Evidence map›Paper›PMID 31606899›Full record

ReviewEuropean journal of haematology2020

Clinical utility and impact of the use of the chromogenic vs one-stage factor activity assays in haemophilia A and B.

Richard A Marlar, Karin Strandberg, Midori Shima, Dorothy M Adcock

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of haematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Hemostasis Laboratory Diagnostics in Newborns.Journal of clinical medicine · 2025
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Treatment changes in hemophilia A with chromogenic factor VIII assay implementation.Research and practice in thrombosis and haemostasis · 2023
    Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Haemophilia.Nature reviews. Disease primers · 2021
    Review
  15. Review
  16. Laboratory Assessment of Emicizumab Levels in Hemophilia A: Influence of Assay Selection on Reported Results.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  17. Quantifying Lupus Anticoagulant Interference in Intrinsic Coagulation Factor Activity Assays and Evaluating the Corrective Performance of the SCT-Based Method.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

4 authors at 3 institutions in 3 countries.

Richard A MarlarUniversity of New Mexico, Albuquerque, NM, USA.ORCID https://orcid.org/0000-0002-8223-2811
Karin StrandbergDepartment of Clinical Chemistry, Center for Thrombosis and Hemostasis, SUS Malmö, Malmö, Sweden.
Midori ShimaDepartment of Pediatrics, Nara Medical University, Nara, Japan.
Dorothy M AdcockColorado Coagulation, Laboratory Corporation of America® Holdings, Englewood, CO, USA.
Lund University · SENara Medical University · JPUniversity of New Mexico · US

Funding

Novo Nordisk
6 · The paper itself

Abstract

Treatment of haemophilia A/B patients comprises factor VIII (FVIII) or factor IX (FIX) concentrate replacement therapy, respectively. FVIII and FIX activity levels can be measured in clinical laboratories using one-stage activated partial thromboplastin time (aPTT)-based clotting or two-stage chromogenic factor activity assays. We discuss strengths and limitations of these assays, providing examples of clinical scenarios to highlight some of the challenges associated with their current use for diagnostic and monitoring purposes. Substantial inter-laboratory variability has been reported for one-stage assays when measuring the activity of factor replacement products due to the wide range of currently available aPTT reagents, calibration standards, factor-deficient plasmas, assay conditions and instruments. Chromogenic activity assays may avoid some limitations associated with one-stage assays, but their regulatory status, perceived higher cost, and lack of laboratory expertise may influence their use. Haemophilia management guidelines recommend the differential application of one or both assays for initial diagnosis and disease severity characterisation, post-infusion monitoring and replacement factor potency labelling. Efficient communication between clinical and laboratory staff is crucial to ensure application of the most appropriate assay to each clinical situation, correct interpretation of assay results and, ultimately, accurate diagnosis and optimal and safe treatment of haemophilia A or B patients.

Indexed as

Chromogenic CompoundsFactor IXFactor VIIIHemophilia AHemophilia BHumansPartial Thromboplastin TimeChromogenic CompoundsF8 protein, humanFactor IXFactor VIIIchromogenic assayfactor activity assayshaemophilia Ahaemophilia Bone-stage assay

Identifiers

PMID31606899
PMCPMC6916414
OpenAlexW2979768238

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.