Scheme Information Sheets

Pre-eclampsia Markers

Scheme Particulars Indicative Details
Accreditation body UKAS
ISO/IEC Accreditation status ISO/IEC 17043:2023
UKAS Accredited Proficiency Testing Provider No 7860
Objective of Scheme Provides EQA coverage for PLGF based testing to help diagnose suspected preterm Pre-eclampsia.

Placental Growth Factor (PLGF) based testing is used to help rule in or rule out pre-eclampsia. Some assays use PLGF only whilst others combine PLGF measurement with measurement of Soluble fms-like tyrosine kinase-1 (sFlt-1) to calculate a ratio. Testing - including assays to be used - is recommended in NICE guideline NG133: Hypertension in pregnancy: diagnosis and management and HealthTech guidance HTG630.

The Scheme distributes a number of endogenous and manipulated specimens to cover concentrations in a healthy pregnancy and in a patient with Pre-eclampsia
Pre-, Analytical, Post- status Analytical
Number of distributions per year (nominal) 11
Specimens per distribution 3
Number of Specimens per annum 33
Frequency of distribution Monthly
Scoring system ABC
Material distributed Pooled or single donations of liquid human serum with or without exogenous added analyte
Programme Director(s) / Organiser(s) Rachel Marrington
Criteria for participation All, but overseas by courier
Nominal sample volume (mL) 0.5
Sample presentation TACs All analytes in the same tube
Data in Chemistry on-line Dashboard Yes
Analyte Approx Range Default Units Target Value B Score Limit (%) * C Score Limit (%) *
PLGF 0 – 60 ng/L MLTM 25.0 15.0
sFlt-1 0 – 1500 ng/L MLTM 25.0 15.0
sFlt-1/PLGF ratio 0 – 30 ~ MLTM 25.0 15.0

* Under review and likely to be reduced from April 2027

Abbreviation Expansion
ALTM All Laboratory Trimmed Mean
GLTM Group Laboratory Trimmed Mean – which is the Method Principle Mean
MLTM Method Laboratory Trimmed Mean – usually a manufacturer system / analyser mean
XALTM An external value that may be from a Reference Method System
OGLTM A Method Principle Mean used as the target for all laboratories
OMLTM A specific Method Mean used as a target for all laboratories
OMMED A Method Median used as the target for all laboratories
MED Median

This is an area of growth for laboratories, and we would like to work with laboratories and involve them in the development of the service. Please contact Birmingham Quality if you have any ideas of what the Scheme could probe.

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