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. 2017 Mar 15;2017(3):CD012599. doi: 10.1002/14651858.CD012599
Study Reason for exclusion
Aagaard‐Tillery 2010 Results presented in another study
Abbas 1995 Unable to extract useful data
Abdul‐Hamid 2004 No Down's syndrome pregnancies
Abraha 1999 Unable to extract useful data
Abu‐Rustum 2010 Not Down’s syndrome specific
Achiron 2010 Study only includes cases of Down’s syndrome
Adekunle 1999 Unable to extract useful information
Aitken 1993 Unable to extract useful data
Aitken 1996 Fewer than 80% of pregnancies had gestational age confirmed by USS
Aitken 1996a Fewer than 80% of pregnancies had gestational age confirmed by USS
Ajayi 2011 No diagnostic data
Akbas 2001 Less than 5 Down's syndrome pregnancies
Alexioy 2009 Study only includes test positives
Allingham‐Hawkins 2011 Quantitative fluorescent polymerase chain reaction study
American College 2009 Discussion article
Antona 1998 Likely fewer than 80% of pregnancies dated by USS
Antsaklis 1999 Women screened at greater than 24 weeks' gestation
Anuwutnavin 2009 Second trimester ultrasound
Ashwood 1987 Unable to extract useful data
Asrani 2005 Review article
Audibert 2001b Unable to ascertain whether part of screening population in Rozenberg et al. No response from authors therefore excluded to reduce risk of data replication
Axt‐Fleidner 2006 Unable to extract useful data
Azuma 2002 Unable to extract useful data
Baghagho 2004 Unable to obtain paper
Bahado‐Singh 1995 USS markers greater than 14 weeks' gestation
Bahado‐Singh 1996 USS markers greater than 14 weeks' gestation
Bahado‐Singh 1999 USS markers greater than 14 weeks' gestation
Bahado‐Singh 2002 USS markers greater than 14 weeks' gestation
Bahado‐Singh 2003 Review article
Ball 2007 Data from the FASTER trial
Bar‐Hava 2001 No Down's pregnancies in study population
Barkai 1996 No Down's pregnancies in study population
Barnabei 1995 No Down's pregnancies in study population
Bartels 1988 Unable to extract useful data
Bartels 1993 No Down's pregnancies in study population
Barth 1991 Second trimester ultrasound study
Bas‐Budecka 2007 No diagnostic data
Baviera 2004 Unclear method of confirmation of gestational age
Bazzett 1998 Male versus female fetuses
Beke 2008 Results are not specific to Down’s syndrome
Bellver 2005 No Down's syndrome pregnancies in study
Benn 1995 Less than 80% follow‐up
Benn 1996 Less than 80% follow‐up
Benn 1997 No Down's pregnancies in study population
Benn 1998 Less than 80% follow‐up
Benn 2001 Statistical modelling (computer simulation)
Benn 2002 Modelled data
Benn 2003 Less than 80% of pregnancies dated by USS
Benn 2003a Editorial
Benn 2005 No Down's pregnancies included
Benn 2005a Mathematical model
Benn 2007 No follow‐up information
Berry 1995 Less than 80% of pregnancies USS dated
Berry 1997 Less than 80% of pregnancies USS dated
Bersinger 1994 Gestational age not USS estimated
Bersinger 2000 Unable to extract useful data
Bersinger 2001 No Down's syndrome pregnancies in study population
Bersinger 2003 Unable to extract useful data
Bersinger 2004 No Down's syndrome pregnancies in study population
Bersinger 2005 No Down's syndrome pregnancies in study population
Bestwick 2008 All healthy pregnancies
Biggio 2004 Cost‐effectiveness analysis
Bilardo 2011 Not a proper sample ‐ most had elevated NT
Bindra 2002 Review article
Blundell 1999 Unable to extract useful data
Boormans 2010 Study of testing on amniocentesis samples
Boots 1989 Population risk factor calculations
Bornstein 2009a No diagnostic data
Bornstein 2009b No diagnostic data
Bornstein 2010 No diagnostic data
Borowski 2007 No diagnostic data
Borrell 2007 No follow‐up data
Borrell 2009 Based on SURUSS (Serum, Urine and Ultrasound Screening Study) data ‐ second trimester serum parameters not actually measured
Borruto 2002 Unable to extract useful data
Bottalico 2009 Second trimester ultrasound
