Evidence map›Paper›PMID 35701043›Full record

ArticleLupus science & medicine2022

Pregnancy outcomes in antiphospholipid antibody positive patients: prospective results from the AntiPhospholipid Syndrome Alliance for Clinical Trials and InternatiOnal Networking (APS ACTION) Clinical Database and Repository ('Registry').

Zeynep Belce Erton, Ecem Sevim, Guilherme Ramires de Jesús, Ricard Cervera, Lanlan Ji, Vittorio Pengo, Amaia Ugarte, Danieli Andrade, Laura Andreoli, Tatsuya Atsumi and 10 more

Open access · goldAbstract read
In one paragraph

Article in Lupus science & medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Antiphospholipid syndrome and pregnancy-a hematologic perspective.Research and practice in thrombosis and haemostasis · 2026
    Article
  5. Observational
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Pregnancy Outcomes in a Diverse US Lupus Cohort.Arthritis care & research · 2024
    Article
  16. Testing for the lupus anticoagulant: the good, the bad, and the ugly.Research and practice in thrombosis and haemostasis · 2024
    Article
  17. Article
  18. Article
  19. Review
  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

20 authors at 18 institutions in 8 countries.

Zeynep Belce Erton *Divison of Rheumatology, Hospital for Special Surgery, New York, New York, USA.ORCID 0000-0002-9099-8649
Ecem Sevim *Medicine, Yeshiva University Albert Einstein College of Medicine, Bronx, New York, USA.
Guilherme Ramires de JesúsDepartment of Obstetrics, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0002-6715-0180
Ricard CerveraAutoimmune Diseases, Hospital Clínic de Barcelona Institut Clínic de Medicina i Dermatologia, Barcelona, Spain.
Lanlan JiDepartment of Rheumatology and Clinical Immunology, Peking University First Hospital, Beijing, Beijing, China.
Vittorio PengoCardiac Thoracic and Vascular Sciences, University of Padova, padua, Italy.ORCID 0000-0003-2064-6071
Amaia UgarteInternal Medicine, Hospital de Cruces, Barkaldo, Spain.
Danieli AndradeRheumatology, University of Sao Paulo, Sao Paulo, Sao Paulo, Brazil.ORCID 0000-0002-0381-1808
Laura AndreoliDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID 0000-0002-9107-3218
Tatsuya AtsumiMedicine II, Hokkaido University School of Medicine, Sapporo, Japan.
Paul R FortinMedicine - Rheumatology, Centre Hospitalier de l'Université Laval, Quebec City, Quebec, Canada.ORCID 0000-0002-7278-2596
Maria GerosaDept. of Clinical & Community Science University of Milano, Division of Rheumatology, Milano, Italy.
Yu ZuoInternal Medicine/Division of Rheumatology, University of Michigan, Ann Arbor, Michigan, USA.
Michelle PetriRheumatology, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0003-1441-5373
Savino SciasciaDipartimento di Malattie Rare, Immunologiche, Ematologiche ed Immunoematologiche. Centro di Ricerche di Immunopatologia e Documentazione su Malattie Rare (CMID). Struttura Complessa a Direzione Universitaria di Immunologia Clinica, Ospedale Torino Nord Emergenza San G. Bosco ed Università di Torino, Torino, Italy.
Maria G TektonidouFirst Department of Propaedeutic Internal Medicine, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0003-2238-0975
Maria Angeles Aguirre-ZamoranoRheumatology, University Hospital "Reina Sofia", Cordoba, Spain.
D Ware BranchMaternal-Fetal Medicine, University of Utah Health Sciences Center, Salt Lake City, Utah, USA.
Doruk ErkanRheumatology, Barbara Volcker Center for Women and Rheumatic Diseases, Hospital for Special Surgery, Weill Cornell Medicine, New York, New York, USA erkand@hss.edu.
APS ACTION
Hospital for Special Surgery · USAlbert Einstein College of Medicine · USAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITCentre hospitalier de l'Université Laval · CAHokkaido University · JPHospital Clínic de Barcelona · ESHospital de Cruces · ESHospital Universitario Reina Sofía · ESIntermountain Healthcare · USJohns Hopkins University · USNational and Kapodistrian University of Athens · GROspedale San Giovanni Bosco · ITPeking University · CNUniversidade de São Paulo · BRUniversidade do Estado do Rio de Janeiro · BRUniversity of Michigan · USUniversity of Milan · ITUniversity of Padua · IT

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
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
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
NCATS NIH HHS UL1 TR000457NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384
6 · The paper itself

Abstract

objectivesTo describe the outcomes of pregnancies in antiphospholipid antibody (aPL)-positive patients since the inception of the AntiPhospholipid Syndrome Alliance for Clinical Trials and InternatiOnal Networking Registry.

methodsWe identified persistently aPL-positive patients recorded as 'pregnant' during prospective follow-up, and defined

resultsOf the 55 first pregnancies observed after registry recruitment among nulliparous and multiparous participants, 15 (27%) resulted in early pregnancy loss <10 weeks gestation. Of the remaining 40 pregnancies: (1) 26 (65%) resulted in term live delivery (TLD), 4 (10%) in PTLD between 34.0 weeks and 36.6 weeks, 5 (12.5%) in PTLD before 34th week, and 5 (12.5%) in fetal death (two associated with genetic anomalies); and (2) The aPL-related composite outcome occurred in 9 (23%). One of 26 (4%) pregnancies with TLD, 3/4 (75%) with PTLD between 34.0 weeks and 36.6 weeks, and 3/5 (60%) with PTLD before 34th week were complicated with PEC, SGA and/or PI. Fifty of 55 (91%) pregnancies were in lupus anticoagulant positive subjects, as well as all pregnancies with aPL-related composite outcome.

conclusionIn our multicentre, international, aPL-positive cohort, of 55 first pregnancies observed prospectively, 15 (27%) were complicated by early pregnancy loss. Of the remaining 40 pregnancies, composite pregnancy morbidity was observed in 9 (23%) pregnancies.

Indexed as

Abortion, SpontaneousAntiphospholipid SyndromeLupus Erythematosus, SystemicPre-EclampsiaAntibodies, AntiphospholipidFemaleFetal DeathHumansInfant, NewbornPlacentaPregnancyPregnancy OutcomeProspective StudiesRegistriesAntibodies, Antiphospholipidantibodies, anticardiolipinantibodies, antiphospholipidantiphospholipid syndrome

Identifiers

PMID35701043
PMCPMC9198709
OpenAlexW2914387295

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.