A Russian model for evaluating the efficiency of the sFlt-1/PlGF test for preeclampsia


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Resumo

Objective. To study the Russian model for evaluating the efficiency of the sFlt-1 (soluble fms-like tyrosine kinase 1)/PlGF (placental growth factor) test versus standard practice for preeclampsia (PE) in the second half of pregnancy. Material and methods. Based on the data of foreign studies on the nature of the flow of patients with PE, the national statistics of the Russian Federation, national clinical guidelines and protocols for a given algorithm of mathematical formulas (MS excel 2016), the outcomes were modeled taking into account the use of the sFlt-1/ PlGF test (Elecsys/Cobas, Roche Diagnostics, Rotkreuz, Switzerland) for the diagnosis of PE. Results. Analysis of priority publications, as well as mathematical modelling with the introduction of correction factors to the European models demonstrated the advantages of using the innovative sFlt-1/PlGFtest in risk-group patients with symptomatic and asymptomatic pregnancy in the diagnosis of PE, reducing the risk of severe forms of the disease, which led to fetal growth restriction, premature birth, and perinatal mortality. Conclusion. The mathematical modeling data on the use of the innovative sFlt-1/PlGF test in the second half of pregnancy confirm its efficiency in the diagnosis and prediction of PE.

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Sobre autores

Zulfia Khodzhaeva

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: zkhodjaeva@mail.ru
MD, professor, head of Department of Maternal-Fetal Medicine

Alexey Kholin

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: a_kholin@oparina4.ru
research scientist, Department of Maternal-Fetal Medicine, head of Department of Telemedicine

Marina Shuvalova

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: m_shuvalova@oparina4.ru
PhD, assistant professor, deputy director - head of Department of Regional Cooperation and Integration

Tatyana Ivanets

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: t_ivanets@oparina4.ru
PhD, head of the Clinical Diagnostic Laboratory

Sofia Demura

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: s.demura@aston-health.com
PhD, assistant professor

Irina Galichkina

JSC «Aston Health»

Email: i.galichkina@aston-health.com
master of Social and Economic Sciences

Bibliografia

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