Boue 1990 Review article
Bradley 1994 Screen negative population gestations not confirmed by ultrasound
Braithwaite 1996 Review article
Brambati 1995 USS screening inclusive of women greater than 14 weeks' gestation
Brambati 1996 Review article
Brizot 1995 Unable to extract useful data
Brizot 1995a Unable to extract useful data
Brizzi 1989a Second trimester ultrasound
Brock 1990 Unable to extract useful data
Calda 2010 No data for false positive rates
Campogrande 2001 Unable to extract useful data
Canick 1988 Unable to extract useful data
Canick 1995 Unable to extract useful data
Canini 2002 No Down's syndrome pregnancies in study population
Cans 1998 Second trimester ultrasound
Carreras 1991 Second trimester ultrasound
Caughey 2007 No diagnostic data
Cebesoy 2008 No diagnostic data
Chelli 2008 No follow‐up for false negatives
Chen 1999 Review article
Chen 2002 No Down's syndrome pregnancies in study population
Chen 2004 Less than 5 Down's cases in study population
Chen 2005 Unable to extract useful data
Chen 2008 No diagnostic data
Cheng 1993 Likely that fewer than 80% of gestational age confirmed by USS
Cheng 1999 Case series
No Down's syndrome pregnancies in study population
Cheng 2004a No Down's syndrome pregnancies in study population
Cheng 2004b No Down's syndrome pregnancies in study population
Chitayat 2002 Less than 5 Down's cases in study population
Chiu 2011 Study of maternal DNA testing
Cho 2009 Study of testing amniotic fluid
Chou 2009 Not possible to calculate specificity
Christiansen 2002 Unable to extract useful data
Christiansen 2007 Unable to extract useful data
Christiansen 2008 No diagnostic data
Chung 2000 Less than 5 Down's syndrome pregnancies in study population
CNGOF 1996 Unable to obtain translation
Cocciolone 2008 Unable to extract useful data ‐ attempted to contact author
Cole 1996 Review article
Comas 2001 USS at greater than 14 weeks
Comas 2002a USS at greater than 14 weeks
Comas 2002b USS at greater than 14 weeks
Comstock 2006 Unable to extract useful data
Conde 1998 Review article
Cowans 2011 No diagnostic data
Crossley 1991 Less than 80% of pregnancies had gestational age confirmation by ultrasound
Crossley 1993 Less than 80% of pregnancies had gestational age confirmation by ultrasound
Crossley 1996 No Down's syndrome pregnancies in study population
Crossley 2002 Adjustment factors for smokers
Cuckle 1984b Gestational age not confirmed by USS
Cuckle 1987a Gestational age not confirmed by USS
Cuckle 1987b No gestational age limits given
Cuckle 1990 Paper presenting adjustment factors
Cuckle 1996a Data modelled on 4 meta‐analysed studies
Cuckle 1999b Unable to extract useful data
Cuckle 1999c Review article
Cullen 1990 Abnormal scans only in study population
Cusick 2004 Less than 5 Down's syndrome pregnancies in study population
Cusick 2007 ST ultrasound
Dancoine 2001 No Down's syndrome pregnancies in study population
Dane 2008 Not specific to Down’s syndrome
De Biasio 2000 Unable to extract useful information
De Biasio, 1999 Unable to ascertain whether overlapping populations between several papers ‐ attempted to contact author with no response
De Biasio, 2001 Unable to ascertain whether overlapping populations between several papers ‐ attempted to contact author with no response
De Graaf 1991 Unable to extract useful data
De Graaf 1999 Modelled data
Del Carmen Saucedo 2009 No follow‐up information
DeVore 2001 Second trimester ultrasound
Dhaifalah 2007a Unable to obtain translation
Dhaifalah 2007b Unable to obtain translation
Dhallan 2007 DNA testing of blood samples from parents
Dickerson 1994 Comment
Dimaio 1987 Gestational age by USS only in screen positive population
Doran 1986 Ultrasound confirmation of gestational age performed in screen positive women only
Dreux 2008 No information for specificity
Drugan 1996a Second trimester ultrasound
