Diagnostic utility of <scp>APRI</scp> , <scp>FIB</scp> ‐4, and <scp>FIB</scp> ‐5 in intrahepatic cholestasis of pregnancy: A retrospective case–control study

APRI, FIB-4, and FIB-5 are elevated in pregnancies affected by ICP and may serve as supportive, non-invasive markers reflecting hepatocellular stress and hepatic involvement. Among these indices, APRI showed the best diagnostic performance, FIB-5 demonstrated moderate discriminative ability, and FIB-4 had limited diagnostic utility. These indices may provide clinicians with additional information when evaluating hepatic dysfunction and may be associated with neonatal outcomes, although they are not validated prognostic tools. Prospective studies are warranted to further validate their clinical utility.

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Publication Details

Journal
International Journal of Gynecology & Obstetrics
Published
2026-01-23
DOI
https://doi.org/10.1002/ijgo.70807
Primary Topic
Drug Transport and Resistance Mechanisms
Type
article
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article

Diagnostic utility of APRI , FIB ‐4, and FIB ‐5 in intrahepatic cholestasis of pregnancy: A retrospective case–control study

Bilge Kapudere, Sevil Çiçek, Zehra Tavukcuoglu, Reyhan Ayaz et al.
International Journal of Gynecology & Obstetrics
Drug Transport and Resistance Mechanisms
article

Diagnostic utility of APRI , FIB ‐4, and FIB ‐5 in intrahepatic cholestasis of pregnancy: A retrospective case–control study

Bilge Kapudere, Sevil Çiçek, Zehra Tavukcuoglu, Reyhan Ayaz, Yasemin Beyza Kaya Parspancı
article en

Abstract

APRI, FIB-4, and FIB-5 are elevated in pregnancies affected by ICP and may serve as supportive, non-invasive markers reflecting hepatocellular stress and hepatic involvement. Among these indices, APRI showed the best diagnostic performance, FIB-5 demonstrated moderate discriminative ability, and FIB-4 had limited diagnostic utility. These indices may provide clinicians with additional information when evaluating hepatic dysfunction and may be associated with neonatal outcomes, although they are not validated prognostic tools. Prospective studies are warranted to further validate their clinical utility.

International Journal of Gynecology & Obstetrics
Yozgat Bozok Üniversitesi (TR), Dünyagöz Hospital (TR), İstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi (TR)
Good health and well-being
Openalex Percentile: Top 80%
Drug Transport and Resistance Mechanisms
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Diagnostic utility of <scp>APRI</scp> , <scp>FIB</scp> ‐4, and <scp>FIB</scp> ‐5 in intrahepatic cholestasis of pregnancy: A retrospective case–control study — Bilge Kapudere, Sevil Çiçek, et al. · International Journal of Gynecology & Obstetrics (2026) | TGRS Research Map | TGRS