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- Title
Predictive Value of Free β-hCG Multiple of the Median for Women with Preeclampsia.
- Authors
Liu, Hui-Qiang; Wang, Yong-Hong; Wang, Lan-Lan; Hao, Min
- Abstract
Background: Preeclampsia (PE) is relatively common and is unpredictable in its onset and progression. Aims: We investigated the clinical value of using the multiple of the median (MoM) of free β-human chorionic gonadotropin (β-hCG) concentrations in women with normal pregnancy and PE. Methods: This study was based on a dataset available from published studies, and the relevant studies were retrieved from multiple electronic databases. Data were extracted from case-control studies; a random-effects model was employed, and standardized mean difference and 95% confidence intervals were calculated. Twelve case-control studies (eleven English-based articles and one Chinese-based article) were analyzed in the current meta-analysis and included 702 patients with PE and 8,233 women with normal pregnancies. Results: Statistical analysis revealed a higher MoM of β-hCG serum levels in patients with PE. Ethnicity subgroup analysis showed that the MoM of serum β-hCG levels was significantly higher in women with PE in both Asian and Caucasian populations. Conclusion: The MoM of β-hCG serum levels was significantly increased in women with PE compared to women with normal pregnancies. Screening for serum β-hCG MoM levels will be helpful in the early identification of pregnancies at risk of developing PE.
- Subjects
PREECLAMPSIA; CHORIONIC gonadotropins; DISEASE progression; META-analysis
- Publication
Gynecologic & Obstetric Investigation, 2016, Vol 81, Issue 2, p137
- ISSN
0378-7346
- Publication type
Article
- DOI
10.1159/000433434