Drugan 1996b Unable to extract useful data
Drysdale 2002 Fewer than 5 Down's syndrome pregnancies in population
Dugoff 2008 Not specific to Down’s syndrome
Ebell 1999 Review article
Economides 1998 Unable to extract useful data
Erickson 2004 No Down's syndrome pregnancies in population
Evans 1996 No Down's syndrome pregnancies in population
Evans 2007 Data previously presented in another study
Falcon 2005 Unable to extract useful data
Falcon 2006 Unable to extract useful data
Ford 1998 Audit
Frishman 1997 No Down's syndrome pregnancies in population
Fukada 2000 Unable to extract useful data
Gaudry 2009 Study of karyotyping
Gebb 2009 Study only examines screen positives
Geerts 2008 Study only examines  abnormal foetuses
Geipel 2010 ST ultrasound
Gekas 2009 Diagnostic data from other studies
Gekas 2011a Diagnostic data from other studies
Gekas 2011b Diagnostic parameters from other studies
Gerovassili 2007 No diagnostic data
Ghidini 1998 Comparison of male versus female fetuses
Goetzinger 2010 Second trimester ultrasound
Goldie 1995 Fewer than 80% of study population and gestational age confirmed by USS
Gollo 2008 Only 1 case of Down’s syndrome
Gonçalves 2004 Greater than 14 weeks USS screening
Goodburn 1994 Likely that fewer than 80% of pregnancies had gestational age estimated by USS
Gorduza 2007 Study of FISH technique
Grace 2010 ST ultrasound
Grati 2010 No diagnostic data
Gray 2009 ST ultrasound
Gregor 2007 Unable to obtain translation
Gregor 2009 Unable to obtain translation
Grether 2009 Systematic review and guidelines
Grozdea 2002 Unable to extract useful data
Guo 2010 Study of fetal samples
Gyselaers 2004a Less than 80% follow‐up
Gyselaers 2004b Less than 80% follow‐up
Gyselaers 2006a Unaffected pregnancies only
Gyselaers 2006b Unable to extract useful data
Hackshaw 1995 No Down's syndrome pregnancies in population
Hackshaw 2001 No Down's syndrome pregnancies in population
Haddow 1992 Less than 80% of pregnancies had gestational age confirmed by ultrasound scan
Hadzsiev 2007 Study of FISH technique
Hafner 1995 Less than 5 Down's pregnancies in study population
Hallahan 1998 Gestational age greater than 24 weeks
Han 2008 Study of findings on amniocentesis
Harper 2010 Second trimester ultrasound
Harrison 2006 Less than 80% of pregnancies had gestational age confirmed by ultrasound scan
Harry 2006 Editorial
Hayashi 1995 Unable to extract useful data
Hayashi 1996 Less than 5 Down's pregnancies in study population
Heikkila 1997 Fewer than 80% of pregnancies had gestational age confirmed by USS
Heinig 2007 No Down’s syndrome data
Heinonen 1996 No Down's syndrome pregnancies in population
Herman 2000 No Down's syndrome pregnancies in study population
Herman 2003 Correlation between markers, not evaluation of screening tests
Herrou 1992 Unable to extract useful data
Hershey 1985 Gestation unclear
Hershey 1986 Gestation based on LMP
Hewitt 1993 Unable to extract useful data
Hills 2010 Study of testing on CVS and amniocentesis samples
Ho 2010 Study of FISH diagnosis
Hogdall 1992 Unclear method of determination of gestational age
Unable to extract useful data
Hong Kong Practitioner CME
Hoogendoorn 2008 Diagnostic data from other studies used
Howe 2000 Second trimester ultrasound scans
Hsiao 1991 Unable to obtain translation
Hsieh 1999 No Down's syndrome pregnancies in study population
Hsu 1997a Adjustment factors
Hsu 1998a No Down's syndrome pregnancies in study population
Hsu 1999b No Down's pregnancies
Hu 2007 Same data as Liu 2010
Huang 2003 No Down's syndrome pregnancies in study population
Huang 2007a Not possible to obtain detection rate
Huang 2007b No diagnostic data
Huggon 2004 Study of cardiac function in pregnancies with normal and abnormal NT results
Hui 2003 No Down's syndrome pregnancies in population
Hui 2005 No Down's syndrome pregnancies in population
Hultén 2004 Editorial/commentary
Hung 2003 Modelling
