Evidence map›Paper›PMID 33253499›Full record

ReviewArthritis care & research2021

Development of a New International Antiphospholipid Syndrome Classification Criteria Phase I/II Report: Generation and Reduction of Candidate Criteria.

Medha Barbhaiya, Stephane Zuily, Yasaman Ahmadzadeh, Mary-Carmen Amigo, Tadej Avcin, Maria Laura Bertolaccini, D Ware Branch, Guilherme de Jesus, Katrien M J Devreese, Camille Frances and 14 more

Abstract readReview
In one paragraph

Review in Arthritis care & research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
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

29 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Antiphospholipid Syndrome: To Classify or Not to Classify?Turkish journal of haematology : official journal of Turkish Society of Haematology · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. The ABCs of antiphospholipid syndrome.Archives of rheumatology · 2023
    Review
  13. Illustrated State-of-the-Art Capsules of the ISTH 2023 Congress.Research and practice in thrombosis and haemostasis · 2023
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

24 authors.

Medha BarbhaiyaBarbara Volcker Center for Women and Rheumatic Diseases, Hospital for Special Surgery, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-6670-7696
Stephane ZuilyVascular Medicine Division and Regional Competence Center for Rare Auto-Immune Diseases, Université de Lorraine, Inserm, DCAC, and CHRU-Nancy, Nancy, France.
Yasaman AhmadzadehHospital for Special Surgery, New York, New York.ORCID 0000-0003-3864-6504
Mary-Carmen AmigoABC Medical Center, Mexico City, Mexico.
Tadej AvcinChildren's Hospital, University Medical Center, University of Ljubljana, Ljubljana, Slovenia.
Maria Laura BertolacciniKing's College London British Heart Foundation Centre of Excellence, London, UK.
D Ware BranchUniversity of Utah Health, Salt Lake City.
Guilherme de JesusUniversidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0002-6715-0180
Katrien M J DevreeseGhent University Hospital, Ghent University, Ghent, Belgium.
Camille FrancesTenon Hospital, Paris, France.
David GarciaUniversity of Washington, Seattle.
Francis GuilleminCIC Clinical Epidemiology, APEMAC and CHRU, Inserm, Université de Lorraine, Nancy, France.
Steven R LevineDownstate Stroke Center, State University of New York Downstate Health Sciences University, Kings County Hospital Center, and Maimonides Medical Center/Jaffe Stroke Center, Brooklyn, New York.
Roger A LevyUniversidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, and GlaxoSmithKline, Upper Providence, Pennsylvania.
Michael D LockshinBarbara Volcker Center for Women and Rheumatic Diseases, Hospital for Special Surgery, Weill Cornell Medicine, New York, New York.ORCID 0000-0003-1034-0351
Thomas L OrtelDuke University Medical Center, Durham, North Carolina.
Surya V SeshanWeill Cornell Medicine, New York, New York.
Maria TektonidouUniversity of Athens, Athens, Greece.
Denis WahlVascular Medicine Division and Regional Competence Center for Rare Auto-Immune Diseases, Université de Lorraine, Inserm, DCAC, and CHRU-Nancy, Nancy, France.
Rohan WillisUniversity of Texas Medical Branch, Galveston.
Ray Naden
Karen CostenbaderBrigham and Women's Hospital, Boston, Massachusetts.
Doruk ErkanBarbara Volcker Center for Women and Rheumatic Diseases, Hospital for Special Surgery, Weill Cornell Medicine, New York, New York.
New APS Classification Criteria Collaborators

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Cardiovascular Disease Epidemiology in Patients with LupusK24AR066109 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI COSTENBADER, KAREN H · 2014 to 2023
$1.7M
American College of Rheumatology Research and Education FoundationEuropean League Against RheumatismKing's BHF Centre for Award Excellence RE/18/2/34213NCATS NIH HHS UL1 TR002384NIAMS NIH HHS K24 AR066109Rheumatology Research Foundation
6 · The paper itself

Abstract

objectiveAn international multidisciplinary initiative, jointly supported by the American College of Rheumatology and European Alliance of Associations for Rheumatology, is underway to develop new rigorous classification criteria to identify patients with high likelihood of antiphospholipid syndrome (APS) for research purposes. The present study was undertaken to apply an evidence- and consensus-based approach to identify candidate criteria and develop a hierarchical organization of criteria within domains.

methodsDuring phase I, the APS classification criteria steering committee used systematic literature reviews and surveys of international APS physician scientists to generate a comprehensive list of items related to APS. In phase II, we reviewed the literature, administered surveys, formed domain subcommittees, and used Delphi exercises and nominal group technique to reduce potential APS candidate criteria. Candidate criteria were hierarchically organized into clinical and laboratory domains.

resultsPhase I generated 152 candidate criteria, expanded to 261 items with the addition of subgroups and candidate criteria with potential negative weights. Using iterative item reduction techniques in phase II, we initially reduced these items to 64 potential candidate criteria organized into 10 clinical and laboratory domains. Subsequent item reduction methods resulted in 27 candidate criteria, hierarchically organized into 6 additive domains (laboratory, macrovascular, microvascular, obstetric, cardiac, and hematologic) for APS classification.

conclusionUsing data- and consensus-driven methodology, we identified 27 APS candidate criteria in 6 clinical or laboratory domains. In the next phase, the proposed candidate criteria will be used for real-world case collection and further refined, organized, and weighted to determine an aggregate score and threshold for APS classification.

Indexed as

Antiphospholipid SyndromeConsensusDelphi TechniqueHumansPredictive Value of TestsRheumatologySeverity of Illness Index

Identifiers

PMID33253499
PMCPMC8966711

What OpenQuestion holds

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Registered trials

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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.