Evidence map›Paper›PMID 23121994›Full record

SynthesisJournal of thrombosis and haemostasis : JTH2013

A systematic evaluation of laboratory testing for drug-induced immune thrombocytopenia.

D M Arnold, S Kukaswadia, I Nazi, A Esmail, L Dewar, J W Smith, T E Warkentin, J G Kelton

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of thrombosis and haemostasis : JTH, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 148 citations in OpenAlex.

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  17. Applications of Artificial Intelligence in Thrombocytopenia.Diagnostics (Basel, Switzerland) · 2023
    Review
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  19. Article
  20. 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

8 authors at 3 institutions in 1 country.

D M ArnoldDepartment of Medicine, McMaster University, Hamilton, Ontario, Canada. arnold@mcmaster.ca
S Kukaswadia
I Nazi
A Esmail
L Dewar
J W Smith
T E Warkentin
J G Kelton
McMaster University · CACanadian Blood Services · CAHumber River Regional Hospital · CA

Funding

CIHR 102446-1
6 · The paper itself

Abstract

backgroundDrug-induced immune thrombocytopenia (DITP) can be confirmed by the demonstration of drug-dependent platelet antibodies in vitro; however, laboratory testing is not readily accessible and test methods are not standardized.

objectiveTo identify drugs with the strongest evidence for causing DITP based on clinical and laboratory criteria. PATIENTS/

methodsWe developed a grading system to evaluate the quality of DITP laboratory testing. The 'DITP criteria' were: (i) Drug (or metabolite) was required for the reaction in vitro; (ii) Immunoglobulin binding was demonstrated; (iii) Two or more laboratories obtained positive results; and (iv) Platelets were the target of immunoglobulin binding. Laboratory diagnosis of DITP was considered definite when all criteria were met and probable when positive results were reported by only one laboratory. Two authors applied the DITP criteria to published reports of each drug identified by systematic review. Discrepancies were independently adjudicated.

resultsOf 153 drugs that were clinically implicated in thrombocytopenic reactions, 72 (47%) were associated with positive laboratory testing. Of those, 16 drugs met criteria for a definite laboratory diagnosis of DITP and thus had the highest probability of causing DITP. Definite drugs were: quinine, quinidine, trimethoprim/sulfamethoxazole, vancomycin, penicillin, rifampin, carbamazepine, ceftriaxone, ibuprofen, mirtazapine, oxaliplatin and suramin; the glycoprotein IIbIIIa inhibitors abciximab, tirofiban and eptifibatide; and heparin.

conclusionsWe identified drugs with the strongest evidence for an association with immune thrombocytopenia. This list may be helpful for ranking potential causes of thrombocytopenia in a given patient.

Indexed as

Drug-Related Side Effects and Adverse ReactionsAutoantibodiesBiomarkersBlood PlateletsEnzyme-Linked Immunosorbent AssayFlow CytometryHumansObserver VariationPredictive Value of TestsPurpura, Thrombocytopenic, IdiopathicReproducibility of ResultsRisk AssessmentRisk FactorsSerologic TestsAutoantibodiesBiomarkers

Identifiers

PMID23121994
PMCPMC4991941
OpenAlexW1513951080

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.