Evidence map›Paper›PMID 30862649›Full record

ArticleAnnals of the rheumatic diseases2019

Clinical relevance of HEp-2 indirect immunofluorescent patterns: the International Consensus on ANA patterns (ICAP) perspective.

Jan Damoiseaux, Luis Eduardo Coelho Andrade, Orlando Gabriel Carballo, Karsten Conrad, Paulo Luiz Carvalho Francescantonio, Marvin J Fritzler, Ignacio Garcia de la Torre, Manfred Herold, Werner Klotz, Wilson de Melo Cruvinel and 4 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Annals of the rheumatic diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 167 papers.

0numbers the graph read from it
0cells of the map it votes in
167citing papers in PubMed
33.0field-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

167 citing papers in PubMed, 344 citations in OpenAlex.

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107 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 10 countries.

Jan DamoiseauxCentral Diagnostic Laboratory, Maastricht University Medical Center, Maastricht, The Netherlands jan.damoiseaux@mumc.nl.ORCID 0000-0003-4007-6985
Luis Eduardo Coelho AndradeRheumatology Division, Universidade Federal de Sao Paulo, Sao Paulo, Brazil.
Orlando Gabriel CarballoDepartment of Immunology, Instituto Universitario del Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Karsten ConradImmunology, Medical Faculty TU Dresden, Dresden, Germany.
Paulo Luiz Carvalho FrancescantonioPontificio Universidade Catolica de Goias, Goias, Brazil.
Marvin J FritzlerMedicine, Health Sciences Centre, Calgary, Alberta, Canada.
Ignacio Garcia de la TorreDepartment of Immunology and Rheumatology, Hospital General de Occidente, Guadalajara, Mexico.
Manfred HeroldRheumatology Unit, Clinical Department of General Internal Medicine, Innsbruck Medical University, Innsbruck, Austria.
Werner KlotzDepartment of Internal Medicine II, Medical University of Innsbruck, Innsbruck, Austria.
Wilson de Melo CruvinelPontificia Universidade Catolica de Goias, Goiania, Brazil.
Tsuneyo MimoriDepartment of Rheumatology and Clinical Immunology, Kyoto University Graduate school of Medicine, Kyoto, Japan.
Carlos von MuhlenBrazilian Society of Autoimmunity, Porto Alegre, Brazil.
Minoru SatohDepartment of Clinical Nursing, University of Occupational and Environmental Health, Kitakyushu, Japan.
Edward K ChanDepartment of Oral Biology, University of Florida, Gainesville, Florida, USA.
Innsbruck Medical University · ATPontifícia Universidade Católica de Goiás · BRBrazilian Computer Society · BRHealth Sciences Centre · CAHospital Italiano de Buenos Aires · ARKyoto University · JPMaastricht University Medical Centre · NLTechnische Universität Dresden · DEUniversidad Autónoma de Occidente · MXUniversidade Federal de São Paulo · BRUniversity of Florida · USUniversity of Occupational and Environmental Health Japan · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The indirect immunofluorescence assay (IIFA) on HEp-2 cells is widely used for detection of antinuclear antibodies (ANA). The dichotomous outcome, negative or positive, is integrated in diagnostic and classification criteria for several systemic autoimmune diseases. However, the HEp-2 IIFA test has much more to offer: besides the titre or fluorescence intensity, it also provides fluorescence pattern(s). The latter include the nucleus and the cytoplasm of interphase cells as well as patterns associated with mitotic cells. The International Consensus on ANA Patterns (ICAP) initiative has previously reached consensus on the nomenclature and definitions of HEp-2 IIFA patterns. In the current paper, the ICAP consensus is presented on the clinical relevance of the 29 distinct HEp-2 IIFA patterns. This clinical relevance is primarily defined within the context of the suspected disease and includes recommendations for follow-up testing. The discussion includes how this information may benefit the clinicians in daily practice and how the knowledge can be used to further improve diagnostic and classification criteria.

Indexed as

Antibodies, AntinuclearAutoimmune DiseasesBiomarkersFluorescent Antibody Technique, IndirectHumansInternational CooperationAntibodies, AntinuclearBiomarkersANA patternsantinuclear antibodiesclinical interpretationindirect immunofluorescence

Identifiers

PMID30862649
PMCPMC6585284
OpenAlexW2921652873

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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.