Evidence map›Paper›PMID 21981825›Full record

ReviewTransfusion2012

RhIG for the treatment of immune thrombocytopenia: consensus and controversy (CME).

Jenny M Despotovic, Michele P Lambert, Jay H Herman, Terry B Gernsheimer, Keith R McCrae, Michael D Tarantino, James B Bussel

Abstract readReview
In one paragraph

Review in Transfusion, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

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

10 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Diagnosis and management of autoimmune cytopenias in childhood.Pediatric clinics of North America · 2013
    Review
  10. Immune thrombocytopenia.Hematology/oncology clinics of North America · 2013
    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

7 authors.

Jenny M DespotovicDepartment of Pediatrics, Hematology/Oncology Section, Baylor College of Medicine, Houston, TX 77030, USA. jmdespot@txch.org
Michele P Lambert
Jay H Herman
Terry B Gernsheimer
Keith R McCrae
Michael D Tarantino
James B Bussel

Funding

Transfusion Medicine/Hemostasis Clinical Research NetworkU01HL072033 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI MCCRAE, KEITH R. · 2002 to 2012
$1.7M
NHLBI NIH HHS U01 HL072033
6 · The paper itself

Abstract

Anti-D immune globulin (RhIG) is a front-line option in North America for the treatment of immune thrombocytopenia (ITP) in children and adults. Recently, addition of a Food and Drug Administration-mandated black box warning highlighted the risks of intravascular hemolysis, renal failure, and disseminated intravascular coagulation after anti-D infusion, prompting concern within the medical community regarding its use. A working group convened in response to this warning to prepare a consensus document regarding the safety of RhIG because there has been no increased incidence of adverse events since the initial discovery of these reactions many years ago. The efficacy of anti-D is well documented and only briefly reviewed. The estimated incidence and proposed mechanisms for the rare, major treatment-related complications are discussed, and signal detection data associated with heightened risk of acute hemolytic reactions are presented. The importance of considering host factors, given the rarity of severe reactions, is emphasized. Safety profiles of parallel treatment options are reviewed. The working group consensus is that RhIG has comparable safety and efficacy to other front-line agents for the treatment of children and adults with ITP. Safety may be further improved by careful patient selection.

Indexed as

Consensus Statements as TopicHemolysisHumansImmunoglobulins, IntravenousPurpura, Thrombocytopenic, IdiopathicRho(D) Immune GlobulinImmunoglobulins, IntravenousRho(D) Immune Globulin

Identifiers

PMID21981825
PMCPMC3427798

What OpenQuestion holds

Textmetadata
LicenceTDM
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.