External validation of prognostic models for preeclampsia in a Dutch multicenter prospective cohort

Objective: To perform an external validation of all published prognostic models for first-trimester prediction of the risk of developing preeclampsia (PE). Methods: Women <14 weeks of pregnancy were recruited in the Netherlands. All systematically identified prognostic models for PE that contained predictors commonly available were eligible for external validation. Results: 3,736 women were included; 87 (2.3%) developed PE. Calibration was poor due to overestimation. Discrimination of 9 models for LO-PE ranged from 0.58 to 0.71 and of 9 models for all PE from 0.55 to 0.75. Conclusion: Only... Mehr ...

Verfasser: Marije Lamain-de Ruiter
Anneke Kwee
Christiana A. Naaktgeboren
Rebecca D. Louhanepessy
Inge De Groot
Inge M. Evers
Floris Groenendaal
Yolanda R. Hering
Anjoke J. M. Huisjes
Cornel Kirpestein
Wilma M. Monincx
Peter C. J. I. Schielen
Annewil Van ’T Zelfde
Charlotte M. Van Oirschot
Simone A. Vankan-Buitelaar
Mariska A. A. W. Vonk
Therese A. Wiegers
Joost J. Zwart
Karel G. M. Moons
Arie Franx
Maria P. H. Koster
Dokumenttyp: Artikel
Erscheinungsdatum: 2019
Reihe/Periodikum: Hypertension in Pregnancy, Vol 38, Iss 2, Pp 78-88 (2019)
Verlag/Hrsg.: Taylor & Francis Group
Schlagwörter: first trimester / preeclampsia / external validation / prognostic model / Gynecology and obstetrics / RG1-991
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26630067
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doi.org/10.1080/10641955.2019.1584210

Objective: To perform an external validation of all published prognostic models for first-trimester prediction of the risk of developing preeclampsia (PE). Methods: Women <14 weeks of pregnancy were recruited in the Netherlands. All systematically identified prognostic models for PE that contained predictors commonly available were eligible for external validation. Results: 3,736 women were included; 87 (2.3%) developed PE. Calibration was poor due to overestimation. Discrimination of 9 models for LO-PE ranged from 0.58 to 0.71 and of 9 models for all PE from 0.55 to 0.75. Conclusion: Only a few easily applicable prognostic models for all PE showed discrimination above 0.70, which is considered an acceptable performance.