Evidence map›Paper›PMID 31038593›Full record

ArticleArchives of endocrinology and metabolism

Prediction of gestational diabetes mellitus in the first trimester: comparison of maternal fetuin-A, N-terminal proatrial natriuretic peptide, high-sensitivity C-reactive protein, and fasting glucose levels.

Hatice Kansu-Celik, A Seval Ozgu-Erdinc, Burcu Kisa, Rahime Bedir Findik, Canan Yilmaz, Yasemin Tasci

Erratum issuedOpen access · diamondAbstract readComparative Study
In one paragraph

Article in Archives of endocrinology and metabolism. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 46 citations in OpenAlex.

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  8. First-trimester biomarkers of gestational diabetes mellitus: A scoping review.Acta obstetricia et gynecologica Scandinavica · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Hatice Kansu-CelikUniversity of Health Sciences, Zekai Tahir Burak Health Practice Research Center, Ankara, Turkey.
A Seval Ozgu-ErdincUniversity of Health Sciences, Zekai Tahir Burak Health Practice Research Center, Ankara, Turkey.
Burcu KisaUniversity of Health Sciences, Zekai Tahir Burak Health Practice Research Center, Ankara, Turkey.
Rahime Bedir FindikUniversity of Health Sciences, Zekai Tahir Burak Health Practice Research Center, Ankara, Turkey.
Canan YilmazUniversity of Health Sciences, Zekai Tahir Burak Health Practice Research Center, Ankara, Turkey.
Yasemin TasciUniversity of Health Sciences, Zekai Tahir Burak Health Practice Research Center, Ankara, Turkey.
Sağlık Bilimleri Üniversitesi · TRZekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe investigated the utility of maternal fetuin-A, N-terminal proatrial natriuretic peptide (pro-ANP), high-sensitivity C-reactive protein (hs-CRP), and fasting glucose levels at 11-14 gestation weeks for predicting pregnancies complicated by gestational diabetes mellitus (GDM). SUBJECTS AND

methodsThis prospective cohort study included 327 low-risk pregnant women who completed antenatal follow-up at a tertiary research hospital between January and April 2014. Maternal blood samples were collected between 11-14 gestational weeks in the first trimester of pregnancy and then stored at -80 °C until further analyses. During follow-up, 29 (8.8%) women developed GDM. The study population was compared 1:2 with age- and body mass index-matched pregnant women who did not develop GDM (n = 59). Fasting plasma glucose (FPG) levels and serum fetuin-A, pro-ANP, and hs-CRP levels were measured using automated immunoassay systems.

resultsThere was a significant negative correlation between fetuin-A and hs-CRP (CC = -0.21, p = 0.047) and a positive correlation between FPG and hs-CRP (CC = 0.251, p = 0.018). The areas under the receiver operating characteristic curve for diagnosing GDM were 0.337 (p = 0.013), 0.702 (p = 0.002), and 0.738 (p < 0.001) for fetuin-A, hs-CRP, and FPG, respectively. The optimal cut-off values were > 4.65, < 166, and > 88.5 mg/dL for maternal hs-CRP, fetuin-A, and FPG, respectively.

conclusionReduced fetuin-A, elevated hs-CRP, and FPG levels in women in the first trimester can be used for the early detection of GDM. Further research is needed before accepting these biomarkers as valid screening tests for GDM.

Indexed as

Adultalpha-2-HS-GlycoproteinAtrial Natriuretic FactorBiomarkersBlood GlucoseBody Mass IndexC-Reactive ProteinDiabetes, GestationalFemaleGestational AgeHumansPredictive Value of TestsPregnancyPregnancy Trimester, FirstProspective StudiesProtein Precursorsalpha-2-HS-GlycoproteinAtrial Natriuretic FactorBiomarkersBlood GlucoseC-Reactive ProteinN-terminal proatrial natriuretic peptideProtein Precursors

Identifiers

PMID31038593
PMCPMC10522132
OpenAlexW2943561470

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Registered trials

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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.