Evidence map›Paper›PMID 29549933›Full record

ArticleThe American journal of the medical sciences2018

Antiphospholipid Antibodies and Heart Valve Disease in Systemic Lupus Erythematosus.

Daniel Ruiz, Jim C Oates, Diane L Kamen

Abstract read
In one paragraph

Article in The American journal of the medical sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  16. Severe mitral valve regurgitation secondary to Libman-Sacks endocarditis.American journal of cardiovascular disease · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Daniel RuizDepartment of Medicine, Medical University of South Carolina, Charleston, SC.
Jim C OatesDepartment of Medicine, Medical University of South Carolina, Charleston, SC.
Diane L KamenDepartment of Medicine, Medical University of South Carolina, Charleston, SC. Electronic address: ruizda@musc.edu.

Funding

SOUTH CAROLINA CLINICAL & TRANSLATIONAL RESEARCH INSTITUTE (SCTR)UL1RR029882 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2009 to 2011
$10.1M
Resource CoreP30AR072582 · NIAMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Paul J Nietert · 2017 to 2026
$8.5M
Patient Resource CoreP60AR062755 · NIAMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SILVER, RICHARD M. · 2012 to 2016
$5.8M
Environmental Determinants of Lupus among African AmericansK24AR068406 · NIAMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAMEN, DIANE L · 2016 to 2020
$862k
NCRR NIH HHS UL1 RR029882NIAMS NIH HHS K24 AR068406NIAMS NIH HHS P30 AR072582NIAMS NIH HHS P60 AR062755
6 · The paper itself

Abstract

Evaluation of antiphospholipid antibodies (aPL) and correlation with heart valve abnormalities among patients with systemic lupus erythematosus (SLE). Nested case-control study was conducted with 70 patients with SLE selected from a longitudinal database based on levels of aPL and presence or absence of valve disease by echocardiogram. Valvular abnormalities observed were regurgitation (52), other (14), artificial valves (4), stenosis (2), thickening (2) and no Libman-Sacks endocarditis (0). The mitral valve was the most commonly affected (30 abnormalities), followed by the tricuspid (20 abnormalities). Multivariate logistic regression for those with and without an aPL value ≥20 units/mL, adjusted for disease duration and age, showed significant differences for any valve abnormality (odds ratio [OR] = 3.1; 95% CI: 1.0-8.9; P = 0.041) and individually for the tricuspid valve (OR = 3.3; 95% CI: 1.0-11.1; P = 0.052) but not for the mitral valve (OR = 2.1; 95% CI: 0.68-6.45; P = 0.195). Levels of aPL ≥20 units/mL showed no association with aortic (P = 0.253), pulmonic (P = 1.000), tricuspid (P = 0.127), or mitral (P = 0.249) valve abnormalities. Levels of aPL correlate with certain valvular abnormalities among patients with SLE.

Indexed as

AdolescentAdultAntibodies, AntiphospholipidAortic Valve InsufficiencyAortic Valve StenosisCase-Control StudiesEchocardiographyFemaleHeart Valve DiseasesHeart Valve ProsthesisHumansLogistic ModelsLupus Erythematosus, SystemicMaleMiddle AgedMitral Valve InsufficiencyAntibodies, AntiphospholipidAntiphospholipid antibodiesAntiphospholipid syndromeHeart valve diseasesSystemic lupus erythematosus

Identifiers

PMID29549933
PMCPMC5863618

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Registered trials

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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.