Evidence map›Paper›PMID 36653966›Full record

ArticleClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Acquired Hemophilia A: A Retrospective Multicenter Analysis of 42 Patients.

Yanhui Liu, Xiang Ruan, Pingchong Lei, Baojun Shang, Zunmin Zhu, Shengmei Chen, Dao Wang, Ruijuan Wang, Xiqing Li, Fei Xue

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Real-World Clinical Outcomes and Prognostic Factors in Acquired Hemophilia A: A Single-Center Retrospective AnalysisTurkish journal of haematology : official journal of Turkish Society of Haematology · 2025
    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

10 authors at 3 institutions in 1 country.

Yanhui LiuDepartment of Hematology, Hemophilia Comprehensive Care Center, Henan Provincial People's Hospital, 89632People's Hospital of Henan University, Zhengzhou, Henan Province, PR China.ORCID 0000-0002-4456-3142
Xiang RuanDepartment of Hematology, Hemophilia Comprehensive Care Center, Henan Provincial People's Hospital, 89632People's Hospital of Henan University, Zhengzhou, Henan Province, PR China.
Pingchong LeiDepartment of Hematology, Hemophilia Comprehensive Care Center, Henan Provincial People's Hospital, 89632People's Hospital of Henan University, Zhengzhou, Henan Province, PR China.
Baojun ShangInstitute of Hematology, Hemophilia Comprehensive Care Center, Henan Provincial People's Hospital, 89632People's Hospital of Henan University, Zhengzhou, Henan Province, PR China.
Zunmin ZhuDepartment of Hematology, Hemophilia Comprehensive Care Center, Henan Provincial People's Hospital, 89632People's Hospital of Henan University, Zhengzhou, Henan Province, PR China.
Shengmei ChenDepartment of Hematology, 191599The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, PR China.
Dao WangDepartment of Pediatrics, 191599The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, PR China.
Ruijuan WangDepartment of Hematology, 601574Nanyang Central Hospital, Nanyang, Henan Province, PR China.
Xiqing LiDepartment of Oncology, Henan Provincial People's Hospital, 89632People's Hospital of Henan University, Zhengzhou, Henan Province, PR China.
Fei XueDepartment of Hepatobiliary and Pancreatic Surgery, Henan Provincial People's Hospital, 89632People's Hospital of Henan University, Zhengzhou, Henan Province, PR China.
Henan University · CNFirst Affiliated Hospital of Zhengzhou University · CNNanyang Institute of Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmunosuppressive therapy (IST) for acquired hemophilia A (AHA) results in remission within days to months in 60% to 80% of patients. However, little is known regarding the predictors of response.

aimThis study aimed to identify the factors that influence response to treatment.

methodsThe data of 42 patients with AHA from three hospitals were retrospectively analyzed.

resultsAll 42 AHA patients received IST; complete treatment data were available for 34 patients. The response rate was 60% among the 5/34 (14.7%) patients who received steroids alone, 70.8% among the 24/34 (70.6%) patients who received steroids plus cyclophosphamide, and 80% among the 5/34 (14.7%) patients who received steroids plus cyclophosphamide and rituximab. Overall, 29/34 (85.3%) patients achieved CR; 4/34 (13.8%) of them relapsed after a median time of 410 (21-1279) days. Adverse events occurred in 14/34 (41.2%) patients: 13/34 (38.2%) had infections and 1/34 (2.9%) developed pancytopenia. In univariate and multivariate Cox regression analyses, FVIII inhibitor titer ≥20 BU/mL was the only significant prognostic factor affecting time to CR. No variable had significant effect on OS.

conclusionFVIII inhibitory antibody titer ≥20 BU/mL appears to be an important predictor of time to complete response in patients with acquired hemophilia A treated with immunosuppressive therapy.

Indexed as

Hemophilia AAutoantibodiesCyclophosphamideFactor VIIIHumansImmunosuppressive AgentsRetrospective StudiesSteroidsAutoantibodiesCyclophosphamideFactor VIIIImmunosuppressive AgentsSteroidsacquired hemophiliabypassing agentsfactor VIIIimmunosuppressioninhibitorsprognostic

Identifiers

PMID36653966
PMCPMC9893059
OpenAlexW4317480010

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.