Evidence map›Paper›PMID 35008518›Full record

ReviewInternational journal of molecular sciences2021

Recent Advances in Anticoagulant Treatment of Immune Thrombosis: A Focus on Direct Oral Anticoagulants in Heparin-Induced Thrombocytopenia and Anti-Phospholipid Syndrome.

Julie Carré, Georges Jourdi, Nicolas Gendron, Dominique Helley, Pascale Gaussem, Luc Darnige

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. 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
2.3field-weighted citation impact, top 11% 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, 18 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Julie CarréHematology Department, CHU de Poitiers, 86021 Poitiers, France.
Georges JourdiResearch Center, Montreal Heart Institute, Montreal, QC H1T 1C8, Canada.ORCID 0000-0001-8738-5975
Nicolas GendronInnovative Therapies in Haemostasis, INSERM UMR-S1140, University of Paris, 75006 Paris, France.ORCID 0000-0003-4852-4738
Dominique HelleyBiological Hematology Department, Assistance Publique-Hôpitaux de Paris-Centre (AP-HP.CUP), 75015 Paris, France.
Pascale GaussemInnovative Therapies in Haemostasis, INSERM UMR-S1140, University of Paris, 75006 Paris, France.
Luc DarnigeInnovative Therapies in Haemostasis, INSERM UMR-S1140, University of Paris, 75006 Paris, France.ORCID 0000-0003-3210-2821
Inserm · FRCentre Hospitalier Universitaire de Poitiers · FRMontreal Heart Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For more than 10 years, direct oral anticoagulants (DOACs) have been increasingly prescribed for the prevention and treatment of thrombotic events. However, their use in immunothrombotic disorders, namely heparin-induced thrombocytopenia (HIT) and antiphospholipid syndrome (APS), is still under investigation. The prothrombotic state resulting from the autoimmune mechanism, multicellular activation, and platelet count decrease, constitutes similarities between HIT and APS. Moreover, they both share the complexity of the biological diagnosis. Current treatment of HIT firstly relies on parenteral non-heparin therapies, but DOACs have been included in American and French guidelines for a few years, providing the advantage of limiting the need for treatment monitoring. In APS, vitamin K antagonists are conversely the main treatment (+/- anti-platelet agents), and the use of DOACs is either subject to precautionary recommendations or is not recommended in severe APS. While some randomized controlled trials have been conducted regarding the use of DOACs in APS, only retrospective studies have examined HIT. In addition, vaccine-induced immune thrombotic thrombocytopenia (VITT) is now a part of immunothrombotic disorders, and guidelines have been created concerning an anticoagulant strategy in this case. This literature review aims to summarize available data on HIT, APS, and VITT treatments and define the use of DOACs in therapeutic strategies.

Indexed as

Administration, OralAnticoagulantsAntiphospholipid SyndromeHumansThrombocytopeniaThrombosisAnticoagulantsantiphospholipid syndromedirect oral anticoagulantsheparin-induced thrombocytopeniaimmune thrombosisvaccine-induced immune thrombotic thrombocytopenia

Identifiers

PMID35008518
PMCPMC8744910
OpenAlexW4200562634

What OpenQuestion holds

Textmetadata
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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.