Evidence map›Paper›PMID 32219721›Full record

ArticleJournal of thrombosis and thrombolysis2020

When to consider targeted therapies in thrombotic microangiopathies in the modern era: walking the tightrope between cost, safety, and efficacy.

Catherine R Murphree, Sven R Olson, Thomas G DeLoughery, Joseph J Shatzel

Open access · greenAbstract read
In one paragraph

Article in Journal of thrombosis and thrombolysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 53% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

4 authors at 1 institution in 1 country.

Catherine R MurphreeDivision of Hematology, Oregon Health & Science University, Knight Cancer Institute, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA. murphree@ohsu.edu.
Sven R OlsonDivision of Hematology, Oregon Health & Science University, Knight Cancer Institute, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.
Thomas G DeLougheryDivision of Hematology, Oregon Health & Science University, Knight Cancer Institute, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.
Joseph J ShatzelDivision of Hematology, Oregon Health & Science University, Knight Cancer Institute, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.
Oregon Health & Science University · US

Funding

Characterization of Coagulation Factor-platelet Interactions: Role of FXIR01HL101972 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Owen J McCarty · 2010 to 2026
$8.5M
Evaluating the Safety and Efficacy of Targeting the Contact Pathway to Prevent Device Associated Thrombosis.R01HL151367 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI SHATZEL, JOSEPH JAMES · 2020 to 2024
$1.5M
NHLBI NIH HHS R01 HL151367
6 · The paper itself

Abstract

Thrombotic Microangiopathy (TMA) is a heterogeneous collection of syndromes that encompasses TTP, HUS, and other processes characterized by thrombocytopenia, microangiopathic hemolytic anemia, and, if untreated, organ failure and death. Novel therapies have recently been approved for the management of certain thrombotic microangiopathies, including caplacizumab for immune-mediated TTP, and eculizumab for atypical HUS. These options have complicated the standard workflow, which includes initiation of plasma exchange until ADAMTS13 testing can be resulted. Given such results may take several days, there is indecision regarding the appropriate initial management of TMA. Decisions regarding caplacizumab and eculizumab are complex, and include considerations over costs, side effects, and efficacy. In the following forum, we discuss the current data and pose possible management strategies in patients with TMA before final diagnosis can be obtained.

Indexed as

Decision Support Systems, ClinicalMolecular Targeted TherapyADAMTS13 ProteinAlgorithmsAntibodies, Monoclonal, HumanizedHumansSingle-Domain AntibodiesThrombotic MicroangiopathiesADAMTS13 ProteinADAMTS13 protein, humanAntibodies, Monoclonal, HumanizedcaplacizumabeculizumabSingle-Domain AntibodiesCaplacizumabEculizumabMicroangiopathyNovel drugsTMATTP

Identifiers

PMID32219721
PMCPMC9020175
OpenAlexW3013468649

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.