Skip to main content

Placental Growth Factor as a Prognostic Tool in Women With Hypertensive Disorders of Pregnancy: A Systematic Review.

TitlePlacental Growth Factor as a Prognostic Tool in Women With Hypertensive Disorders of Pregnancy: A Systematic Review.
Publication TypeJournal Article
Year of Publication2017
AuthorsUkah, V, Hutcheon, J, Payne, BA, Haslam, M, Vatish, M, Ansermino, JM, Brown, H, Magee, LA, von Dadelszen, P
JournalHypertension
Volume70
Issue6
Pagination1228-1237
Date Published2017 12
ISSN1524-4563
KeywordsBiomarkers, Female, Humans, Hypertension, PIERS, Placenta Growth Factor, Pregnancy, Pregnancy Complications, Cardiovascular, Pregnancy Outcome, Prognosis
Abstract

The PlGF (placental growth factor) has been largely demonstrated to be associated with the diagnosis of the hypertensive disorders of pregnancy (HDPs); however, it is unclear how useful it is for the prognosis of the condition. Our objective was to provide a summary of important findings of its prognostic ability by systematically reviewing studies that examined the ability of the PlGF, either independently or combined with other factors, to predict maternal and fetal complications resulting from the HDPs. We included studies published before January 30, 2017, reporting on the use of the PlGF as a prognostic test for women with confirmed HDPs or suspected preeclampsia. Of the 220 abstracts identified through MEDLINE, Embase, and CINAHL (Cumulative Index to Nursing and Allied Health Literature), 17 studies were eligible for our review. Prognostic performance was evaluated by sensitivity, specificity, likelihood ratios, and area under the receiver operating characteristic curve. PlGF showed moderate-to-high evidence (likelihood ratios of ≥5 or ≤0.2 or area under the receiver operating characteristic curves ≥0.70) for identifying women at the highest risk of preterm delivery or neonatal outcomes (10/12 studies) but showed no clinically useful performance for the prediction of adverse maternal outcomes. PlGF may aid in the management of women with HDPs to avert fetal complications. Future studies should determine an optimum threshold for the marker to guide delivery and should examine whether its use for predicting adverse maternal outcomes in women with HDPs can be improved.

DOI10.1161/HYPERTENSIONAHA.117.10150
Alternate JournalHypertension
Citation Key493
PubMed ID29084878
PubMed Central IDPMC5680987
Grant ListMR/J003360/1 / / Medical Research Council / United Kingdom
/ / CIHR / Canada