Evidence map›Paper›PMID 41554533›Full record

SynthesisJournal of medical Internet research2026

Machine Learning Prediction Models for Preeclampsia: Systematic Review and Meta-Analysis.

Lu Liu, Qixuan Zhu, Yichi Zong, Xueyuan Chen, Wei Zhang, Jun Wang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
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

6 authors.

Lu LiuSchool of Public Health, China Medical University, Shenyang City, Liaoning Province, China.ORCID https://orcid.org/0009-0003-4282-5318
Qixuan ZhuSchool of Engineering, University of Pennsylvania, Philadelphia, PA, United States.ORCID https://orcid.org/0009-0001-8179-5399
Yichi ZongDepartment of the Obstetrics and Gynecology, Shengjing Hospital Affiliated to China Medical University, Shenyang City, Liaoning Province China, China.ORCID https://orcid.org/0000-0002-2203-6499
Xueyuan ChenDepartment of the Obstetrics and Gynecology, Shengjing Hospital Affiliated to China Medical University, Shenyang City, Liaoning Province China, China.ORCID https://orcid.org/0009-0003-2856-8167
Wei ZhangDepartment of the Obstetrics and Gynecology, Shengjing Hospital Affiliated to China Medical University, Shenyang City, Liaoning Province China, China.ORCID https://orcid.org/0009-0006-9778-1043
Jun WangDepartment of the Obstetrics and Gynecology, Shengjing Hospital Affiliated to China Medical University, Shenyang City, Liaoning Province, China.ORCID https://orcid.org/0000-0003-4898-454X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreeclampsia is a severe hypertensive disorder with rising global prevalence. While machine learning (ML) models for predicting preeclampsia are increasingly published, existing evidence shows high heterogeneity, and the distinction between internal performance and external transferability remains unclear.

objectiveThis study aims to evaluate the performance of ML models in predicting preeclampsia through a systematic review and meta-analysis, while also exploring their potential clinical application value, in order to specifically enhance the quality of future research and the predictive capability of the models.

methodsFollowing PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and PROSPERO registration, we searched PubMed, Web of Science, IEEE Xplore, and CNKI (China National Knowledge Infrastructure) for studies published through February 2025. We included studies using ML to predict preeclampsia in pregnant women. Bias was assessed using PROBAST (Prediction model Risk of Bias Assessment Tool). We calculated summary estimates using random-effects models and, crucially, computed 95% prediction intervals (PIs) to estimate performance in future clinical settings. Subgroup and meta-regression analyses were conducted to explore heterogeneity.

resultsIn total, 26 studies comprising 31 ML models were included. While the pooled area under the receiver operating characteristic curve was high at 0.91 (95% CI 0.87-0.92), extreme heterogeneity was observed (I

conclusionsCurrent evidence suggests that a high area under the curve in ML models is more likely to reflect the "performance" of the model on the internal development dataset rather than its universal "effectiveness" and clinical utility in independent, diverse populations. The apparent performance exhibits significant contextual dependence. Future studies should conduct multicenter, prospective external validation and recalibration research to enhance transferability and reliability.

trial registrationPROSPERO CRD420251005830;https://www.crd.york.ac.uk/PROSPERO/view/CRD420251005830.

Indexed as

Machine LearningPre-EclampsiaFemaleHumansPregnancyartificial intelligencecomputer-assisted diagnosismachine learningmeta-analysispredictive modelspreeclampsia

Identifiers

PMID41554533
PMCPMC12865342

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.