Evidence map›Paper›PMID 32717028›Full record

SynthesisBlood advances2020

Fetal/neonatal alloimmune thrombocytopenia: a systematic review of impact of HLA-DRB3*01:01 on fetal/neonatal outcome.

Jens Kjeldsen-Kragh, Dean A Fergusson, Mette Kjaer, Lani Lieberman, Andreas Greinacher, Michael F Murphy, James Bussel, Tamam Bakchoul, Stacy Corke, Gérald Bertrand and 11 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Diagnosis and Management of Fetal and Neonatal Alloimmune Thrombocytopenia: An Update 2025.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. 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

21 authors at 17 institutions in 9 countries.

Jens Kjeldsen-KraghDepartment of Laboratory Medicine, University Hospital of North Norway, Tromsø, Norway.
Dean A FergussonClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Mette KjaerDepartment of Laboratory Medicine, University Hospital of North Norway, Tromsø, Norway.
Lani LiebermanDivision of Transfusion Medicine, Laboratory Medicine Program, University Health Network, Toronto, ON, Canada.
Andreas GreinacherInstitute for Immunology and Transfusion Medicine, University Medicine Greifswald, Greifswald, Germany.
Michael F MurphyDepartment of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
James BusselDivision of Hematology-Oncology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY.
Tamam BakchoulInstitute for Clinical and Experimental Transfusion Medicine, Medical Faculty of Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.
Stacy CorkeNaitbabies, Penzance, United Kingdom.
Gérald BertrandPlatelet Immunology Laboratory, Blood Center of Brittany, EFS Etablissement Francais du Sang, Rennes, France.
Dick OepkesDepartment of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
Jillian M BakerThe Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Heather HumeDepartment of Pediatrics, Sainte-Justine University Health Centre, University of Montreal, Montreal, QC, Canada.
Edwin MasseyClinical Services, NHS Blood and Transplant, Bristol, United Kingdom.
Cecile Kaplan
Donald M ArnoldDepartment of Medicine, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Shoma BaidyaPathology Services/Clinical Services &; Research, Australian Red Cross Lifeblood, Brisbane, Australia.
Greg RyanFetal Medicine Unit, Ontario Fetal Centre, Mount Sinai Hospital, Toronto, ON, Canada.
Helen F SavoiaLaboratory Services, Royal Children's Hospital, Melbourne, Australia.
Denise LandryCanadian Blood Services, Ottawa, ON, Canada; and.
Nadine ShehataDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.
NHS Blood and Transplant · GBUniversity Hospital of North Norway · NOAustralian Red Cross Lifeblood · AUCanadian Blood Services · CACentre Hospitalier Universitaire Sainte-Justine · CAÉtablissement Français du Sang · FRLeiden University Medical Center · NLMcMaster University · CAMount Sinai Hospital · CANewYork–Presbyterian Hospital · USRoyal Children's Hospital · AUSt. Michael's Hospital · CAUniversitätsmedizin Greifswald · DEUniversity Health Network · CAUniversity of Ottawa · CAUniversity of Toronto · CAUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The most common, severe cases of fetal and neonatal alloimmune thrombocytopenia among whites are caused by antibodies against human platelet antigen 1a (HPA-1a). The aims of this systematic review and meta-analysis are to determine the association between maternal HLA-DRB3*01:01 and: (1) HPA-1a-alloimmunization and (2) neonatal outcome in children born of HPA-1a-immunized women. A systematic literature search identified 4 prospective and 8 retrospective studies. Data were combined across studies to estimate pooled odds ratios (ORs) and the associated 95% confidence intervals (CIs). The population represented by the prospective studies was more than 150 000. In the prospective studies, there were 64 severely thrombocytopenic newborns (platelet count <50 × 109/L) of whom 3 had intracranial hemorrhage. The mothers of all 64 children were HLA-DRB3*01:01+. The number of severely thrombocytopenic children born of HPA-1a-alloimmunized women in the retrospective studies was 214; 205 of whom were born of HLA-DRB3*01:01+ women. For HLA-DRB3*01:01- women, the OR (95% CI) for alloimmunization was 0.05 (0.00-0.60), and for severe neonatal thrombocytopenia 0.08 (0.02-0.37). This meta-analysis demonstrates that the risk of alloimmunization and of having a child with severe thrombocytopenia are both very low for HPA-1a- women who are HLA-DRB3*01:01-.

Indexed as

Thrombocytopenia, Neonatal AlloimmuneChildFemaleFetusHLA-DRB3 ChainsHumansInfant, NewbornProspective StudiesRetrospective StudiesHLA-DRB3 Chains

Identifiers

PMID32717028
PMCPMC7391152
OpenAlexW3044843104

What OpenQuestion holds

Textmetadata
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.