Evidence map›Paper›PMID 30099654›Full record

ArticleClinical rheumatology2019

Added value of non-criteria antiphospholipid antibodies for antiphospholipid syndrome: lessons learned from year-long routine measurements.

Polona Žigon, Anuška Podovšovnik, Aleš Ambrožič, Matija Tomšič, Alojzija Hočevar, Nataša Gašperšič, Žiga Rotar, Sonja Praprotnik, Snežna Sodin Šemrl, Saša Čučnik

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Review
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  5. Current status and value of testing antiphospholipid antibody in patients with acute ischemic stroke: a retrospective single-center study in China.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  6. Article
  7. Levels and avidities of antiphosphatidylethanolamine antibodies in patients with thrombotic events and immunologically-mediated diseases.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Neurologic Manifestations of the Antiphospholipid Syndrome - an Update.Current neurology and neuroscience reports · 2021
    Review
  18. Article
  19. Review
  20. Article
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

10 authors at 3 institutions in 1 country.

Polona ŽigonDepartment of Rheumatology, Immunology Laboratory, University Medical Centre Ljubljana, SI-1000, Ljubljana, Slovenia. polona.zigon@guest.arnes.si.ORCID http://orcid.org/0000-0001-6637-9744
Anuška PodovšovnikDepartment of Rheumatology, Immunology Laboratory, University Medical Centre Ljubljana, SI-1000, Ljubljana, Slovenia.
Aleš AmbrožičDepartment of Rheumatology, Immunology Laboratory, University Medical Centre Ljubljana, SI-1000, Ljubljana, Slovenia.
Matija TomšičDepartment of Rheumatology, Immunology Laboratory, University Medical Centre Ljubljana, SI-1000, Ljubljana, Slovenia.
Alojzija HočevarDepartment of Rheumatology, Immunology Laboratory, University Medical Centre Ljubljana, SI-1000, Ljubljana, Slovenia.
Nataša GašperšičDepartment of Rheumatology, Immunology Laboratory, University Medical Centre Ljubljana, SI-1000, Ljubljana, Slovenia.
Žiga RotarDepartment of Rheumatology, Immunology Laboratory, University Medical Centre Ljubljana, SI-1000, Ljubljana, Slovenia.
Sonja PraprotnikDepartment of Rheumatology, Immunology Laboratory, University Medical Centre Ljubljana, SI-1000, Ljubljana, Slovenia.
Snežna Sodin ŠemrlDepartment of Rheumatology, Immunology Laboratory, University Medical Centre Ljubljana, SI-1000, Ljubljana, Slovenia.
Saša ČučnikDepartment of Rheumatology, Immunology Laboratory, University Medical Centre Ljubljana, SI-1000, Ljubljana, Slovenia.
Ljubljana University Medical Centre · SIUniversity of Ljubljana · SIUniversity of Primorska · SI

Funding

Javna Agencija za Raziskovalno Dejavnost RS P3-0314
6 · The paper itself

Abstract

The international classification criteria for definite antiphospholipid syndrome (APS) include three laboratory measurements: lupus anticoagulant (LA), IgG and IgM isotypes of anti-cardiolipin (aCL) and anti-β2glycoprotein I antibodies (anti-β2GPI). When persistently elevated, they are specific for APS; however, many patients that fulfil clinical criteria may exhibit negative serological results. These "seronegative" APS (SN-APS) are exposed to an increased thrombotic risk. The aims of our cross-sectional, retrospective study of consecutive autoimmune patients' samples were to evaluate the association of non-criteria antiphospholipid antibodies (aPL) with thrombosis and obstetric events, to calculate the risk score for adverse events and to assess the specific contribution of single aPL positivity in SN-APS. LA, aCL, anti-β2GPI and anti-phosphatidylserine/prothrombin antibodies (aPS/PT) of IgG, IgM, and IgA isotypes were determined in sera of 323 patients with autoimmune disorders. Medical records of all patients were carefully analyzed. aCL, anti-β2GPI and aPS/PT of IgG and IgA isotypes were significantly associated with thrombosis while none of the IgM aPL showed such association. aPS/PT of all isotypes, aCL and anti-β2GPI of IgG and IgA isotype showed significant correlation to obstetric events. When considering results of aPS/PT ELISA, we could additionally identify 3% of thrombotic patients and 2% of obstetric patients. Thrombotic and obstetric risk scores were calculated showing significantly higher association to clinical events, as compared to evaluating individual risk factors. aPS/PT could represent an additional biomarker in SN-APS patients. IgA aPL are associated with thrombosis and obstetric complications. Risk scores accounting different aPL and conventional risk factors, better assesses risk for adverse event, as compared to evaluating individual factors alone.

Indexed as

AdolescentAdultAgedAged, 80 and overAntibodies, AntiphospholipidAntiphospholipid Syndromebeta 2-Glycoprotein ICross-Sectional StudiesEnzyme-Linked Immunosorbent AssayFemaleHumansImmunoglobulin IsotypesLupus Coagulation InhibitorMaleMiddle AgedObstetric Labor ComplicationsAntibodies, Antiphospholipidbeta 2-Glycoprotein IImmunoglobulin IsotypesLupus Coagulation InhibitorAntiphospholipid antibodiesAntiphospholipid syndromeAntiprothrombin antibodiesIgAObstetric complicationsThrombosis

Identifiers

PMID30099654
OpenAlexW2887943084

What OpenQuestion holds

Textmetadata
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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.