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. 1995 May 20;345(8960):1277-8.
doi: 10.1016/s0140-6736(95)90928-1.

Predictive value of fetal serum beta 2-microglobulin for neonatal renal function

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Predictive value of fetal serum beta 2-microglobulin for neonatal renal function

S M Berry et al. Lancet. .

Abstract

When fetal urinary-tract malformations (UTM) are discovered, management is based on the prediction of postnatal renal function, currently made by fetal urinary biochemistry and sonography. Serum beta 2-microglobulin has been used postnatally to estimate renal function and does not cross the placenta. We investigated the relation between fetal serum beta 2-microglobulin and renal function by comparing 64 unaffected fetuses and 15 fetuses with UTM. A beta 2-microglobulin above a 5.6 mg/L cut-off gave cross-validated sensitivity of 80.0%, specificity of 98.6%, a positive predictive value of 88.9%, and a negative predictive value of 97.1% for our cohort study.

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