Evidence map›Paper›PMID 31730713›Full record

Trial reportBritish journal of haematology2020

The association between haemorrhage and markers of endothelial insufficiency and inflammation in patients with hypoproliferative thrombocytopenia: a cohort study.

Paula F Ypma, Nan van Geloven, Jean Louis H Kerkhoffs, Peter Te Boekhorst, Jaap J Zwaginga, Erik A M Beckers, Anneke Brand, Pieter F van der Meer, Jeroen C J Eikenboom

Abstract readClinical TrialMulticenter StudyObservational Study
In one paragraph

Trial report in British journal of haematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Anticoagulant therapy in patients with cancer and thrombocytopenia.Journal of thrombosis and thrombolysis · 2025
    Review
  4. Review
  5. Article
  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

9 authors.

Paula F YpmaCenter for Clinical Transfusion Research, Sanquin, Leiden, the Netherlands.ORCID 0000-0003-1250-7979
Nan van GelovenDepartment of Biomedical Data Sciences, Section Medical Statistics, Leiden University Medical Center, Leiden, the Netherlands.
Jean Louis H KerkhoffsCenter for Clinical Transfusion Research, Sanquin, Leiden, the Netherlands.
Peter Te BoekhorstDepartment of Hematology, Erasmus Medical Center, Rotterdam, the Netherlands.
Jaap J ZwagingaDepartment of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, the Netherlands.
Erik A M BeckersDepartment of Hematology, Internal Medicine, Maastricht University Medical Center, Maastricht, the Netherlands.
Anneke BrandCenter for Clinical Transfusion Research, Sanquin, Leiden, the Netherlands.
Pieter F van der MeerCenter for Clinical Transfusion Research, Sanquin, Leiden, the Netherlands.
Jeroen C J EikenboomDepartment of Internal Medicine, Division of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.

Funding

Departments of Haematology of the HAGA HospitalErasmus Medical CenterLeiden University Medical CenterMaastricht University Medical Center
6 · The paper itself

Abstract

In daily haematological practice, predicting bleeding in thrombocytopenic patients is difficult, and clinicians adhere to transfusion triggers to guide patients through the aplastic phase of chemotherapy. Platelet count is not the only determinant of bleeding and additional mechanisms for impending haemostasis are likely. Beside clot formation, platelets are essential for the maintenance of integrity of vascular beds. We therefore prospectively investigated associations between biomarkers for endothelial damage (urine albumin excretion) and inflammation (C-reactive protein) and bleeding (WHO grading) in 88 patients with 116 on-protocol episodes. We found an increase in grade 2 bleeding with a higher urine albumin/creatinine ratio one day after the measurement [odds ratio (OR) 1·24 for every doubling of the ratio, 95% CI 1·05-1·46, P-value 0·01] and a 29% increase in the odds of grade 2 bleeding for every doubling of serum C-reactive protein (CRP) (95% CI 1·04-1·60, P-value 0·02) after correction for morning platelet count. The 24 h post-transfusion corrected count increment (CCI

Indexed as

AlbuminuriaHemorrhageThrombocytopeniaAdultAgedBiomarkersC-Reactive ProteinEndothelium, VascularFemaleHumansInflammationMaleMiddle AgedPlatelet CountProspective StudiesBiomarkersC-Reactive ProteinCRPhaemorrhagemicroalbuminuriaplatelet transfusionthrombocytopenia

Identifiers

PMID31730713
PMCPMC7154750

What OpenQuestion holds

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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.