Evidence map›Paper›PMID 26404264›Full record

SynthesisInternational journal of molecular sciences2015

Early Pregnancy Biomarkers in Pre-Eclampsia: A Systematic Review and Meta-Analysis.

Pensée Wu, Caroline van den Berg, Zarko Alfirevic, Shaughn O'Brien, Maria Röthlisberger, Philip Newton Baker, Louise C Kenny, Karolina Kublickiene, Johannes J Duvekot

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of molecular sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 4 pooled it
12.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 4 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Pooled it
  2. Galectins for Diagnosis and Prognostic Assessment of Human Diseases: An Overview of Meta-Analyses.Medical science monitor : international medical journal of experimental and clinical research · 2020
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  16. Cell journal · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 5 countries.

Pensée WuInstitute for Science and Technology in Medicine-Keele University, Guy Hilton Research Centre, Thornburrow Drive, Hartshill, Stoke-on-Trent ST4 7QB, UK. p.wu@keele.ac.uk.
Caroline van den BergDepartment of Obstetrics and Gynecology, Subdivision of Obstetrics and Prenatal Medicine, Erasmus MC-University Medical Centre, PO Box 2040, 3000 CA Rotterdam, The Netherlands. c.vandenberg@erasmusmc.nl.
Zarko AlfirevicDepartment of Women's and Children's Health, The University of Liverpool, Liverpool L8 7SS, UK. zarko@liverpool.ac.uk.
Shaughn O'BrienInstitute for Science and Technology in Medicine-Keele University, Guy Hilton Research Centre, Thornburrow Drive, Hartshill, Stoke-on-Trent ST4 7QB, UK. brien@uhns.nhs.uk.
Maria RöthlisbergerDepartment of Obstetrics and Gynecology, University Hospital of Cologne, 50931 Cologne, Germany. maria.roethlisberger@uk-koeln.de.
Philip Newton BakerCollege of Medicine, Biological Sciences and Psychology, University of Leicester, PO Box 138, Leicester LE1 9HN, UK. philip.baker@le.ac.uk.
Louise C KennyDepartment of Obstetrics and Gynaecology, Cork University Maternity Hospital (5th Floor), Cork University Hospital, Wilton, Cork T12 YE02, Ireland. l.kenny@ucc.ie.
Karolina KublickieneKarolinska Institutet, Centre for Gender Medicine, Institutions of Medicine and Clinical Science, Intervention and Technology, Department Ob/Gyn, Karolinska University Hospital, 14186 Stockholm, Sweden. karolina.kublickiene@ki.se.
Johannes J DuvekotAcademic Unit of Obstetrics and Gynaecology, Royal Stoke University Hospital, Maternity Centre, Newcastle Road, Hartshill, Stoke-on-Trent ST4 6QG, UK. j.j.duvekot@erasmusmc.nl.
Royal Stoke University Hospital · GBCork University Hospital · IEErasmus MC · NLKarolinska University Hospital · SEUniversity Hospital Cologne · DEUniversity of Leicester · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pre-eclampsia (PE) complicates 2%-8% of all pregnancies and is an important cause of perinatal morbidity and mortality worldwide. In order to reduce these complications and to develop possible treatment modalities, it is important to identify women at risk of developing PE. The use of biomarkers in early pregnancy would allow appropriate stratification into high and low risk pregnancies for the purpose of defining surveillance in pregnancy and to administer interventions. We used formal methods for a systematic review and meta-analyses to assess the accuracy of all biomarkers that have been evaluated so far during the first and early second trimester of pregnancy to predict PE. We found low predictive values using individual biomarkers which included a disintegrin and metalloprotease 12 (ADAM-12), inhibin-A, pregnancy associated plasma protein A (PAPP-A), placental growth factor (PlGF) and placental protein 13 (PP-13). The pooled sensitivity of all single biomarkers was 0.40 (95% CI 0.39-0.41) at a false positive rate of 10%. The area under the Summary of Receiver Operating Characteristics Curve (SROC) was 0.786 (SE 0.02). When a combination model was used, the predictive value improved to an area under the SROC of 0.893 (SE 0.03). In conclusion, although there are multiple potential biomarkers for PE their efficacy has been inconsistent and comparisons are difficult because of heterogeneity between different studies. Therefore, there is an urgent need for high quality, large-scale multicentre research in biomarkers for PE so that the best predictive marker(s) can be identified in order to improve the management of women destined to develop PE.

Indexed as

ADAM12 ProteinADAM ProteinsBiomarkersFemaleGalectinsHumansInhibinsMembrane ProteinsPlacenta Growth FactorPre-EclampsiaPregnancyPregnancy-Associated Plasma Protein-APregnancy ProteinsADAM12 ProteinADAM12 protein, humanADAM ProteinsBiomarkersGalectinsinhibin AInhibinsLGALS13 protein, humanMembrane ProteinsPGF protein, humanPlacenta Growth FactorPregnancy-Associated Plasma Protein-APregnancy Proteinsearly pregnancy biomarkersmeta-analysispre-eclampsia

Identifiers

PMID26404264
PMCPMC4613350
OpenAlexW2166600227

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.