Evidence map›Paper›PMID 41545466›Full record

ArticleScientific reports2026

Elevated serum uric acid before 20 weeks of gestation increases the risk of preeclampsia.

Chenyang Zhao, Meng Li, Qiong Li, Yajing Pang, Ying Li, Chaoyan Yue, Yu Chen, Dan Du

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
–field-weighted citation impact
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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Chenyang Zhao *The First People's Hospital of Chenzhou, Luojiajing Road NO102, Chenzhou, China.
Meng Li *Obstetrics & Gynecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and DevelopmentShanghai Key Lab of Female Reproductive Endocrine Related Diseases, Fang Xie Road, No419, Shanghai, China.
Qiong LiThe First People's Hospital of Chenzhou, Luojiajing Road NO102, Chenzhou, China.
Yajing PangWuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, China.
Ying LiWomen's Hospital of Jiangnan University, Wuxi Maternity and Child Health Care Hospital, Huaishu Alley, Liangxi District, Wuxi, No48, China.
Chaoyan YueObstetrics & Gynecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and DevelopmentShanghai Key Lab of Female Reproductive Endocrine Related Diseases, Fang Xie Road, No419, Shanghai, China. 20111250007@fudan.edu.cn.
Yu ChenWomen's Hospital of Jiangnan University, Wuxi Maternity and Child Health Care Hospital, Huaishu Alley, Liangxi District, Wuxi, No48, China. tt-seven@126.com.
Dan DuThe First People's Hospital of Chenzhou, Luojiajing Road NO102, Chenzhou, China. 43682915@qq.com.

Funding

Natural Science Foundation of Shanghai Basic Research Program 25ZR1402039the Pregnancy Cohort of the scientific collaboration between the First People's Hospital of Chenzhou and the Tenth People's Hospital of Shanghai 2023-09
6 · The paper itself

Abstract

This study aimed to investigate the association between serum uric acid level before gestational age of 20 weeks and preeclampsia. This study included pregnant women of three hospitals from January 2018 to June 2024. Clinical data were extracted using electronic medical record systems. The exposure factor was serum uric acid measured before gestational age of 20 weeks, with the primary outcome being preeclampsia, and secondary outcomes being preterm birth. Smooth curve fitting, ROC analysis, threshold effects, multivariate logistic regression, and subgroup analysis were employed to examine the relationship between uric acid and preeclampsia. The Kaplan-Meier method and log-rank test were used to evaluate the impact of serum uric acid on the gestational age at delivery. A total of 44,609 singleton pregnancies were included. There was a nonlinear relationship between serum uric acid level and the risk of preeclampsia, with a turning point at a uric acid level of 240 µmol/L. After adjusting for confounders, compared to non-preeclampsia cases, the risk of preeclampsia increased 1.38 times (95% CI: 1.28-1.48) for uric acid level between 240~360 µmol/L and 2.14 times (95% CI: 1.61-2.85) for UA levels ≥ 360 µmol/L. Similar positive associations were observed between uric acid level and preterm birth. Subgroup analysis maintained this positive correlation. Interaction tests indicated that BMI might influence the strength of the association between uric acid and preeclampsia (P < 0.05). Elevated serum uric acid level before gestational age of 20 weeks increase the risk of preeclampsia. Elevated uric acid levels in early pregnancy are associated with an increased risk of preeclampsia, suggesting that monitoring uric acid may help identify women at higher risk.

Indexed as

Pre-EclampsiaUric AcidAdultBiomarkersFemaleGestational AgeHumansPregnancyPremature BirthRisk FactorsBiomarkersUric AcidCohort studyEarly pregnancyMulticenterPreeclampsiaSerum uric acid

Identifiers

PMID41545466
PMCPMC12881581

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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.