Hung 2008 Second trimester ultrasound
Hurley 1993 Unable to extract useful data
Huttly 2004 No Down's syndrome pregnancies in population
Hwa 2004 Less than 5 Down's pregnancies in population
Iles 1996 Review
Ind 1994 Unable to extract useful data
Ivorra‐Deleuze 2010 No diagnostic data
Jakobsen 2011 Not Down’s syndrome specific
Jean‐Pierre 2005 Review article
Johnson 1991 Gestatiojnal age estimated by USS in fewer than 80% of cases
Johnson 1993 Normal pregnancies only
Jorgensen 1999 Gestation greater than 14 weeks for USS
Jorgez 2007 Study of DNA testing on maternal blood
Josefsson 1998 No Down's syndrome pregnancies in study population
Jou 2001 Less than 5 Down's syndrome pregnancies in study population
Jun‐Tao 2003 Unable to obtain translation
Jung 2007 ST ultrasound
Kagan 2006 Screen positive pregnancies only
Kagan 2007 No diagnostic data
Kagan 2008 Not Down’s syndrome detection
Kalelioglu 2007 ST ultrasound
Kautzmann 1995 Fewer than 80% pregnancies had gestational age estimated by USS
Kazerouni 2009 Not possible to obtain complete diagnostic data
Keith 1992 Summary article
Kelekci 2004 Less than 5 Down's syndrome pregnancies in population
Kellner 1995a Less than 5 Down's syndrome pregnancies in population
Kellner 1995b Less than 80% follow‐up
Unable to ascertain proportion of population with gestational age confirmed by USS
Kellner 1997 Assumption of normal karyotype without reference standard in significant proportion of control pregnancies
Kirkegaard 2008 FPR only calculated for subset of the cohort
Kjaergaard 2008 Unable to obtain translation
Knight 1990 Review article
Knight 2001 Validation of a specific assay
Knight 2005 Less than 80% of pregnancies had gestational age confirmed by ultrasound scan
Koos 2006 Review article
Kornman 1996 Less than 5 Down's syndrome pregnancies in population
Kornman 1997 Unable to extract useful information
Kotaska 2007 No new data
Kramer 1998 No Down's syndrome pregnancies in study population
Krantz 1996 Modelled data
Krantz 2005 Adjustment factor
Krantz 2007 Uses data from other published studies
Kulch 1993 No Down's cases in population
Lai 1998 Modelled population
Lai 2003 No Down's syndrome pregnancies in study population
Laigaard 2006a Unable to extract useful data
Laigaard 2006b Simulation
Lam 1997 Unable to extract useful data
Lam 1998 Fewer than 80% pregnancies had gestational age estimated by USS
Lam 1999a No Down's syndrome pregnancies in population
Lam 1999b Unable to extract useful data
Lam 2000 Study of women's decisions about screening
Lam 2001 Male versus female fetuses
Lambert‐Messerlian 1996 Fewer than 80% of pregnancies USS dated
Lambert‐Messerlian 1998 Unable to extract useful data
Lauria 2007 No diagnostic data
Lehavi 2005 Down's syndrome pregnancies only
Leung 2006 Unable to separate twins from singletons therefore unable to extract useful data
Leymarie 1993 Appears to be a review article (French)
Li 1998 Unable to obtain translation
Li 1999 Unable to obtain translation
Li 2010 No diagnostic data
Liao 1997 Unable to obtain translation
Liao 2001 Unable to extract useful data
Lim 2002 Second trimester ultrasound
Lippman 1987 Editorial
Liu 2010 Not possible to separate out data for cases of Down’s syndrome
Lo 2010 Pooled test results
Lustig 1988 Gestational age by LMP only
Luthgens 2008 FPR and DR obtained from different cohorts
MacDonald 1991 Fewer than 80% of gestational ages estimated by USS
Macintosh 1994 Unable to extract useful data
Macintosh 1997 Unable to extract useful data
MacRae 2010 Pooled test results
Macri 1994 Likely fewer than 80% evaluated for gestational age by ultrasound examination
Macri 1996 Likely fewer than 80% evaluated for gestational age by ultrasound examination
Malone 1998 Review article
Malone 2003 Review article
Mandryka‐Stankewycz 2009 No diagnostic data
Mangione 2001 Abnormal screening results only
Markov 2008 Unable to obtain paper
