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Erroneous production of PAPP-A kits: the impact of a downward shift in PAPP-A concentration on the test performance of first-trimester combined screening for Down syndrome
Authors:P N A C M van Heesch  Y B de Rijke  J A M Laudy  H I J Wildschut
Institution:1. Department of Obstetrics and Gynaecology, Division of Obstetrics and Prenatal Medicine, University Medical Center, Rotterdam, The Netherlands;2. Department of Clinical Chemistry, Erasmus MC, University Medical Center, Rotterdam, The Netherlands

Prenatal Centre Rijnmond, Star Medical Diagnostic Centre, Rotterdam, The Netherlands;3. Prenatal Centre Rijnmond, Star Medical Diagnostic Centre, Rotterdam, The Netherlands

Foundation for Prenatal Screening in the southwest of the Netherlands, Rotterdam, The Netherlands.;4. Department of Obstetrics and Gynaecology, Division of Obstetrics and Prenatal Medicine, University Medical Center, Rotterdam, The Netherlands

Foundation for Prenatal Screening in the southwest of the Netherlands, Rotterdam, The Netherlands.

Abstract:
Keywords:β-hCG  biochemical screening  Down syndrome  first-trimester screening  NT  PAPP-A
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