Evidence map›Paper›PMID 32080872›Full record

SynthesisVox sanguinis2020

Anti-platelet antibody immunoassays in childhood immune thrombocytopenia: a systematic review.

David E Schmidt, Anke J Lakerveld, Katja M J Heitink-Pollé, Marrie C A Bruin, Gestur Vidarsson, Leendert Porcelijn, Masja de Haas

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Vox sanguinis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  5. Review
  6. Article
  7. Article
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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 3 institutions in 1 country.

David E SchmidtSanquin Research, Department of Experimental Immunohematology, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5555-376X
Anke J LakerveldSanquin Research, Department of Experimental Immunohematology, Amsterdam, The Netherlands.
Katja M J Heitink-PolléDepartment of Pediatric Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
Marrie C A BruinDepartment of Pediatric Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
Gestur VidarssonSanquin Research, Department of Experimental Immunohematology, Amsterdam, The Netherlands.
Leendert PorcelijnDepartment of Immunohematology Diagnostics, Sanquin Diagnostic Services, Amsterdam, The Netherlands.
Masja de HaasDepartment of Immunohematology Diagnostics, Sanquin Diagnostic Services, Amsterdam, The Netherlands.
Sanquin · NLUniversity Medical Center Utrecht · NLLeiden University Medical Center · NL

Funding

Landsteiner Foundation for Blood Transfusion ResearchStudienstiftung des Deutschen Volkes
6 · The paper itself

Abstract

backgroundIn adult immune thrombocytopenia (ITP), an acquired autoimmune bleeding disorder, anti-platelet autoantibody testing may be useful as a rule-in test. Childhood ITP has different disease characteristics, and the diagnostic and prognostic value of anti-platelet antibody testing remains uncertain.

objectiveTo systematically review the diagnostic accuracy of anti-platelet autoantibody testing in childhood ITP.

methodsPubMed and EMBASE were searched for studies evaluating immunoassays in childhood ITP. Study quality was assessed (QUADAS2), and evidence was synthesized descriptively.

resultsIn total, 40 studies (1606 patients) were identified. Nine studies reported sufficient data to determine diagnostic accuracy measures. Anti-platelet IgG antibody testing showed a moderate sensitivity (0·36-0·80 platelet-associated IgG [direct test]; 0·19-0·39 circulating IgG [indirect test]). In studies that reported control data, including patients with non-immune thrombocytopenia, specificity was very good (0·80-1·00). Glycoprotein-specific immunoassays showed comparable sensitivity (three studies) and predominantly identified IgG anti-GP IIb/IIIa antibodies, with few IgG anti-GP Ib/IX antibodies. Anti-platelet IgM antibodies were identified in a substantial proportion of children (sensitivity 0·62-0·64 for direct and indirect tests).

conclusionThe diagnostic evaluation of IgG and IgM anti-platelet antibodies may be useful as a rule-in test for ITP. In children with insufficient platelets for a direct test, indirect tests may be performed instead. A negative test does not rule out the diagnosis of ITP. Future studies should evaluate the value of anti-platelet antibody tests in thrombocytopenic children with suspected ITP.

Indexed as

AutoantibodiesChildHumansImmunoassayPlatelet Glycoprotein GPIb-IX ComplexPlatelet Glycoprotein GPIIb-IIIa ComplexPurpura, Thrombocytopenic, IdiopathicSensitivity and SpecificitySerologic TestsAutoantibodiesPlatelet Glycoprotein GPIb-IX ComplexPlatelet Glycoprotein GPIIb-IIIa Complexautoantibodiesclinical laboratory techniquesimmune thrombocytopeniapaediatricssystematic review

Identifiers

PMID32080872
PMCPMC7317748
OpenAlexW3006996166

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.