Maymon 2001a No Down's syndrome pregnancies in study population
Maymon 2001b No normal test results included therefore unable to extract meaningful data
Maymon 2002 No Down's syndrome pregnancies in study population
Maymon 2004 No Down's syndrome pregnancies in study population
Maymon 2005 Modelled data
McDuffie 1996 USS dating on screen positive women only
Meier 2002 Observed versus expected cases of Down's syndrome in a population
Merkatz 1984 Gestational age not confirmed by ultrasound scan
Merz 2005 Editorial
Merz 2008 First trimester only
Metzenbauer 2001 Normal pregnancies only
Metzenbauer 2002 Unable to extract useful data
Mikic 1999 No Down's syndrome pregnancies in study population
Miller 1991 Unable to extract useful data
Milunsky 1989 Fewer than 80% gestational age estimated by USS
Milunsky 1996 Fewer than 80% gestational age estimated by USS
Minobe 2002 Gestational age greater than specified limits
Miron 2008 No diagnostic data
Miron 2009 No diagnostic data
Miron 2010 No diagnostic data
Miyamura 1999 Unable to extract useful data
Moghadam 1998 Unable to extract useful data
Monni 2000 Less than 5 Down's syndrome pregnancies
Monni 2002 Review article
Mooney 1994 Greater than 24 weeks' gestation
Muhcu 2008 No diagnostic data
Muller 1994 No Down's syndrome pregnancies in study population
Muller 1996 Unable to extract useful data
Muller 1999 Unable to extract useful data
Muller 2002a Gestational age greater than 24 weeks
Muller 2002b Unable to extract meaningful data ‐ unable to separate double and triple test data
Muller 2003 No Down's syndrome pregnancies in study population
Murta 2002 Unable to extract useful data
Musone 2000 Unable to extract useful data
Musto 1986 Fewer than 80% USS dated
Myrick 1990 Unable to extract useful data
Naidoo 2008 Not specific Down’s syndrome results
Nau 2009 No diagnostic data
Nau 2009a No diagnostic data
Neveux 1996a No Down's syndrome pregnancies in population
Neveux 1996b Unable to extract useful data
Ng 2004 Unable to extract useful data
Nicolaides 1992 Study of outcomes of abnormal NT results
Nicolaides 2000 Review article
Nicolaides 2004 Review article
Nicolaides 2005a Unable to obtain translation ‐ appears to be a review article
Nicolaides 2005b Unable to obtain translation ‐ appears to be a review article
Nicolaides 2005c Unable to obtain translation ‐ appears to be a review article
Nicolaides 2005d Unable to obtain translation ‐ appears to be a review article
Nicolaides 2005e Unable to obtain translation ‐ appears to be a review article
Nicolaides 2005f Review article
Niemimaa 2001 No Down's pregnancies in study population
Niemimaa 2002 No Down's syndrome pregnancies in population
Niemimaa 2003 No Down's syndrome pregnancies in population
Noble 1997 Unable to extract useful data
Norgaard 1990 Less than 80% of gestational ages confirmed by USS
Norton 1992 Unable to extract useful data
Novakov‐Mikic 2007 Out of FT screening time frame
O'Brien 1997a No Down's syndrome pregnancies in population
O'Brien 1997b No Down's syndrome pregnancies in population
Odibo 2004 Gestational age of greater than 14 weeks in USS population
Odibo 2007 ST ultrasound
Odibo 2008 ST ultrasound
Odibo 2009 No results presented
Offerdal 2008 ST ultrasound
Ognibene 1999 Unable to extract useful data
Oh 2007 No diagnostic data
Olajide 1989 Unable to extract useful data
Onda 1996 Unable to extract useful data
Onda 1998 Unable to extract useful data
Onda 2000 Less than 80% follow‐up
Orlandi 2002 No Down's syndrome pregnancies in study population
Ottavio 1997 Second trimester USS
Ozkaya 2010 Only healthy pregnancies
Paladini 2007 No diagnostic data
Palka 1998 Twin data used in calculation of the median
Palomaki 1989 Fewer than 80% USS dated
Palomaki 1993 No Down's syndrome pregnancies in population
Palomaki 1994 No Down's syndrome pregnancies in population
Palomaki 1996 Meta‐analysis
