Evidence map›Paper›PMID 30862697›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2019

Etiology and Outcomes of Thrombotic Microangiopathies.

Guillaume Bayer, Florent von Tokarski, Benjamin Thoreau, Adeline Bauvois, Christelle Barbet, Sylvie Cloarec, Elodie Mérieau, Sébastien Lachot, Denis Garot, Louis Bernard and 11 more

2 registry-linked trialsOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 92 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 3% 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.

NCT05991245 unknown statusnot on this mapstarted 2023, after this paper: background citation

French National Cohort MATRIX "Renal and Systemic Thrombotic Microangiopathy"

TypeobservationalSponsorUniversity Hospital, ToursRan2023 to 2025Enrolled1,000ConditionsThrombotic Microangiopathy, Acute Kidney Injury, Hemolytic Uremic Syndrome, NephrologyArmsCollecting datas
NCT07171749 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Prevalence of Hemolytic Uremic Syndrome (HUS) in Pediatrics at Assiut University Children's Hospital: A Prospective Study

TypeobservationalSponsorAssiut UniversityRan2025 to 2026Enrolled50ConditionsPrevalence of Hemolytic Uremic Syndrome
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 2 syntheses or guidelines pooled it, 157 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Review
  5. Causes and outcomes of pediatric thrombotic microangiopathy.Research and practice in thrombosis and haemostasis · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Hypertensive crisis in the critically ill.Annals of intensive care · 2026
    Review
  11. Article
  12. Secondary thrombotic microangiopathy following lung transplantation: a multicenter European cohort study.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  13. Article
  14. Review
  15. Article
  16. Histologic Features Associated with Kidney Survival in Scleroderma Renal Crisis.Journal of the American Society of Nephrology : JASN · 2025
    Article
  17. Complement activation in secondary thrombotic microangiopathies.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  18. Article
  19. Article
  20. Observational

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

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

21 authors at 5 institutions in 1 country.

Guillaume BayerService de Néphrologie-hypertension, Dialyses, Transplantation Rénale, Hôpital Bretonneau et hôpital Clocheville.
Florent von TokarskiService de Néphrologie-hypertension, Dialyses, Transplantation Rénale, Hôpital Bretonneau et hôpital Clocheville.ORCID 0000-0002-1753-7651
Benjamin ThoreauService de Néphrologie-hypertension, Dialyses, Transplantation Rénale, Hôpital Bretonneau et hôpital Clocheville.ORCID 0000-0002-9046-4524
Adeline BauvoisService de Néphrologie-hypertension, Dialyses, Transplantation Rénale, Hôpital Bretonneau et hôpital Clocheville.
Christelle BarbetService de Néphrologie-hypertension, Dialyses, Transplantation Rénale, Hôpital Bretonneau et hôpital Clocheville.
Sylvie CloarecService de Néphrologie-hypertension, Dialyses, Transplantation Rénale, Hôpital Bretonneau et hôpital Clocheville.
Elodie MérieauService de Néphrologie-hypertension, Dialyses, Transplantation Rénale, Hôpital Bretonneau et hôpital Clocheville.
Sébastien LachotService d'Hématologie Biologique, Hôpital Bretonneau.
Denis GarotService de Médecine Intensive Réanimation, Hôpital Bretonneau.
Louis BernardService de Maladies Infectieuses, Hôpital Bretonneau.
Emmanuel GyanService d'Hématologie et Thérapie Cellulaire, Hôpital Bretonneau.
Franck PerrotinMaternité Olympe de Gouges, Hôpital Bretonneau.
Claire PouplardLaboratoire d'Hématologie-Hémostase, Hôpital Trousseau.
François MaillotService de Médecine interne, Hôpital Bretonneau.
Philippe GataultService de Néphrologie-hypertension, Dialyses, Transplantation Rénale, Hôpital Bretonneau et hôpital Clocheville.
Bénédicte SautenetService de Néphrologie-hypertension, Dialyses, Transplantation Rénale, Hôpital Bretonneau et hôpital Clocheville.
Emmanuel RuschLaboratoire de Santé Publique, Hôpital Bretonneau, Centre Hospitalier Universitaire Tours, Tours, France.
Matthias BuchlerService de Néphrologie-hypertension, Dialyses, Transplantation Rénale, Hôpital Bretonneau et hôpital Clocheville.
Cécile VigneauCentre Hospitalier Universitaire Pontchaillou, Service de Néphrologie, Rennes, France.
Fadi FakhouriCentre de recherche en Transplantation et immunologie, Unité Mixte de Recherche 1064, Institut National de la Santé et de la Recherche Médicale, Université de Nantes et département de Néphrologie et Immunologie, Centre Hospitalier Universitaire Nantes, Nantes, France.
Jean-Michel HalimiService de Néphrologie-hypertension, Dialyses, Transplantation Rénale, Hôpital Bretonneau et hôpital Clocheville.
Hôpital Bretonneau · FRUniversité de Tours · FRInserm · FRCentre Hospitalier Universitaire de Tours · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThrombotic microangiopathies constitute a diagnostic and therapeutic challenge. Secondary thrombotic microangiopathies are less characterized than primary thrombotic microangiopathies (thrombotic thrombocytopenic purpura and atypical hemolytic and uremic syndrome). The relative frequencies and outcomes of secondary and primary thrombotic microangiopathies are unknown. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted a retrospective study in a four-hospital institution in 564 consecutive patients with adjudicated thrombotic microangiopathies during the 2009-2016 period. We estimated the incidence of primary and secondary thrombotic microangiopathies, thrombotic microangiopathy causes, and major outcomes during hospitalization (death, dialysis, major cardiovascular events [acute coronary syndrome and/or acute heart failure], and neurologic complications [stroke, cognitive impairment, or epilepsy]).

resultsWe identified primary thrombotic microangiopathies in 33 of 564 patients (6%; thrombotic thrombocytopenic purpura: 18 of 564 [3%]; atypical hemolytic and uremic syndrome: 18 of 564 [3%]). Secondary thrombotic microangiopathies were found in 531 of 564 patients (94%). A cause was identified in 500 of 564 (94%): pregnancy (35%; 11 of 1000 pregnancies), malignancies (19%), infections (33%), drugs (26%), transplantations (17%), autoimmune diseases (9%), shiga toxin due to

conclusionsSecondary thrombotic microangiopathies represent the majority of thrombotic microangiopathies. Multiple thrombotic microangiopathies causes are present in one half of secondary thrombotic microangiopathies. The risks of dialysis, neurologic and cardiac complications, and death vary by the cause of thrombotic microangiopathies.

Indexed as

Thrombotic MicroangiopathiesAdolescentAdultFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultAcute Coronary SyndromeAnemiaCognitive DysfunctionConfidence IntervalsEpilepsyEscherichia coliFolic AcidGlucosephosphate Dehydrogenase Deficiencyheart failurehospitalizationHypertensionImmune System DiseasesIncidenceLogistic ModelsMalignantNeoplasmsOdds RatioPregnancyPurpurarenal dialysisRetrospective StudiesShiga ToxinSickle CellStrokeThrombotic MicroangiopathiesThrombotic Thrombocytopenic

Identifiers

PMID30862697
PMCPMC6450353
OpenAlexW2922405587

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.