Evidence map›Paper›PMID 36959785›Full record

ArticleFrontiers in oncology2023

Thromboembolic events in patients with paroxysmal nocturnal hemoglobinuria (PNH): Real world data of a Greek nationwide multicenter retrospective study.

S Chatzileontiadou, E Hatjiharissi, M Angelopoulou, J V Asimakopoulos, N E Loutsidi, T Chatzikonstantinou, P Zikos, A Bouchla, Z Bezirgiannidou, E Kouvata and 21 more

Open access · goldFull text read
In one paragraph

Article in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

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  15. The Impact of Hematologic Disorders on the Severity of Cerebral Venous Sinus Thrombosis: A Comparative Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

31 authors at 14 institutions in 1 country.

S ChatzileontiadouHematology Unit, 1st Department of Internal Medicine, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
E HatjiharissiHematology Unit, 1st Department of Internal Medicine, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
M AngelopoulouDepartment of Hematology, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
J V AsimakopoulosDepartment of Hematology, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
N E LoutsidiHematology - Lymphomas Department and Bone Marrow Transplant Unit, Evangelismos General Hospital, Athens, Greece.
T ChatzikonstantinouDepartment of Hematology, Bone Marrow Transplantation Unit, G. Papanicolaou Hospital, Thessaloniki, Greece.
P ZikosDepartment of Hematology, General Hospital of Patras "Aghios Andreas", Patras, Greece.
A BouchlaSecond Department of Internal Medicine and Research Unit, Hematology Unit, University General Hospital, "Attikon", Athens, Greece.
Z BezirgiannidouDepartment of Hematology, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.
E KouvataDepartment of Hematology, University Hospital of Larissa, Larissa, Greece.
C FrouzakiHematology Unit, 1st Department of Internal Medicine, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
P ChaloudisHematology Unit, 1st Department of Internal Medicine, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
D SotiropoulosDepartment of Hematology, Bone Marrow Transplantation Unit, G. Papanicolaou Hospital, Thessaloniki, Greece.
V DoukaDepartment of Hematology, Bone Marrow Transplantation Unit, G. Papanicolaou Hospital, Thessaloniki, Greece.
A SirigouDepartment of Hematology, Bone Marrow Transplantation Unit, G. Papanicolaou Hospital, Thessaloniki, Greece.
E MandalaForth Department of Medicine, Aristotle University of Thessaloniki, "Hippokration" Hospital, Thessaloniki, Greece.
M PsyllakiDepartment of Hematology, University of Crete School of Medicine, University Hospital of Heraklion, Heraklion, Greece.
H A PapadakiDepartment of Hematology, University of Crete School of Medicine, University Hospital of Heraklion, Heraklion, Greece.
T MarinakisDepartment of Hematology, "G. Gennimatas" General Hospital, Athens, Greece.
N A ViniouHematology Unit, First Department of Internal Medicine, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
S KokkoriHematology Laboratory, University General Hospital "Attikon", Athens, Greece.
F Kontopidou2nd Department of Internal Medicine, Medical School, University of Athens, Hippokration General Hospital, Athens, Greece.
A Skepetari2nd Department of Internal Medicine, Medical School, University of Athens, Hippokration General Hospital, Athens, Greece.
G VassilopoulosDepartment of Hematology, University Hospital of Larissa, Larissa, Greece.
I KotsianidisDepartment of Hematology, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.
V PappaSecond Department of Internal Medicine and Research Unit, Hematology Unit, University General Hospital, "Attikon", Athens, Greece.
C LalayanniDepartment of Hematology, Bone Marrow Transplantation Unit, G. Papanicolaou Hospital, Thessaloniki, Greece.
I BaltadakisHematology - Lymphomas Department and Bone Marrow Transplant Unit, Evangelismos General Hospital, Athens, Greece.
S DelimpassiHematology - Lymphomas Department and Bone Marrow Transplant Unit, Evangelismos General Hospital, Athens, Greece.
M PagoniHematology - Lymphomas Department and Bone Marrow Transplant Unit, Evangelismos General Hospital, Athens, Greece.
M PapaioannouHematology Unit, 1st Department of Internal Medicine, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
G. Papanikolaou General Hospital · GRAHEPA University Hospital · GREvangelismos Hospital · GRUniversity General Hospital Attikon · GRAristotle University of Thessaloniki · GRDemocritus University of Thrace · GRHippocration General Hospital · GRNational and Kapodistrian University of Athens · GRUniversity Hospital of Larissa · GRGeneral Hospital of Athens G. Genimatas · GRGeneral University Hospital of Patras · GRLaiko General Hospital of Athens · GRUniversity Hospital of Heraklion · GRUniversity of Crete · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thrombosis is the most common and a life-threatening complication in patients with Paroxysmal Nocturnal Hemoglobinuria. One-third of patients with PNH experience at least one thromboembolic event during the course of the disease, with thrombosis being the most common cause of death in these patients. The mechanism of thrombosis in PNH is complex and continues to be of great research interest. Since the introduction of C5 complement inhibitors in the treatment of PNH, the incidence of thromboembolic events has decreased substantially. We retrospectively analyzed data concerning the thrombotic episodes of 41 patients with PNH from 14 different national hematology centers in Greece. Sixteen patients (39%) experienced at least one episode of thrombosis, including, seven (43.8%) at diagnosis, seven (43.8%) during the course of the disease and two (12.5%) patients prior to PNH diagnosis. Nearly half of these individuals (n=7, 43.8%) had multiple episodes of thrombosis during the course of their disease. The most common sites of thrombosis were intra-abdominal veins. Three out of 26 patients developed thrombosis while on eculizumab. In none of the 16 patients, the thrombotic event was fatal. Our findings, despite the small number of patients, confirmed that thrombosis continues to be a significant complication of PNH affecting more than one third of the patients.

Indexed as

complement inhibitorshemolytic anemiaorphan diseaseparoxysmal nocturnal hemoglobinuria (PNH)thrombosis

Identifiers

PMID36959785
PMCPMC10028290
OpenAlexW4323364535

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read85
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.