Evidence map›Paper›PMID 29490924›Full record

ArticleBlood2018

Antiphospholipid antibodies and recurrent thrombosis after a first unprovoked venous thromboembolism.

Clive Kearon, Sameer Parpia, Frederick A Spencer, Trevor Baglin, Scott M Stevens, Kenneth A Bauer, Steven R Lentz, Craig M Kessler, James D Douketis, Stephan Moll and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
8.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Thrombotic Antiphospholipid Syndrome: Recurrent Thromboses.Doklady. Biochemistry and biophysics · 2025
    Article
  8. Article
  9. Warfarin and heparin monitoring in antiphospholipid syndrome.Hematology. American Society of Hematology. Education Program · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Positive antiphospholipid antibodies: observation or treatment?Journal of thrombosis and thrombolysis · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. An Update on Antiphospholipid Syndrome.Current rheumatology reports · 2022
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 8 institutions in 3 countries.

Clive KearonFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Sameer ParpiaFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Frederick A SpencerFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Trevor BaglinAddenbrooke's Hospital, Cambridge, United Kingdom.
Scott M StevensIntermountain Medical Center, Murray, UT.
Kenneth A BauerDepartment of Medicine, Harvard Medical School, Boston, MA.
Steven R LentzDepartment of Internal Medicine, University of Iowa, Iowa City, IA.
Craig M KesslerLombardi Comprehensive Care Center, Georgetown University, Washington, DC.
James D DouketisFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Stephan MollDepartment of Medicine, University of North Carolina, Chapel Hill, NC; and.
Scott KaatzHurley Medical Center, Flint, MI.
Sam SchulmanFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Jean M ConnorsDepartment of Medicine, Harvard Medical School, Boston, MA.
Jeffrey S GinsbergFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Luciana SpadaforaFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Vinai BhagirathFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Patricia C LiawFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Jeffrey I WeitzFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Jim A JulianFaculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
McMaster University · CAHarvard University · USAddenbrooke's Hospital · GBGeorgetown University · USHurley Medical Center · USIntermountain Medical Center · USUniversity of Iowa · USUniversity of North Carolina at Chapel Hill · US

Funding

CIHR MOP-84303
6 · The paper itself

Abstract

It is uncertain whether antiphospholipid antibodies (APAs) increase the risk of recurrence after a first unprovoked venous thromboembolism (VTE). We tested for anticardiolipin antibodies, anti-β2 glycoprotein 1 antibodies, and lupus anticoagulant on 2 occasions ∼6 months apart in 307 patients with a first unprovoked VTE who were part of a prospective cohort study. We then determined if APAs were associated with recurrent thrombosis in the 290 patients who stopped anticoagulant therapy in response to negative D-dimer results. Compared with those without an APA, the hazard ratios for recurrent VTE were 1.8 (95% confidence interval [CI], 0.9-3.7;

Indexed as

AdolescentAdultAgedAntibodies, AntiphospholipidAutoantibodiesBlood CoagulationBlood Coagulation TestsFemaleFibrin Fibrinogen Degradation ProductsHumansImmunoglobulin GImmunoglobulin MMaleMiddle AgedRisk FactorsVenous ThromboembolismAntibodies, AntiphospholipidAutoantibodiesFibrin Fibrinogen Degradation Productsfibrin fragment DImmunoglobulin GImmunoglobulin M

Identifiers

PMID29490924
PMCPMC6536697
OpenAlexW2793259357

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.