Palomaki 2005 Unable to extract meaningful data
Panburana 2001 Less than 5 Down's syndrome pregnancies in population
Pandya 1994 Study of outcomes of abnormal NT results
Pandya 1995b Review article
Papadopoulou 2008 No diagnostic data
Parra‐Cordero 2007 ST ultrasound
Paterlini‐Brechot 2007 Editorial, no new data
Paul 2001 Unable to extract useful data
Peralta 2005 Unable to extract useful data
Perenc 1998 No Down's syndrome pregnancies in study population
Perheentupa 2002 No Down's syndrome pregnancies in population
Perona 1998 Smokers versus non smokers
Persico 2008 ST ultrasound
Petervari 2000 Unable to extract useful data
Petrocik 1989 Likely fewer than 80% USS dated
Phillips 1992 Gestational age confirmed by USS in less than 80% of population
Phillips 1993 Gestational age confirmed by USS in less than 80% of population
Pihl 2008 Only 2 cases of Down's syndrome
Pinette 2003 Women screened prior to recruitment
Platt 2004 Unable to extract useful data
Podobnik 1995 Abnormal results only
Poon 2009 No diagnostic data
Prefumo 2002 Comparison of prevalence and prediction
Prefumo 2004 Comparison of a marker in women of different ethnic origins
Price 1998 Unable to extract useful data
Páez 2004 Unable to obtain translation
Rembouskos 2004 Unable to extract useful data
Ren 1992 Review article
Renier 1998 Method of ascertainment of gestational age unclear
Twin gestations included in general population
Resta 1990 Second trimester USS
Reynders 1997 Fewer than 5 Down's cases
Reynolds 1989 Explanation of mathematical techniques
Reynolds 1999 Unable to extract useful data
Reynolds 2008 Not full diagnostic data
Ribbert 1996 No Down's syndrome pregnancies in study population
Rice 2005 Down's syndrome pregnancies excluded from study
Rich 1991 Unable to extract useful data
Roberts 1995 No Down's syndrome pregnancies in study population
Robertson 1991 Editorial
Rode 2003 No Down's pregnancies
Ronge 2006 Editorial ‐ summary of FASTER results
Rose 1995 Review article
Ross 1997 Review article
Rotmensch 1996 Unable to extract useful data
Rotmensch 1999 No Down's syndrome pregnancies in study population
Rozenberg 2006 USS greater than 14 weeks' gestation
Rudnicka 2002 No Down's syndrome pregnancies in population
Ryall 1992 Unable to determine method of confirmation of gestational age
Ryall 2001 High‐risk results only included (i.e. no screen negative group for comparison)
Räty 2000 No Down's syndrome pregnancies in population
Räty 2002 No Down's pregnancies in population
Sabriá 2002 Unable to ascertain how numbers calculated and from which populations
Sacchini 2003 Unable to extract useful data
Sahota 2009 No diagnostic data
Sahota 2010 Included in Sahota 2010
Salazar 2007 Unable to obtain paper
Salazar 2008 Only 1 case of Down’s syndrome
Saller 1997 Down's syndrome secondary to Robertsonian translocation only. No controls
Salomon 2001 No Down's syndrome pregnancies in population
Salonen 1997 Fewer than 80% had gestational age estimated by USS
Saltvedt 2005 Gestation greater than 14 weeks for nuchal scanning
Saridogan 1996 Down's syndrome and Edward's syndrome affected pregnancies only
Savoldelli 1993 Unable to extract useful data
Schielen 2009 Full study information not given
Schiott 2006 Unable to extract useful data
Schmidt 2007a Not specific to Down’s syndrome
Schmidt 2007b No separate Down’s syndrome data
Schmidt 2007c No diagnostic data
Schmidt 2008a Not specific to Down’s syndrome
Schmidt 2008b Not specific to Down’s syndrome
Schmidt 2008c Not specific to Down’s syndrome
Schmidt 2010 No follow‐up data for test negatives
Schuchter 1998 No Down's pregnancies in study population
Scott 1995 Less than 5 Down's syndrome pregnancies in study population
Seeds 1990 Review article
Seki 1995 No Down's syndrome pregnancies in study population
Shenhav 2003 No Down's syndrome pregnancies
Shintaku 1989 Unable to extract useful data
