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: de Ruiter, M.
Kwee, A. (Anneke)
Naaktgeboren, CA
Louhanepessy, R.D.
Groot, I.B. (Ingrid) de
Evers, IM
Groenendaal, F. (Floris)
Hering, YR
Huisjes, A.J.M. (Anjoke)
Kirpestein, C
Monincx, WM
Schielen, P.
van t Zelfde, A.
Van Oirschot, C.M. (Charlotte M.)
Vankan-Buitelaar, SA
Vonk, M. (Marco)
Wiegers, TA
Zwart, J.J. (Joost)
Moons, KGM
Franx, A. (Arie)
Koster, M.P.H.
Dokumenttyp: Artikel
Erscheinungsdatum: 2019
Schlagwörter: First trimester / preeclampsia / external validation / prognostic model
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29035188
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://repub.eur.nl/pub/116213

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.