Evidence map›Paper›PMID 30232740›Full record

Observational studyDrug safety2019

Assessment of Self-Administration of Romiplostim in Patients with Immune Thrombocytopenic Purpura after Receipt of Home Administration Training Materials: a Cross-Sectional Study.

Martin Schipperus, Georgia Kaiafa, Louise Taylor, Sally Wetten, Georg Kreuzbauer, Andy Boshier, Anouchka Seesaghur

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Drug safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. 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 at 5 institutions in 4 countries.

Martin SchipperusHaga Teaching Hospital, Els Borst-Eilersplein 275, 2545 AA, The Hague, The Netherlands. m.schipperus@hagaziekenhuis.nl.
Georgia KaiafaAHEPA University Hospital, Thessaloniki, Greece.
Louise TaylorRoyal London Hospital, London, UK.
Sally WettenAmgen Limited, London, UK.
Georg KreuzbauerAmgen (Europe) GmbH, Zug, Switzerland.
Andy BoshierAmgen Limited, Cambridge, UK.
Anouchka SeesaghurAmgen Limited, London, UK.
Amgen (United Kingdom) · GBAHEPA University Hospital · GRAmgen (Switzerland) · CHHaga Hospital · NLRoyal London Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRomiplostim is a subcutaneously administered thrombopoietin-receptor agonist approved in the European Union for self-administration (or administration by a caregiver) in selected adult patients with chronic primary immune thrombocytopenia refractory to other treatments. To mitigate the risk of medication errors due to self-administration, the manufacturer has implemented additional risk minimisation measures (RMM) in the form of a Home Administration Training (HAT) pack to support the training of both healthcare professionals (HCPs) (guide and checklist for patient selection and training) and patients (a preparation mat, quick guide booklet, step-by-step guide, self-administration diary and DVD/video).

objectiveThe primary objective was to estimate the proportion of patients/caregivers who administered romiplostim correctly after HAT pack training.

methodsA multicentre observational study was conducted to evaluate the effectiveness of the HAT pack by recording data on a standardised collection form during direct observation of patients/caregivers in the act of administering romiplostim at the first standard-of-care visit 4 weeks after training with the HAT pack.

resultsAmong the 40 patients/caregivers enrolled across 12 study centres in eight European countries, 35 [87.5%; 95% confidence interval (CI) 73.9-94.5] administered romiplostim correctly, and five (12.5%; 95% CI 5.5-26.1) did not.

conclusionThe correct administration of romiplostim by most patients/caregivers supports the effectiveness of the HAT pack as an additional risk minimisation tool in the population and setting of this study.

Indexed as

PamphletsAdolescentAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHome Care ServicesHumansMaleMiddle AgedPatient Education as TopicPurpura, Thrombocytopenic, IdiopathicReceptors, FcRecombinant Fusion ProteinsSelf AdministrationReceptors, FcRecombinant Fusion ProteinsromiplostimThrombopoietin

Identifiers

PMID30232740
PMCPMC6373377
OpenAlexW2889757901

What OpenQuestion holds

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LicenceCC BY-NC
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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.