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Published in: BMC Pregnancy and Childbirth 1/2008

Open Access 01-12-2008 | Study protocol

Tests for predicting complications of pre-eclampsia: A protocol for systematic reviews

Authors: Shakila Thangaratinam, Arri Coomarasamy, Steve Sharp, Fidelma O'Mahony, Shaughn O'Brien, Khaled MK Ismail, Khalid S Khan

Published in: BMC Pregnancy and Childbirth | Issue 1/2008

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Abstract

Background

Pre-eclampsia is associated with several complications. Early prediction of complications and timely management is needed for clinical care of these patients to avert fetal and maternal mortality and morbidity. There is a need to identify best testing strategies in pre eclampsia to identify the women at increased risk of complications. We aim to determine the accuracy of various tests to predict complications of pre-eclampsia by systematic quantitative reviews.

Method

We performed extensive search in MEDLINE (1951–2004), EMBASE (1974–2004) and also will also include manual searches of bibliographies of primary and review articles. An initial search has revealed 19500 citations. Two reviewers will independently select studies and extract data on study characteristics, quality and accuracy. Accuracy data will be used to construct 2 × 2 tables. Data synthesis will involve assessment for heterogeneity and appropriately pooling of results to produce summary Receiver Operating Characteristics (ROC) curve and summary likelihood ratios.

