Evidence map›Paper›PMID 39287684›Full record

ArticleArchives of gynecology and obstetrics2024

Relationship between maternal serum sFlt-1 level and placenta accreta spectrum disorders in the third trimester.

Fangchao Zhang, Li Xia, Lin Zeng, Huanyu You, Qingao Liu, Yan Wang

Abstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. 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.

Fangchao Zhang *Department of Gynecology and Obstetrics, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.
Li Xia *Department of Gynecology and Obstetrics, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.
Lin ZengCenter for Clinical Epidemiology, Peking University Third Hospital, Beijing, China.
Huanyu YouDepartment of Gynecology and Obstetrics, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.
Qingao LiuDepartment of Gynecology and Obstetrics, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.
Yan WangDepartment of Gynecology and Obstetrics, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China. wjgqhn@263.net.ORCID 0000-0003-3814-5128

Funding

Peking University Third Hospital BMU2020MX014Peking University Third Hospital BYSYFY2021007
6 · The paper itself

Abstract

purposeThis study aims to evaluate whether the third-trimester soluble fms-like tyrosine kinase-1 (sFlt-1) serum levels could be related to placenta accreta spectrum (PAS) disorders and the severity of postpartum blood loss.

methodsThis was a nested case-control study which compared serum sFlt-1 level between gravid women with or without PAS disorders. Spearman correlation analysis was conducted to explore the relationship between sFlt-1 level and the volume of postpartum blood loss. Confounding factors were adjusted to avoid the impact on the results.

resultsSixty gravid women were enrolled: 36 women in the PAS group and 24 women in the non-PAS group. Women in the PAS group had a median sFlt-1 level of 9407.1 [2745.9-21,691.5] pg/ml, whereas women in the non-PAS group had a median sFlt-1 level of 25,779.2 [14317.1-35,626.7] pg/ml, (p < 0.001). The sFlt-1 level was negatively related to the volume of postpartum blood loss (r =  - 0.358, p = 0.041). After adjusting for maternal age and gestational age at blood taking, sFlt-1 level showed no significant relationship with PAS disorders (p = 0.245) and postpartum blood loss (p = 0.526).

conclusionThird-trimester sFlt-1 serum level is not independently associated with PAS disorders or postpartum blood loss after adjusting for confounding factors.

Indexed as

Placenta AccretaPregnancy Trimester, ThirdVascular Endothelial Growth Factor Receptor-1AdultBiomarkersCase-Control StudiesFemaleHumansPostpartum HemorrhagePregnancyBiomarkersFLT1 protein, humanVascular Endothelial Growth Factor Receptor-1EnzymeLinked immunosorbent assay (ELISA)Placenta accreta spectrum disordersPostpartum blood lossPregnancySoluble fms-like tyrosine kinase 1 (sFlt1)Third trimester

Identifiers

PMID39287684
PMCPMC11485281

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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 Socratic graph.