Evidence map›Paper›PMID 40630316›Full record

ArticleKidney international reports2025

Diagnostic Value of Biological Parameters in Biopsy-Confirmed Thrombotic Microangiopathy-MATRIX Consortium Group.

Jean-Michel Halimi, Anna Duval, Etienne Chardon, Laurent Mesnard, Marie Frimat, Fadi Fakhouri, Steven Grangé, Aude Servais, Claire Cartery, Paul Coppo and 32 more

Registry-linked trialAbstract read
In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05991245 (French National Cohort MATRIX "Renal and Systemic Thrombotic Microangiopathy"), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT05991245 unknown statusnot on this map

French National Cohort MATRIX "Renal and Systemic Thrombotic Microangiopathy"

TypeobservationalSponsorUniversity Hospital, ToursRan2023 to 2025Enrolled1,000ConditionsThrombotic Microangiopathy, Acute Kidney Injury, Hemolytic Uremic Syndrome, NephrologyArmsCollecting datas
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Review
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

42 authors.

Jean-Michel HalimiService de Néphrologie-Hypertension, Dialyse, Transplantation rénale, CHU de Tours, Tours, France.
Anna DuvalService de Néphrologie, CHU de Strasbourg, Strasbourg, France.
Etienne ChardonINSERM UMR1327, ISCHEMIA, Université de Tours, Tours, France.
Laurent MesnardService de Néphrologie, APHP Hôpital Tenon, Paris, France.
Marie FrimatINSERM, CNRS, CHU Lille, UMR9020-U1277 - CANTHER - Cancer Heterogeneity Plasticity and Resistance to Therapies, Department of Pathology, CHU Lille, Université. Lille, Lille, France.
Fadi FakhouriService de Néphrologie, CHU Vaudois, Lausanne, Suisse.
Steven GrangéService de Néphrologie, CHU de Rouen, Rouen, France.
Aude ServaisService de Néphrologie et Transplantation, Hôpital Universitaire Necker enfants malades, centre de référence pour les microangiopathie thrombotiques, APHP, Paris, France.
Claire CarteryService de Néphrologie, CH de Valenciennes, Valenciennes, France.
Paul CoppoService d'Hématologie, Centre de référence pour les microangiopathies thrombotiques, APHP Hôpital Saint-Antoine, Paris, France.
Dimitri Titeca-BeauportService de Néphrologie, CHU d'Amiens, Amiens, France.
Sébastien RogerINSERM UMR1327, ISCHEMIA, Université de Tours, Tours, France.
Nadine BaroukhService de Néphrologie-Hypertension, Dialyse, Transplantation rénale, CHU de Tours, Tours, France.
Nicolas FageService de Néphrologie, Département de médecine intensive réanimation - médecine hyperbare, CHU d'Angers, Angers, France.
Yahsou DelmasService de Néphrologie, CHU de Bordeaux, Bordeaux, France.
Anne-Hélène QuérardCentre Hospitalier Départemental de Vendée, La-Roche-Sur-Yon, France.
Guillaume SeretService de Néphrologie, Pole Santé Sud Echo Le Mans, Le Mans, France.
Mickaël BobotService de Néphrologie et Transplantation Rénale, Hôpital de la Conception, AP-HM, Marseille, France.
Moglie Le QuintrecService de Néphrologie, CHU de Montpellier, Montpellier, France.
Simon VilleService de Néphrologie, CHU de Nantes, Nantes, France.
Florent von TokarskiService de Néphrologie, Hôpital Foch, Paris, France.
Sophie ChauvetService de Néphrologie, APHP Hôpital Européen Georges Pompidou, Paris, France.
Alain WynckelService de Néphrologie, CHU de Reims, Reims, France.
Manon MartinsService de Néphrologie, CHU de Rennes, Rennes, France.
Juliet SchurderService de Néphrologie, CH de Saint-Malo, Saint-Malo, France.
Christelle BarbetService de Néphrologie-Hypertension, Dialyse, Transplantation rénale, CHU de Tours, Tours, France.
Bénédicte SautenetService de Néphrologie-Hypertension, Dialyse, Transplantation rénale, CHU de Tours, Tours, France.
Philippe GataultService de Néphrologie-Hypertension, Dialyse, Transplantation rénale, CHU de Tours, Tours, France.
Sophie CaillardService de Néphrologie, CHU de Strasbourg, Strasbourg, France.
Charles AntunesService de Néphrologie, CHU de Brest, Brest, France.
Guillaume BayerHôpital Privé Paris Essonne - Les Charmilles, Arpagon, France.
Carole PhilipponnetService de Néphrologie, CHU de Clermont-Ferrand, Clermont-Ferrand, France.
Vincent AudardService de Néphrologie et Transplantation, Hôpitaux Universitaires Henri Mondor, APHP Université de Paris Est Créteil, INSERM U955, Institut Mondor de Recherche Biomédicale, Créteil, France.
Nicolas MaillardService de Néphrologie, CHU de Saint-Etienne, Saint-Etienne, France.
Vincent VuibletService de Pathologie, Institut d'Intelligence Artificielle en Santé, CHU de Reims et Université de Reims Champagne Ardenne, Reims, France.
Viviane GnemmiINSERM, CNRS, CHU Lille, UMR9020-U1277 - CANTHER - Cancer Heterogeneity Plasticity and Resistance to Therapies, Department of Pathology, CHU Lille, Université. Lille, Lille, France.
Zhour El OuafiService de Néphrologie, CHU de Limoges, Limoges, France.
Sébastien CanetService de Néphrologie, Dialyse, soins intensifs, CH de Perpignan, Perpignan, France.
Manon DekeyserService de Néphrologie, CHU Orléans, Orléans, France.
Éric PiverINSERM UMR1259, MAVIVH, Université de Tours, Tours, France.
Valentin MaisonsService de Néphrologie-Hypertension, Dialyse, Transplantation rénale, CHU de Tours, Tours, France.
MATRIX Consortium Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The diagnosis of thrombotic microangiopathy (TMA) relies on common biological parameters, the diagnostic value of which are unknown. Methods: The presence of common biological parameters was assessed in 967 patients with TMA from 2009 to 2023 (ClinicalTrials.gov: NCT05991245). Results: The median age was 49 (36-64) years and 53.2% were male. All TMA causes were represented (atypical hemolytic uremic syndrome [aHUS]: 41.6%, drugs: 24.9%, malignancy: 21.4%, autoimmune disease: 18.8%, infection: 7.6%, complement-mediated HUS: 6.8%, organ transplantation: 5.8%, pregnancy: 3.8%, bone marrow transplantation [BMT]: 2.9%, Shiga toxin Conclusion: Common biological parameters miss the diagnosis in more than 50% of TMA except when fibrinogen is < 5 g/l, creatinine ≥ 300 μmol/l, and PT < 90%. Schistocyte reporting is heterogenous, and its results are usually deceptive in TMA.

Indexed as

biological parameterscohortschistocytesthrombotic microangiopathy

Identifiers

PMID40630316
PMCPMC12232970

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Registered trials

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.