Discussion

This review will generate predictive information and integrate that with therapeutic effectiveness to determine the absolute benefit and harm of available therapy in reducing complications in women with pre-eclampsia.
Appendix
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Literature
1.
go back to reference World Health Organization: The hypertensive disorders of pregnancy. 1987, Report of a WHO Study Group World Health Organization: The hypertensive disorders of pregnancy. 1987, Report of a WHO Study Group
2.
go back to reference Duvekot JJ, Peeters LLH: Maternal haemodynamic adaptation to pregnancy. Obstet Gynecol Surv. 1994, 49: S1-S14. 10.1097/00006254-199412011-00001.CrossRefPubMed Duvekot JJ, Peeters LLH: Maternal haemodynamic adaptation to pregnancy. Obstet Gynecol Surv. 1994, 49: S1-S14. 10.1097/00006254-199412011-00001.CrossRefPubMed
3.
go back to reference HMSO: Report on Confidential Enquiries into Maternal Deaths in the United Kingdom 1997–99. 2001 HMSO: Report on Confidential Enquiries into Maternal Deaths in the United Kingdom 1997–99. 2001
4.
go back to reference Montan SSNSN: Hypertension in Pregnancy – foetal and infant outcome. Hypertension in pregnancy. 1987, B6: 337-348. 10.3109/10641958709023484. Montan SSNSN: Hypertension in Pregnancy – foetal and infant outcome. Hypertension in pregnancy. 1987, B6: 337-348. 10.3109/10641958709023484.
5.
go back to reference Coomarasamy A, Papaiannou S, Gee , Khan KS: Aspirin to prevent pre-eclampsia in women with abnormal uterine artery doppler: a meta-analysis. Obstet Gynecol. 2001, 98: 861-866. 10.1016/S0029-7844(01)01569-1.PubMed Coomarasamy A, Papaiannou S, Gee , Khan KS: Aspirin to prevent pre-eclampsia in women with abnormal uterine artery doppler: a meta-analysis. Obstet Gynecol. 2001, 98: 861-866. 10.1016/S0029-7844(01)01569-1.PubMed
6.
go back to reference Duley L, Henderson-Smart DJ, Knight M, King JF: Antiplatelet drugs for prevention of pre-eclampsia and its consequences: systematic review. BMJ. 2001, 322: 329-333. 10.1136/bmj.322.7282.329.CrossRefPubMedPubMedCentral Duley L, Henderson-Smart DJ, Knight M, King JF: Antiplatelet drugs for prevention of pre-eclampsia and its consequences: systematic review. BMJ. 2001, 322: 329-333. 10.1136/bmj.322.7282.329.CrossRefPubMedPubMedCentral
7.
go back to reference Coomarasamy A, Gee H, Khan KS, Braunholtz D: Aspirin has clinically significant benefit in high risk groups – Summary NNT can mislead clinicians. eBMJ. 2001 Coomarasamy A, Gee H, Khan KS, Braunholtz D: Aspirin has clinically significant benefit in high risk groups – Summary NNT can mislead clinicians. eBMJ. 2001
8.
go back to reference Khan KS, Ter Riet G, Glanville J, Sowden AJ, Kleijnen J: Undertaking Systematic Reviews of Research on Effectiveness. CRD's Guidance for Carrying Out or Commissioning Reviews. 4. 2001, Centre for Reviews and Dissemination (CRD), University of York. CRD Report Khan KS, Ter Riet G, Glanville J, Sowden AJ, Kleijnen J: Undertaking Systematic Reviews of Research on Effectiveness. CRD's Guidance for Carrying Out or Commissioning Reviews. 4. 2001, Centre for Reviews and Dissemination (CRD), University of York. CRD Report
9.
go back to reference Cochrane Methods Working Group on Systematic Reviews of Screening and Diagnostic Tests: Recommended Methods. 6-6-1996. Cochrane Methods Working Group on Systematic Reviews of Screening and Diagnostic Tests: Recommended Methods. 6-6-1996.
10.
go back to reference Thangaratinam S, Ismail K, Sharp S, Coomarasamy A, O'Mahony F, Khan KS, O'Brien S: Prioritisation of tests for the prediction of preeclampsia complications: a Delphi survey. Hypertension in Pregnancy. 2007, 26: 131-138. 10.1080/10641950601148000.CrossRefPubMed Thangaratinam S, Ismail K, Sharp S, Coomarasamy A, O'Mahony F, Khan KS, O'Brien S: Prioritisation of tests for the prediction of preeclampsia complications: a Delphi survey. Hypertension in Pregnancy. 2007, 26: 131-138. 10.1080/10641950601148000.CrossRefPubMed
11.
go back to reference Alderson P, Green S, Higgins JPT: Cochrane Reviewer's Handbook 4.2.2. 2004 Alderson P, Green S, Higgins JPT: Cochrane Reviewer's Handbook 4.2.2. 2004
12.
go back to reference Egger M, Zellweger-Zahner T, et al: Language bias in randomised controlled trials published in English and German. Lancet. 1997, 350: 326-329. 10.1016/S0140-6736(97)02419-7.CrossRefPubMed Egger M, Zellweger-Zahner T, et al: Language bias in randomised controlled trials published in English and German. Lancet. 1997, 350: 326-329. 10.1016/S0140-6736(97)02419-7.CrossRefPubMed
13.
go back to reference Whiting PJ, Rutjes AWS, Reitsma JB, Bossuyt PM, Glas Afina, Kleijnen J: Sources of Variation and Bias in Studies of Diagnostic Accuracy A Systematic Review. Annals of Internal Medicine. 2004, 40: 189-202.CrossRef Whiting PJ, Rutjes AWS, Reitsma JB, Bossuyt PM, Glas Afina, Kleijnen J: Sources of Variation and Bias in Studies of Diagnostic Accuracy A Systematic Review. Annals of Internal Medicine. 2004, 40: 189-202.CrossRef
14.
go back to reference Khan KS, Dinnes J, Kleijnen J: Systematic reviews to evaluate diagnostic tests. J Obstet Gynecol Reprod Biol. 2001, 95: 6-11. 10.1016/S0301-2115(00)00463-2.CrossRef Khan KS, Dinnes J, Kleijnen J: Systematic reviews to evaluate diagnostic tests. J Obstet Gynecol Reprod Biol. 2001, 95: 6-11. 10.1016/S0301-2115(00)00463-2.CrossRef
15.
go back to reference Deeks JJ: Systematic reviews in health care: Systematic reviews of evaluations of diagnostic and screening tests. BMJ. 2001, 323: 157-162. 10.1136/bmj.323.7305.157.CrossRefPubMedPubMedCentral Deeks JJ: Systematic reviews in health care: Systematic reviews of evaluations of diagnostic and screening tests. BMJ. 2001, 323: 157-162. 10.1136/bmj.323.7305.157.CrossRefPubMedPubMedCentral