Shulman 2003 No Down's syndrome pregnancies in population
Sieroszewski 2008 No Down’s syndrome specific information for specificity
Simon‐Bouy 1999 Review article
Simpson 1986 Gestational age confirmed by USS in less than 80% of population
Smith 1990 Analysis of screen positive results
Smith 1996 Review/meta‐analysis
Smith 1999 Unable to extract useful data
Smith‐Bindman 2001 Meta‐analysis of second trimester ultrasound markers
Smith‐Bindman 2003 Population study, not examining DTA
Snijders 1995 Study of prevalence, not screening
Snijders 1999 Study of prevalence, not screening
Soergel 2006 Less than 80% follow‐up
Sokol 1998 Observation of Down's prevalence stratified by age
Sonek 2003 Editorial
Sonek 2007 ST ultrasound
Sood 2010 No diagnostic data
Sooklim 2010 ST ultrasound
Spencer 1985 Fewer than 80% USS dated
Spencer 1991a Likely fewer than 80% USS dated
Spencer 1991b Unable to extract useful data
Spencer 1992 Unable to extract useful data
Spencer 1993a Fewer than 80% USS dated
Spencer 1993b No Down's pregnancies in study population
Spencer 1993c Unable to extract useful data
Spencer 1993d Fewer than 80% of pregnancies had gestational age confirmed by USS
Spencer 1993e Unable to extract useful data
Spencer 1995 No Down's pregnancies in population
Spencer 1996 Fewer than 80% of pregnancies had gestational age confirmed by USS
Spencer 1997 Statistical modelling, aneuploid pregnancies only in study population
Spencer 1998a No Down's pregnancies in population
Spencer 1998b Unable to extract useful data
Spencer 1999a Review
Spencer 1999b Statistical methods paper
Spencer 2000a Examination of median shifts rather than an evaluation of screening
Spencer 2000b No Down's syndrome pregnancies in population
Spencer 2000c No Down's syndrome pregnancies in population
Spencer 2000d No Down's cases
Spencer 2000e Male versus female fetuses
Spencer 2000f No Down's cases in population
Spencer 2000g No Down's pregnancies in population
Spencer 2000h No Down's pregnancies in population
Spencer 2000i Comparsison of fetal sex
Spencer 2001a No Down's syndrome pregnancies in population
Spencer 2001b Unable to extract useful data
Spencer 2001c Unable to extract useful data
Spencer 2001d Unable to extract useful data
Spencer 2001e No Down's syndrome pregnancies in population
Spencer 2002a No Down's pregnancies
Spencer 2002b Risk validation study
Spencer 2002c No Down's syndrome pregnancies in population
Spencer 2002d Demonstration of median changes with time, rather than evaluation of screening
Spencer 2003a No Down's pregnancies in population
Spencer 2003b No Down's pregnancies in population
Spencer 2003c Calculation of weight correction factor
Spencer 2003d Fewer than 5 Down's syndrome pregnancies
Spencer 2004 Calculation of smoking correction factor
Spencer 2005a No Down's pregnancies
Spencer 2005b No Down's pregnancies
Spencer 2005c Comparison of two different assays ‐ not actual screening evaluation
Spencer 2008b Unable to extract appropriate data for unaffected pregnancies
Spong 1999 Comparison of male and female fetuses
Staboulidou 2009 No diagnostic data
Stevens 1998 Literature review
Stoll 1992 Review article
Stressig 2011 ST ultrasound
Su 2002 Unable to extract useful data
Suchet 1995 Review article
Suchy 1990 Unable to ascertain method of confirmation of gestational age
Summers 2003a Only 55% gestational ages estimated by USS
Summers 2003b No Down's syndrome pregnancies in study population
Suntharasaj 2005 Examination of inter‐observer variation in NT scanning
Susman 2010 No diagnostic data
Sutton 2004 Unable to extract useful data
Suzuki 1998 Unable to extract useful data
Tabor 1987 Geststional age not confirmed by USS
Tanski 1999 Information on screen positive pregnancies only
Thilaganathan 1998 No Down's syndrome pregnancies in study population
Thilaganathan 1999 Editorial
Tislaric 2002 No Down's syndrome pregnancies in population
