ArticleAnnals of medicine2025
Short-term preeclampsia prediction: cutoff variations for sFlt-1/PlGF in U.S. Patients with or without hypertensive disorders.
Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPreeclampsia (PE) is a complex disorder with significant maternal and fetal risks. The soluble fms-like tyrosine kinase-1 (sFlt-1) and placental growth factor (PlGF) ratio shows promise as a diagnostic tool, but its adoption in the U.S. remains limited due to the lack of accessible testing platforms, U.S.-based studies, and evidence-based implementation guidelines. PATIENTS/MATERIALS AND
methodsWe conducted a cohort study to evaluate the sFlt-1/PlGF ratio for predicting PE within two weeks among pregnant individuals ≥18 years, ≥20 weeks gestation. Serum samples were obtained from routine prenatal visits or triage evaluations. sFlt-1/PlGF ratios were measured using Roche Elecsys assays, and performance was assessed by receiver operating characteristics (ROC) curve analysis with logistic regression, bootstrapping, and cross-validation.
resultsThe sFlt-1/PlGF ratio was higher in hypertensive (
conclusionsPerformance differed between the overall and hypertensive populations, supporting the need for population-specific thresholds and further guidance for clinical implementation in the U.S.
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