16.
go back to reference Jaeschke R, Guyatt GH, Sackett DL: Users' guide to the medical literature. II. How to use an article about a diagnostic test. A. Are the results of the study valid?. JAMA. 1994, 271: 389-391. 10.1001/jama.271.5.389.CrossRefPubMed Jaeschke R, Guyatt GH, Sackett DL: Users' guide to the medical literature. II. How to use an article about a diagnostic test. A. Are the results of the study valid?. JAMA. 1994, 271: 389-391. 10.1001/jama.271.5.389.CrossRefPubMed
17.
go back to reference Lijmer JG, Mol BW, Heisterkamp S, Bonsel GJ, Prins MH, Meulen van der JHP, et al: Empirical evidence of design-related bias in studies of diagnostic tests. JAMA. 1999, 282: 1061-1066. 10.1001/jama.282.11.1061.CrossRefPubMed Lijmer JG, Mol BW, Heisterkamp S, Bonsel GJ, Prins MH, Meulen van der JHP, et al: Empirical evidence of design-related bias in studies of diagnostic tests. JAMA. 1999, 282: 1061-1066. 10.1001/jama.282.11.1061.CrossRefPubMed
18.
go back to reference Bossuyt PM, Reitsma JB, Bruns DE, Glasziou PP, Gatsonis CA, Irwig LM, et al: Towards complete and accurate reporting of studies on diagnostic accuracy:The STARD initiative. Family Practice. 2004, 21: 4-10. 10.1093/fampra/cmh103.CrossRefPubMed Bossuyt PM, Reitsma JB, Bruns DE, Glasziou PP, Gatsonis CA, Irwig LM, et al: Towards complete and accurate reporting of studies on diagnostic accuracy:The STARD initiative. Family Practice. 2004, 21: 4-10. 10.1093/fampra/cmh103.CrossRefPubMed
19.
go back to reference Chein PFW, Khan KS: Evaluation of a clinical test. II: Assessment of validity. Br J Obstet Gynecol. 2001, 108: 568-572. 10.1016/S0306-5456(00)00128-5. Chein PFW, Khan KS: Evaluation of a clinical test. II: Assessment of validity. Br J Obstet Gynecol. 2001, 108: 568-572. 10.1016/S0306-5456(00)00128-5.
20.
go back to reference Jaeschke R, Guyatt GH, Sackett DL: Users' guide to the medical literature. III. How to use an article about a diagnostic test. B. What are the results and will they help me in caring for my patients?. JAMA. 1994, 271: 703-707. 10.1001/jama.271.9.703.CrossRefPubMed Jaeschke R, Guyatt GH, Sackett DL: Users' guide to the medical literature. III. How to use an article about a diagnostic test. B. What are the results and will they help me in caring for my patients?. JAMA. 1994, 271: 703-707. 10.1001/jama.271.9.703.CrossRefPubMed
21.
go back to reference Honest H, Khan KS: Reporting of measures of accuracy in systematic reviews in diagnostic literature. BMC Health Serv Res. 2002, 2 (1): 4-10.1186/1472-6963-2-4.CrossRefPubMedPubMedCentral Honest H, Khan KS: Reporting of measures of accuracy in systematic reviews in diagnostic literature. BMC Health Serv Res. 2002, 2 (1): 4-10.1186/1472-6963-2-4.CrossRefPubMedPubMedCentral
22.
go back to reference Song F, Khan KS, Dinnes J, Sutton A: Asymmetric Funnel Plots and the Problem of Publication Bias in Meta-analyses of Diagnostic Accuracy. Int J Epidemiol. 2002, 31: 88-95. 10.1093/ije/31.1.88.CrossRefPubMed Song F, Khan KS, Dinnes J, Sutton A: Asymmetric Funnel Plots and the Problem of Publication Bias in Meta-analyses of Diagnostic Accuracy. Int J Epidemiol. 2002, 31: 88-95. 10.1093/ije/31.1.88.CrossRefPubMed
24.
go back to reference Khan KS, Honest , Bachmann LM: A generic framework for making clinical decisions integrating diagnostic and therapeutic research evidence in preterm birth. Fetal and Maternal Medicine Review. Fetal and Maternal Medicine Review. 2003, 13: 239-249. 10.1017/S0965539503001104.CrossRef Khan KS, Honest , Bachmann LM: A generic framework for making clinical decisions integrating diagnostic and therapeutic research evidence in preterm birth. Fetal and Maternal Medicine Review. Fetal and Maternal Medicine Review. 2003, 13: 239-249. 10.1017/S0965539503001104.CrossRef
25.
go back to reference The Magpie Trial Collaborative Group: Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The Magpie Trial: a randomised placebo-controlled trial. Lancet. 2002, 359 (9321): 1877-90. 10.1016/S0140-6736(02)08778-0.CrossRef The Magpie Trial Collaborative Group: Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The Magpie Trial: a randomised placebo-controlled trial. Lancet. 2002, 359 (9321): 1877-90. 10.1016/S0140-6736(02)08778-0.CrossRef
26.
go back to reference Chein PFW, Khan KS, Arnott N: Magnesium sulphate in the treatment of eclampsia and pre-eclampsia: an overview of the evidence from randomised trials. Br J Obstet Gynaecol. 1996, 103 (11): 1085-91.CrossRef Chein PFW, Khan KS, Arnott N: Magnesium sulphate in the treatment of eclampsia and pre-eclampsia: an overview of the evidence from randomised trials. Br J Obstet Gynaecol. 1996, 103 (11): 1085-91.CrossRef
27.
go back to reference Coomarasamy A, Braunholtz D, Song F, Taylor R, Khan KS: Individualising use of aspirin to prevent pre eclampsia: A framework for clinical decision making. BJOG. 2003, 110 (10): 882-888. 10.1111/j.1471-0528.2003.03002.x.CrossRefPubMed Coomarasamy A, Braunholtz D, Song F, Taylor R, Khan KS: Individualising use of aspirin to prevent pre eclampsia: A framework for clinical decision making. BJOG. 2003, 110 (10): 882-888. 10.1111/j.1471-0528.2003.03002.x.CrossRefPubMed
Metadata
Title
Tests for predicting complications of pre-eclampsia: A protocol for systematic reviews
Authors
Shakila Thangaratinam
Arri Coomarasamy
Steve Sharp
Fidelma O'Mahony
Shaughn O'Brien
Khaled MK Ismail
Khalid S Khan
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2008
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/1471-2393-8-38

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