Evidence map›Paper›PMID 37837546›Full record

ArticleArchives of gynecology and obstetrics2024

The role of the PLGF in the prediction of the outcome in pregnancies with a small for gestational age fetus.

Athena P Souka, Panagiotis Antsaklis, Konstantinos Tassias, Maria Anna Chatziioannou, Maria Papamihail, George Daskalakis

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Article in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

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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

1 citing paper in PubMed, 4 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Athena P SoukaDepartment of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens-Faculty of Medicine, 41, D. Soutsou Str, 11521, Athens, Greece. athena.souka@gmail.com.ORCID 0000-0002-8100-5983
Panagiotis AntsaklisDepartment of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens-Faculty of Medicine, 41, D. Soutsou Str, 11521, Athens, Greece.
Konstantinos TassiasDepartment of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens-Faculty of Medicine, 41, D. Soutsou Str, 11521, Athens, Greece.
Maria Anna ChatziioannouDepartment of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens-Faculty of Medicine, 41, D. Soutsou Str, 11521, Athens, Greece.
Maria PapamihailDepartment of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens-Faculty of Medicine, 41, D. Soutsou Str, 11521, Athens, Greece.
George DaskalakisDepartment of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens-Faculty of Medicine, 41, D. Soutsou Str, 11521, Athens, Greece.
National and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore the value of measuring maternal serum PLGF in the prediction of the outcome of small for gestational age fetuses (SGA).

methodsSingleton pregnancies referred with suspicion of SGA in the third trimester were included if they had: no indication for nor signs of imminent delivery, fetal abdominal circumference (AC) at or below the 10th centile and/or estimated fetal weight (EFW) at or below the 10th centile and/or umbilical artery pulsatility index (Umb-PI) at or above the 90th centile for gestation. Women with pre-eclampsia at presentation were excluded. Maternal blood was drawn at the first (index) visit and analyzed retrospectively.

resultsFifty-one fetuses were examined. Multiple regression analysis showed that family history of microsomia, index EFW and PLGF were significant predictors of the birthweight centile; index femur length centile and PLGF were significant predictors of pre-eclampsia; PLGF and index systolic blood pressure were significant predictors of iatrogenic preterm delivery < 37 weeks, whereas PLGF and index EFW were significant predictors of birthweight ≤ 5th centile and admission to the neonatal intensive care unit. For all outcomes, the addition of maternal-fetal parameters did not improve the prediction compared to PLGF alone. Using a cutoff of 0.3 MoM for PLGF would identify 94.1% of the pregnancies with iatrogenic preterm delivery and/or intra-uterine death and all of the cases that developed pre-eclampsia, for a screen positive rate of 54.9%. Women with PLGF ≤ 0.3 MoM had a poor fetal/maternal outcome (iatrogenic preterm delivery, pre-eclampsia, intra-uterine death) in 61.5% of cases.

conclusionIn pregnancies complicated by SGA, PLGF identifies a very high-risk group that may benefit from intense surveillance.

Indexed as

Infant, Small for Gestational AgePlacenta Growth FactorPre-EclampsiaPregnancy Trimester, ThirdAdultFemaleFetal Growth RetardationFetal WeightHumansInfant, NewbornPredictive Value of TestsPregnancyPregnancy OutcomePremature BirthRetrospective StudiesPGF protein, humanPlacenta Growth FactorGrowth restrictioPLGFPre-eclampsiaSGA

Identifiers

PMID37837546
OpenAlexW4387642449

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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.