Evidence map›Paper›PMID 33806140›Full record

ArticleBiomedicines2021

Functional Flow Cytometric Assay for Reliable and Convenient Heparin-Induced Thrombocytopenia Diagnosis in Daily Practice.

Brigitte Tardy-Poncet, Aurélie Montmartin, Michele Piot, Martine Alhenc-Gelas, Philippe Nguyen, Ismail Elalamy, Andreas Greinacher, Emmanuel De Maistre, Dominique Lasne, Marie-Hélène Horellou and 4 more

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Anti-PF4 antibodies associated with disease severity in COVID-19.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  4. Article
  5. Review
  6. Article
  7. 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

14 authors at 9 institutions in 5 countries.

Brigitte Tardy-PoncetInserm U1059 Sainbiose, Université de Lyon, 42055 Saint-Etienne, France.ORCID 0000-0001-5409-942X
Aurélie MontmartinInserm U1059 Sainbiose, Université de Lyon, 42055 Saint-Etienne, France.
Michele PiotInserm U1059 Sainbiose, Université de Lyon, 42055 Saint-Etienne, France.
Martine Alhenc-GelasService d'Hématologie biologique, Hôpital Européen Georges Pompidou, AP-HP, 75000 Paris, France.
Philippe NguyenService d'Hématologie biologique, Pole de biologie, Hôpital Robert Debré, CHU de Reims, 51100 Reims, France.
Ismail ElalamyCentre d'Hématologie et de Thrombose, Hôpital Tenon, Inserm U938, Université Sorbonne, 75000 Paris, France.
Andreas GreinacherInstitut d'Hématologie et de Médecine transfusionnelle, Université de Greifswald, 17489 Greifswald, Germany.
Emmanuel De MaistreService d'Hématologie Biologique, Hôpital Le Bocage, CHRU de Dijon, 21000 Dijon, France.
Dominique LasneService d'Hématologie Biologique, Hôpital Necker-Enfants Malades, AP-HP, 75000 Paris, France.
Marie-Hélène HorellouService d'Hématologie Biologique, Hôpital Universitaire Paris, 75000 Paris, France.
Grégoire Le GalDépartement d'Hématologie, Departement de Medicine, Institut de Recherché de l'hôpital d'Ottawa, Université d'Ottawa, Ottawa, ON K1P 1J1, Canada.
Thomas LecompteDépartement de médecine, Hôpital Universitaire de Genève, Faculté de Médecine-Université de Genève, 57340 Genève, Switzerland.
Bernard TardyInserm U1059 Sainbiose, Université de Lyon, 42055 Saint-Etienne, France.
On Behalf Of The Gfht-Hit Study Group
Université Claude Bernard Lyon 1 · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Universitaire de Reims · FRCHU Dijon Bourgogne · FRHôpital Necker-Enfants Malades · FRInserm · FRUniversitätsmedizin Greifswald · DEUniversity of Geneva · CHUniversity of Ottawa · CA

Funding

Aspen France NAEMOSIS NAHyphen -Biomed NALeo Pharma NALFB NAOctapharma NAOrganon BioSciences NAresearch funding from French Ministry of Health 2008 NASanofi NA
6 · The paper itself

Abstract

Reliable laboratory diagnosis of heparin-induced thrombocytopenia (HIT) remains a major clinical concern. Immunoassays are highly sensitive, while confirmatory functional tests (based on heparin-dependent platelet activation) lack standardization. We evaluated the diagnostic performance of a functional flow cytometric assay (FCA) based on the detection of heparin-dependent platelet activation with an anti-p-selectin. A total of 288 patients were included (131 HIT-positive and 157 HIT-negative) with a HIT diagnosis established by expert opinion adjudication (EOA) considering clinical data and local laboratory results. The FCA was centrally performed in a single laboratory on platelet-rich plasma, using a very simple four-color fluorometer. The results were standardized according to the Heparin Platelet Activation (HEPLA) index. The serotonin release assay (SRA) was performed in the four French reference laboratories. Based on the final HIT diagnosis established by EOA, the sensitivity and specificity of the FCA were 88 and 95%, respectively, values very similar to those of the SRA (88 and 97%, respectively). This study showed that the FCA, based on easily implementable technology, may be routinely used as a reliable confirmatory test for HIT diagnosis.

Indexed as

diagnosisexpert opinion adjudicationflow cytometryheparin-induced thrombocytopeniaserotonin release assay

Identifiers

PMID33806140
PMCPMC8064483
OpenAlexW3137731012

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.