HTA Details

Placental Growth Factor (PlGF)–Based Biomarker Testing to Help Diagnose Pre-eclampsia in People With Suspected Pre-eclampsia

Publication date
2023-May-17
Status
Final
Topic Area
Fertility, Pregnancy and Childbirth
Recommendation

Final Recommendation

Ontario Health, based on guidance from the Ontario Health Technology Advisory Committee, recommends publicly funding placental growth factor (PlGF)–based biomarker testing as an adjunct to standard clinical assessment to help diagnose pre-eclampsia in pregnant people between 20 weeks and 36 weeks plus 6 days’ gestation with suspected pre-eclampsia.

Ministry Response
The Ministry of Health endorses this recommendation.

Pre-eclampsia is a potentially serious condition that affects up to 1 in 20 pregnant people, most often after 20 weeks of pregnancy. Diagnosing pre-eclampsia can be difficult because symptoms and signs differ from person to person. Assessment begins during routine pregnancy appointments, when blood pressure is measured and risk factors for pre-eclampsia are checked. Blood tests have been developed to measure placental growth factor (PlGF), a protein that indicates the function of the placenta. The tests are used along with standard clinical assessment.

This health technology assessment looked at how effective and cost-effective PlGF-based biomarker testing is to help diagnose pre-eclampsia. It also looked at the budget impact of publicly funding PlGF-based biomarker testing and at the experiences, preferences, and values of people with confirmed or suspected pre-eclampsia.

Last Updated: February 24, 2026