Analysis of Guangxi congenital hypothyroidism newborn screening and discussion the cutoff value

FAN Xin,CHEN Shao-ke,LIN Cai-juan,LI Wang,FENG Shi-han,LUO Jing-si,QIAN Jia-le,GUO Xiao-fang,LI Zheng,HE Chun-yu

Chinese Journal of Child Health Care ›› 2012, Vol. 20 ›› Issue (3) : 248-250.

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PDF(425 KB)
Chinese Journal of Child Health Care ›› 2012, Vol. 20 ›› Issue (3) : 248-250.

Analysis of Guangxi congenital hypothyroidism newborn screening and discussion the cutoff value

  • FAN Xin,CHEN Shao-ke,LIN Cai-juan,LI Wang,FENG Shi-han,LUO Jing-si,QIAN Jia-le,GUO Xiao-fang,LI Zheng,HE Chun-yu
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Abstract

【Objective】 In order to know the distribution of TSH and incidence of congintal hypothroid newborns in Guangxi provinces,and study the cutoff for newborn screen. 【Method】 The dates of newborn screen centre of Guangxi Zhuang Autoumous Region were analyzed,which was about 270 590 neonatals,and calculated the TSH cutoff by percent and ROC curve,then,analyzed the complexion of sufferers by different cutoff. 【Results】 The distribution of newborn screen was deflection,P50 was 1.89 mU/L,P99 was 8.13 mU/L,combined with ROC curve,the cutoff of our lab was 8.1 mU/L. 【Conclusion】 Different cutoff effect the consequences of newborn screen.To establish establish the suitable cutoff based on lab is important.

Key words

congenital hypothyroidism / newborn screen / cutoff / thyrotropic-stimulating hormone

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FAN Xin,CHEN Shao-ke,LIN Cai-juan,LI Wang,FENG Shi-han,LUO Jing-si,QIAN Jia-le,GUO Xiao-fang,LI Zheng,HE Chun-yu. Analysis of Guangxi congenital hypothyroidism newborn screening and discussion the cutoff value[J]. Chinese Journal of Child Health Care. 2012, 20(3): 248-250

References

[1] 顾学范,叶军.新生儿疾病筛查[M].上海:上海科学技术文献出版社:2129-2138.
[2] 中华医学会儿科学分会内分泌遗传代谢学组,中华预防医学会儿童保健分会新生儿疾病筛查学组.先天性甲状腺功能减低症诊疗共识[J].中华儿科杂志,2011,49(6):421-423.
[3] 陈肖肖,秦玉峰,曲一平,等.新生儿先天性甲状腺功能减退症筛查中TSH切值的探讨[J].中华内分泌代谢杂志,2008,24(6):639-640.
[4] 王薇,王治国,李少男.全国新生儿疾病筛查实验室苯丙氨酸和促甲状腺素检测的质量评价[J].广东医学,29(3):353-356.
[5] Zphel K,Wunderlich G,Grüning T,et al.Where does subclinical hypothyroidism start?Implications for the definition of the upper reference limit for thyroid stimulating hormone.[J].Nuklearmedizin,2005,44(2):56-61.
[6] 关海霞,陈彦彦,单忠艳.正常甲状腺功能人群血清促甲状腺激素变化的五年随访研究[J].中华内科杂志,2009,48(4):308-311.
[7] 贾雪芳,曹伟锋,江剑辉.季节变化对干血片促甲状腺素测值的影响[J].广东医学,2009,30(9):1227-1228.
[8] Hertzberg V,Mei J,Therrell BL.Effect of laboratory practices on the incidence rate of congenital hypothyroidism[J].Pediatrics,2010,125(2):48-53.
[9] WHO/UNIEF/ICCIDD.Indicators for assessing iodine deficiency disorders and their elimination through salt iodization[R].Geneva,1994:WHO/NUT/94,6:1-55.
[10] Rastogi MV,LaFranchi SH.Congenital hypothyroidism[J].Orphanet J Rare Dis,2010,6(5):1-22.
[11] Harris KB,Pass KA:Increase in congenital hypothyroidism in New York State and in the United States[J].MolGenetMetab,2007,91(3):268-277.
[12] LaFranchi SH.Newborn screening strategies for congenital hypothyroidism: an update[J].J Inherit Metab Dis,2010,33(2): 225-233.
[13] 顾学范,王治国.中国580万新生儿苯丙酮尿症和先天性甲状腺功能减低症的筛查[J].中华预防医学杂志,2004,38(2):99-101.
[14] Delado y J,Ruel J,Giguère Y,et al.Is the incidence of congenital hypothyroidism really increasing?A 20-year retrospective population-based study in Québec[J].J Clin Endocrinol Metab,2011,96(8):2422-2429.
[15] Corbetta C,Weber G,Cortinovis F,et al.A 7-year experience with low blood TSH cutoff levels for neonatal screening reveals an unsuspected frequency of congenital hypothyroidism (CH) [J].Clin Endocrinol (Oxf),2009,71(5):739-745.
[16] Mengreli C,Kanaka-Gantenbein C.Screening for congenital hypothyroidism: the significance of threshold limit in false-negative results[J].J Clin Endocrinol Metab,2010,95(9):4283-4290.
[17] Cushing GW.Subclinical hypothyroidism.Understanding is the key to decision making[J].Postgrad Med,1993,94(1):95-97,100-102,106-107.
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