Evidence map›Paper›PMID 33006737›Full record

SynthesisClinical rheumatology2021

Autoimmune haemolytic anaemia and antiphospholipid antibodies in paediatrics: a systematic review and meta-analysis.

Mira Merashli, Alessia Arcaro, Maria Graf, Fabrizio Gentile, Paul R J Ames

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

5 authors at 4 institutions in 4 countries.

Mira MerashliDepartment of Rheumatology, American University of Beirut, Beirut, Lebanon.
Alessia ArcaroDepartment of Medicine & Health Sciences 'V.Tiberio', Universita' del Molise, Campobasso, Italy.
Maria GrafDepartment of Laboratory and Transfusion Medicine, Federico II University Hospital, Naples, Italy.
Fabrizio GentileDepartment of Medicine & Health Sciences 'V.Tiberio', Universita' del Molise, Campobasso, Italy.
Paul R J AmesImmune Response & Vascular Disease Unit, Nova University, Lisbon, Portugal. paxmes@aol.com.ORCID http://orcid.org/0000-0003-0165-9651
University of Molise · ITAmerican University of Beirut · LBDumfries and Galloway Royal Infirmary · GBFederico II University Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

objectiveThe relationship between autoimmune haemolytic anaemia (AIHA) and antiphospholipid antibodies (aPL) has never been addressed via a meta-analysis in the paediatric age group. We evaluated the link between AIHA and aPL in childhood systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS).

methodsEMBASE and PubMed were screened from inception to May 2020 and Peto's odds ratio for rare events was employed for the between group comparisons.

resultsThe meta-analysis included 11 articles for a total of 575 children: the pooled prevalence of AIHA was greater in (1) IgG aCL-positive than IgG aCL-negative children (39.7% vs 20.9%, p = 0.005); (2) in APS-positive than APS-negative SLE children (36.8% vs 13.2%, p = 0.01); and (3) in SLE-related APS than in primary APS children (53% vs 16.2%, p = 0.008).

conclusionsThe pooled prevalence of AIHA is greatest in SLE with aPL/APS, low-moderate in SLE without aPL/APS, and lowest in primary APS. Key Points • Antiphospholipid antibodies strongly relate to autoimmune haemolytic anaemia. • Autoimmune haemolytic anaemia is more common in systemic lupus erythematosus with antiphospholipid antibodies.

Indexed as

Anemia, Hemolytic, AutoimmuneAntiphospholipid SyndromeLupus Erythematosus, SystemicPediatricsAntibodies, AntiphospholipidChildHumansAntibodies, AntiphospholipidAntiphospholipid syndromeAutoimmune haemolytic anaemiaLupus

Identifiers

PMID33006737
OpenAlexW3090943491

What OpenQuestion holds

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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.