_mv bachelorThesis
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.spa.spa.fl_str_mv Trabajo de grado
dc.identifier.doi.none.fl_str_mv https://doi.org/10.48713/10336_10537
dc.identifier.uri.none.fl_str_mv http://repository.urosario.edu.co/handle/10336/10537
url https://doi.org/10.48713/10336_10537
http://repository.urosario.edu.co/handle/10336/10537
dc.language.iso.none.fl_str_mv spa
language spa
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.spa.fl_str_mv Abierto (Texto completo)
dc.rights.cc.spa.fl_str_mv Atribución-NoComercial-SinDerivadas 2.5 Colombia
Atribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rights.uri.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/2.5/co/
rights_invalid_str_mv Abierto (Texto completo)
Atribución-NoComercial-SinDerivadas 2.5 Colombia
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
http://purl.org/coar/access_right/c_abf2
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad del Rosario
dc.publisher.department.spa.fl_str_mv Facultad de medicina
institution Universidad del Rosario
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spelling Amaya-Amaya, Jenny06d01a9c-7112-4ad7-b82e-5dedc26c7a1f-1Perez Zauner, Ana MariaForero Isaza, Maria del RosarioValderrama Beltran, NicoleEspecialista en Epidemiología (en Convenio con el CES)52299045-b1b7-4b03-a2b4-34e8c63c1b6a-1352ffccf-494b-4aa1-8777-41507cd078c1-1dbdc19a1-ac0d-459a-aae8-3423923cf0d7-12015-06-09T18:54:08Z2015-06-09T18:54:08Z2015-05-272015ANTECEDENTES: El aislamiento de células fetales libres o ADN fetal en sangre materna abre una ventana de posibilidades diagnósticas no invasivas para patologías monogénicas y cromosómicas, además de permitir la identificación del sexo y del RH fetal. Actualmente existen múltiples estudios que evalúan la eficacia de estos métodos, mostrando resultados costo-efectivos y de menor riesgo que el estándar de oro. Este trabajo describe la evidencia encontrada acerca del diagnóstico prenatal no invasivo luego de realizar una revisión sistemática de la literatura. OBJETIVOS: El objetivo de este estudio fue reunir la evidencia que cumpla con los criterios de búsqueda, en el tema del diagnóstico fetal no invasivo por células fetales libres en sangre materna para determinar su utilidad diagnóstica.  MÉTODOS: Se realizó una revisión sistemática de la literatura con el fin de determinar si el diagnóstico prenatal no invasivo por células fetales libres en sangre materna es efectivo como método de diagnóstico.  RESULTADOS: Se encontraron 5,893 artículos que cumplían con los criterios de búsqueda; 67 cumplieron los criterios de inclusión: 49.3% (33/67) correspondieron a estudios de corte transversal, 38,8% (26/67) a estudios de cohortes y el 11.9% (8/67) a estudios casos y controles. Se obtuvieron resultados de sensibilidad, especificidad y tipo de prueba. CONCLUSIÓN: En la presente revisión sistemática, se evidencia como el diagnóstico prenatal no invasivo es una técnica feasible, reproducible y sensible para el diagnóstico fetal, evitando el riesgo de un diagnóstico invasivo.BACKGROUND: Isolation of free fetal cells or fetal DNA in maternal blood opens a window of possibilities for the noninvasive diagnosisof monogenic and chromosomal disorders, andin addition it allows the identification of fetal sex and RH. Currently, there are many studies that evaluate the effectiveness of these methods, showing cost-effective and less risky results than the gold standard. This paper describes the evidence found for noninvasive prenatal diagnosis after conducting a systematic review of the literature. OBJECTIVES: The aim of this study was to collect evidence that meets the search criteria on the matter of noninvasive fetal diagnosis through free fetal cells in maternal blood, to determine its diagnostic utility. METHODS: A systematic literature review was conducted to determine whether noninvasive prenatal diagnosis of fetal cells in maternal free blood is effective as a diagnostic method. RESULTS: 5,893 articles that met the search criteria were found; 67 met the inclusion criteria: 49.3% (33/67) were of cross-sectional studies, 38.8% (26/67) for cohort and 11.9% (8/67) case-control studies. Overall sensitivity, specificity and type of test were obtained. CONCLUSION: In this systematic review, evidence was foundthat noninvasive prenatal diagnosis is a feasible, reproducible and sensitive technique for fetal diagnosis, avoiding the risk of an invasive diagnosis.Ningunoapplication/pdfhttps://doi.org/10.48713/10336_10537 http://repository.urosario.edu.co/handle/10336/10537spaUniversidad del RosarioFacultad de medicinaAbierto (Texto completo)Atribución-NoComercial-SinDerivadas 2.5 ColombiaAtribución-NoComercial-SinDerivadas 2.5 ColombiaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. 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