Evidence map›Paper›PMID 34915764›Full record

ArticleLupus2021

COVID-19 and antiphospholipid antibodies: A position statement and management guidance from AntiPhospholipid Syndrome Alliance for Clinical Trials and InternatiOnal Networking (APS ACTION).

Xin Wang, Elena Gkrouzman, Danieli Castro Oliveira Andrade, Laura Andreoli, Medha Barbhaiya, H Michael Belmont, David Ware Branch, Guilherme R de Jesús, Maria Efthymiou, Roberto Ríos-Garcés and 17 more

Open access · bronzeAbstract readConsensus Statement
In one paragraph

Article in Lupus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.7field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Health disinformation: a call to action for the hemostasis and thrombosis community.Research and practice in thrombosis and haemostasis · 2025
    Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Testing for the lupus anticoagulant: the good, the bad, and the ugly.Research and practice in thrombosis and haemostasis · 2024
    Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Observational
  12. Review
  13. COVID-19 and antiphospholipid antibodies.Best practice & research. Clinical haematology · 2022
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. 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

27 authors at 16 institutions in 7 countries.

Xin Wang12295Weill Cornell Medicine, New York, NY, USA.
Elena Gkrouzman12262University of Massachusetts Medical School, Worcester, MA, USA.ORCID https://orcid.org/0000-0001-8852-1430
Danieli Castro Oliveira Andrade6339University of São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-0381-1808
Laura AndreoliRheumatology and Clinical Immunology Unit, Department of Clinical and Experimental Science, 18515ASST-Spedali Civili and University of Brescia, Brescia, Italy.
Medha BarbhaiyaBarbara Volcker Center for Women and Rheumatic Disease, Hospital for Special Surgery, 25062Weill Cornell Medicine, New York, NY, USA.
H Michael BelmontHospital for Joint Diseases, 25061New York University, New York, NY, USA.
David Ware Branch14434University of Utah and Intermountain Healthcare, Salt Lake City, UT, USA.ORCID https://orcid.org/0000-0002-1718-5094
Guilherme R de Jesús28130Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-6715-0180
Maria EfthymiouHaemostasis Research Unit, Department of Haematology, 4919University College London, London, UK.
Roberto Ríos-GarcésSystemic Autoimmune Diseases Department, 16493Hospital Clínic de Barcelona, Barcelona, Spain.
Maria GerosaDepartment of Clinical Sciences and Community Health, 9304University of Milan, Milan, Italy.
Georges El Hasbani11238American University of Beirut Medical Center, Beirut, Lebanon.ORCID https://orcid.org/0000-0003-2571-1450
Jason KnightDivision of Rheumatology, 1259University of Michigan, Ann Arbor, MI, USA.
Pier Luigi MeroniDepartment of Clinical Sciences and Community Health, 9304University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0002-3394-1451
Giulia PazzolaRheumatology Unit, AUSL-IRCCS, Reggio Emilia, Italy.
Michelle Petri1466John Hopkins University School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0003-1441-5373
Jacob RandDepartment of Pathology and Laboratory Medicine, 12295Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0003-4084-6820
Jane SalmonHospital for Special Surgery, 25062Weill Cornell Medicine, New York, NY, USA.
Maria Tektonidou68993National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0003-2238-0975
Angela TincaniRheumatology and Clinical Immunology Unit, Department of Clinical and Experimental Science, 18515ASST-Spedali Civili and University of Brescia, Brescia, Italy.
Imad W Uthman11238American University of Beirut Medical Center, Beirut, Lebanon.
Stephane ZuilyVascular Medicine Division and Regional Competence Center for Rare Auto-Immune Diseases, 6339Nancy University Hospital, Nancy, France.ORCID https://orcid.org/0000-0002-9326-6881
Yu ZuoDivision of Rheumatology, 1259University of Michigan, Ann Arbor, MI, USA.ORCID https://orcid.org/0000-0001-6721-7755
Michael LockshinBarbara Volcker Center for Women and Rheumatic Disease, Hospital for Special Surgery, 25062Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0003-1034-0351
Hannah CohenHaemostasis Research Unit, Department of Haematology, 4919University College London, London, UK.ORCID https://orcid.org/0000-0003-2032-390X
Doruk ErkanBarbara Volcker Center for Women and Rheumatic Disease, Hospital for Special Surgery, 25062Weill Cornell Medicine, New York, NY, USA.
APS ACTION
Hospital for Special Surgery · USAmerican University of Beirut Medical Center · LBCornell University · USUniversity College London · GBUniversity of Brescia · ITUniversity of Michigan · USUniversity of Milan · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITHospital Clínic de Barcelona · ESIntermountain Healthcare · USJohns Hopkins University · USNational and Kapodistrian University of Athens · GRNew York University Langone Orthopedic Hospital · USUniversidade de São Paulo · BRUniversidade do Estado do Rio de Janeiro · BRUniversity of Massachusetts Chan Medical School · US

Funding

Hopkins Lupus CohortR01AR069572 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI PETRI, MICHELLE A · 2016 to 2020
$3.4M
NIAMS NIH HHS R01 AR069572
6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) is associated with a high rate of thrombosis. Prolonged activated partial thromboplastin times (aPTT) and antiphospholipid antibodies (aPL) are reported in COVID-19 patients. The majority of publications have not reported whether patients develop clinically relevant persistent aPL, and the clinical significance of new aPL-positivity in COVID-19 is currently unknown. However, the reports of aPL-positivity in COVID-19 raised the question whether common mechanisms exist in the pathogenesis of COVID-19 and antiphospholipid syndrome (APS). In both conditions, thrombotic microangiopathy resulting in microvascular injury and thrombosis is hypothesized to occur through multiple pathways, including endothelial damage, complement activation, and release of neutrophil extracellular traps (NETosis). APS-ACTION, an international APS research network, created a COVID-19 working group that reviewed common mechanisms, positive aPL tests in COVID-19 patients, and implications of COVID-19 infection for patients with known aPL positivity or APS, with the goals of proposing guidance for clinical management and monitoring of aPL-positive COVID-19 patients. This guidance also serves as a call and focus for clinical and basic scientific research.

Indexed as

Antibodies, AntiphospholipidAntiphospholipid SyndromeCOVID-19ThrombosisHumansAntibodies, AntiphospholipidanticoagulationAntiphospholipid antibodiesantiphospholipid syndromeCOVID-19Hughes syndromelupus anticoagulantthrombosis

Identifiers

PMID34915764
PMCPMC10711746
OpenAlexW4200064773

What OpenQuestion holds

Textmetadata
LicenceTDM
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.