Torok 1997 Unable to extract useful data
Torring 2009 Not possible to obtain full diagnostic data
Trninic‐Pjevic 2007 Unable to obtain translation
Tsai 2001 Less than 5 Down's syndrome pregnancies in study population
Valerio 1996 Fewer than 80% pregnancies had gestational age estimated by USS
Van Blerk 1992 Unable to extract useful data
Van Dyke 2007 Not possible to obtain full diagnostic data
Van Heesch, 2006 No Down's syndrome pregnancies in study population
Software comparison study
Van Lith 1991 Unable to extract useful data
Van Lith 1993 Unable to extract useful data
Van Lith 1994 Unable to extract useful data
Veress 1986 Unable to extract useful data
Veress 1988 Unable to extract useful data
Vergani 2008 ST ultrasound
Vintzileos 2003 Second trimester USS
Wald 1988a Less than 80% had gestational age confirmed by ultrasound
Wald 1988b Gestational age not confirmed by USS
Wald 1991 No Down's pregnancies in study
Wald 1992a Less than 80% had gestational age confirmed by ultrasound
Wald 1992b No Down's pregnancies in study
Wald 1992c No Down's pregnancies in study
Wald 1993 No USS dating
Wald 1994a No Down's syndrome pregnancies in population
Wald 1994b Review article
Wald 1996a No Down's pregnancies
Wald 1996b Dated by LMP
Wald 1996c No Down's syndrome pregnancies in population
Wald 1996d Gestational age greater than 24 weeks
Wald 1997 Data modelled on 3 separate populations of women
Wald 1998 Unable to extract useful data
Wald 1999a Unable to extract useful data
Wald 1999b Gestational age not confirmed by USS
Wald 1999c No Down's syndrome pregnancies
Wald 1999d Modelled on several studies, some of which have no USS dating
Wald 2003c No cases
Wald 2003d Less than 80% had gestational age confirmed by USS
Wald 2006 Modelled on SURRUS data
Wallace 1994 Unable to extract useful data
Wallace 1997 No Down's syndrome pregnancies in study population
Wang 2010 ST ultrasound
Ward 2005 Review article
Watt 1996 No Down's syndrome pregnancies in study population
Watt 1996a No Down's syndrome pregnancies in study population
Wax 2007 No diagnostic data
Weinans 2001 Unable to extract useful data
Weinans 2004 Study of women's views on screening
Weisz 2007 Cohort split into people having different tests and non‐representative samples of women assessed for each test
Welborn 1994 Abnormal results only (cystic hygroma)
Wenstrom 1993 Less than 80% of pregnancies had gestational age confirmed by USS
Wenstrom 1995a Adjustment factors
Wenstrom 1995b Less than 80% of pregnancies had gestational age confirmed by USS
Wetta 2011 No diagnostic data
Whitlow 1998a Unable to extract useful data
Whitlow 1998b Unable to extract useful data
Whitlow 1999 Unable to extract useful data
Williamson 1994 Likely fewer than 80% USS dated
Wilson 2000 Review
Wojdemann 2001 No Down's syndrome pregnancies in study population
Wong 2003 Less than 5 Down's syndrome pregnancies in population
Wright 2006 Mathematical model
Wright 2007 Simulation study, no new data
Xie 2010 Only cases of false negatives and true negatives included
Yagel 1998 Second trimester USS
Yamamoto 2001a Unable to extract useful data
Yamamoto 2001b Method of determination of gestational age unclear
Yamamoto 2001c Unable to extract useful data
Yaron 2001 Male versus female fetuses
Ye 1995 Unable to obtain translation
Yoshida 2000 Fewer than 80% pregnancies had gestational age estimated by USS
Zalel 2008 No diagnostic data
Zeitune 1991 Only aneuploid pregnancies included in study
Zelop 2005 No Down's cases in population
Zhang 2011 No diagnostic data
Zhao 1998 Unable to obtain translation
Zhong 2011 Second trimester ultrasound
Zoppi 2003 Inappropriate study design

CVS: CVS: chorionic villus sampling
 FISH: Fluorescence in situ hybridisation
 FPR: false positive rate
 LMP: last menstrual period
 NT: nuchal transparency
 SURUSS: Serum, Urine and Ultrasound Screening Study
 USS: ultrasound screening