Evidence map›Paper›PMID 20530792›Full record

ArticleBlood2010

Identifying drugs that cause acute thrombocytopenia: an analysis using 3 distinct methods.

Jessica A Reese, Xiaoning Li, Manfred Hauben, Richard H Aster, Daniel W Bougie, Brian R Curtis, James N George, Sara K Vesely

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 3% 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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 146 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. The Differential Diagnosis of Thromobocytopenia.Deutsches Arzteblatt international · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. A Case Report of Ticagrelor-Induced Thrombocytopenia.International medical case reports journal · 2023
    Article
  13. Article
  14. Review
  15. Roxithromycin-Associated Acute Thrombocytopenia.The American journal of case reports · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Platelet transfusion refractoriness: how do I diagnose and manage?Hematology. American Society of Hematology. Education Program · 2020
    Review
  20. Naproxen-induced thrombocytopenia.Proceedings (Baylor University. Medical Center) · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Jessica A ReeseDepartment of Biostatistics and Epidemiology, College of Public Health, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73190, USA.
Xiaoning Li
Manfred Hauben
Richard H Aster
Daniel W Bougie
Brian R Curtis
James N George
Sara K Vesely
University of Oklahoma Health Sciences Center · USVersiti Blood Center of Wisconsin · USMedical College of Wisconsin · USNew York Medical College · US

Funding

Transgenic/Knockout CoreP01HL044612 · NHLBI · VERSITI WISCONSIN, INC. · PI NEWMAN, PETER J · 1990 to 2015
$33.4M
HEMORRHAGIC DISEASESR01HL013629 · NHLBI · VERSITI WISCONSIN, INC. · PI ASTER, RICHARD HERBERT · 1985 to 2019
$8.7M
Hemorrhagic DiseasesR56HL013629 · NHLBI · VERSITI WISCONSIN, INC. · PI ASTER, RICHARD HERBERT · 2008 to 2008
$440k
HEMORRHAGIC DISEASESR37HL013629 · NHLBI · BLOODCENTER OF WISCONSIN, INC. · PI ASTER, RICHARD HERBERT · 1989 to 1998
–
NHLBI NIH HHS HL-13629NHLBI NIH HHS HL-44612NHLBI NIH HHS P01 HL044612NHLBI NIH HHS R01 HL013629NHLBI NIH HHS R37 HL013629NHLBI NIH HHS R56 HL013629
6 · The paper itself

Abstract

Drug-induced immune thrombocytopenia (DITP) is often suspected in patients with acute thrombocytopenia unexplained by other causes, but documenting that a drug is the cause of thrombocytopenia can be challenging. To provide a resource for diagnosis of DITP and for drug safety surveillance, we analyzed 3 distinct methods for identifying drugs that may cause thrombocytopenia. (1) Published case reports of DITP have described 253 drugs suspected of causing thrombocytopenia; using defined clinical criteria, 87 (34%) were identified with evidence that the drug caused thrombocytopenia. (2) Serum samples from patients with suspected DITP were tested for 202 drugs; drug-dependent, platelet-reactive antibodies were identified for 67 drugs (33%). (3) The Food and Drug Administration's Adverse Event Reporting System database was searched for drugs associated with thrombocytopenia by use of data mining algorithms; 1444 drugs had at least 1 report associated with thrombocytopenia, and 573 (40%) drugs demonstrated a statistically distinctive reporting association with thrombocytopenia. Among 1468 drugs suspected of causing thrombocytopenia, 102 were evaluated by all 3 methods, and 23 of these 102 drugs had evidence for an association with thrombocytopenia by all 3 methods. Multiple methods, each with a distinct perspective, can contribute to the identification of drugs that can cause thrombocytopenia.

Indexed as

Drug-Related Side Effects and Adverse ReactionsAdverse Drug Reaction Reporting SystemsAntibodiesBlood PlateletsData MiningHumansMethodsPharmaceutical PreparationsThrombocytopeniaUnited StatesUnited States Food and Drug AdministrationAntibodiesPharmaceutical Preparations

Identifiers

PMID20530792
PMCPMC2951857
OpenAlexW2080247142

What OpenQuestion holds

Textmetadata
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.