Evidence map›Paper›PMID 33996107›Full record

ReviewCanadian journal of kidney health and disease2021

Making the Correct Diagnosis in Thrombotic Microangiopathy: A Narrative Review.

Philip A McFarlane, Martin Bitzan, Catherine Broome, Dana Baran, Jocelyn Garland, Louis-Philippe Girard, Kuljit Grewal, Anne-Laure Lapeyraque, Christopher Jordan Patriquin, Katerina Pavenski and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Canadian journal of kidney health and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 47 citations in OpenAlex.

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  18. Bleeding and Thrombosis: Insights into Pathophysiology ofInternational journal of molecular sciences · 2021
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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

11 authors at 9 institutions in 3 countries.

Philip A McFarlaneDivision of Nephrology, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-2935-9618
Martin BitzanDivision of Nephrology, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada.ORCID https://orcid.org/0000-0002-7472-6950
Catherine BroomeDivision of Hematology, Lombardi Cancer Center, MedStar Georgetown University Hospital, Washington, DC, USA.
Dana BaranDivision of Nephrology and Multi-Organ Transplant Program, McGill University Hospital Centre, Montreal, QC, Canada.
Jocelyn GarlandDivision of Nephrology, Kingston Health Sciences Centre, Queen's University, Kingston, ON, Canada.
Louis-Philippe GirardDivision of Nephrology, University of Calgary, Calgary, AB, Canada.
Kuljit GrewalDivision of Hematology, Memorial University of Newfoundland, St. John's, NL, Canada.
Anne-Laure LapeyraqueDivision of Nephrology, Sainte-Justine Hospital Center, Montreal University, Montreal, QC, USA.ORCID https://orcid.org/0000-0002-8934-5624
Christopher Jordan PatriquinDivision of Medical Oncology & Hematology, University Health Network, University of Toronto, Toronto, ON, Canada.
Katerina PavenskiDepartments of Medicine and Laboratory Medicine, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Christoph LichtDivision of Nephrology, The Hospital for Sick Children, Toronto, ON, Canada.
St. Michael's Hospital · CAGeorgetown University · USHospital for Sick Children · CAMcGill University Health Centre · CAMemorial University of Newfoundland · CAMontreal Children's Hospital · CAQueen's University · CAUniversity Health Network · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThrombotic microangiopathy (TMA) is suspected in patients presenting with thrombocytopenia and evidence of a microangiopathic hemolytic anemia. Patients with TMA can be critically ill, so rapid and accurate identification of the underlying etiology is essential. Due to better insights into pathophysiology and causes of TMA, we can now categorize TMAs as thrombotic thrombocytopenic purpura, postinfectious (mainly Shiga toxin-producing SOURCES OF INFORMATION: Key published studies relevant to the identification, classification, and treatment of TMAs in children or adults. These studies were obtained through literature searches conducted with PubMed or based on the prior knowledge of the authors.

methodsThis review is the result of a consultation process that reflects the consensus of experts from Canada, the United States, and the United Arab Emirates. The members represent individuals who are clinicians, researchers, and teachers in pediatric and adult medicine from the fields of hematology, nephrology, and laboratory medicine. Authors, through an iterative review process identified and synthesized information from relevant published studies. KEY

findingsThrombotic thrombocytopenic purpura occurs in the setting of insufficient activity of the von Willebrand factor protease known as ADAMTS13. Shiga toxin-producing LIMITATIONS: The evidence base for our recommendations consists of small clinical studies, case reports, and case series. They are generally not controlled or randomized and do not lend themselves to a stricter guideline-based methodology or a Grading of Recommendations Assessment, Development and Evaluation (GRADE)-based approach.

Indexed as

atypical hemolytic uremic syndromeSTEC-induced hemolytic uremic syndromethrombotic microangiopathythrombotic thrombocytopenic purpura

Identifiers

PMID33996107
PMCPMC8072824
OpenAlexW3158388795

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.