Evidence map›Paper›PMID 32909297›Full record

ArticleEuropean journal of haematology2021

Impact of platelets on major thrombosis in patients with a normal white blood cell count in essential thrombocythemia.

Veronika Buxhofer-Ausch, Dominik Wolf, Siegfried Sormann, Ernst Forjan, Wolfgang Schimetta, Bettina Gisslinger, Sonja Heibl, Maria Theresa Krauth, Jürgen Thiele, Reinhard Ruckser and 1 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 23% 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, 16 citations in OpenAlex.

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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

11 authors at 8 institutions in 2 countries.

Veronika Buxhofer-AuschDepartment of Internal Medicine I for Haematology with Stem Cell Transplantation, Haemostasis and Medical Oncology, Ordensklinikum Linz Elisabethinen, Linz, Austria.ORCID https://orcid.org/0000-0002-7369-9700
Dominik WolfDivision of Haematology and Oncology, Innsbruck Medical University, Innsbruck, Austria.
Siegfried SormannDepartment of Haematology, Medical University of Graz, Graz, Austria.
Ernst ForjanDepartment of Internal Medicine 3, Hanusch Hospital, Vienna, Austria.
Wolfgang SchimettaDepartment of Applied Systems Research and Statistics, Johannes Kepler University, Linz, Austria.
Bettina GisslingerDepartment of Haematology and Blood Coagulation, Division of Internal Medicine I,, Medical University of Vienna, Vienna, Austria.
Sonja HeiblDepartment of Internal Medicine IV, Klinikum Wels-Grieskirchen, Wels, Austria.
Maria Theresa KrauthDepartment of Haematology and Blood Coagulation, Division of Internal Medicine I,, Medical University of Vienna, Vienna, Austria.
Jürgen ThieleDepartment of Pathology, University of Cologne, Cologne, Germany.
Reinhard RuckserDepartment of Internal Medicine 2, Donauspital, Vienna, Austria.
Heinz GisslingerDepartment of Haematology and Blood Coagulation, Division of Internal Medicine I,, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-0295-7629
Medical University of Vienna · ATJohannes Kepler University of Linz · ATDonauspital · ATHanusch Hospital · ATInnsbruck Medical University · ATKlinikum Wels-Grieskirchen · ATMedical University of Graz · ATUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCell counts have a significant impact on the complex mechanism of thrombosis in patients with essential thrombocythemia (ET). We recently demonstrated a considerable impact of white blood cell (WBC) counts on thrombotic risk in patients with optimized platelet counts by analysing a large anagrelide registry. In contrast, the current analysis of the registry aimed to estimate the influence of platelet counts on thrombotic risk in patients with optimized WBC counts.

methodsCox regression analysis and Kaplan-Meier plot were applied on all patients in the registry with optimized WBC counts.

resultsBy using the calculated cut-off of 593 G/L for platelets, Cox regression analysis revealed a clear influence of elevated platelet counts on the occurrence of a major thrombotic event (P < .001). A Kaplan-Meier plot revealed a markedly shorter time to a major thrombotic event for patients with platelet counts above the cut-off (P < .001).

conclusionsThe data show clear impact of platelet lowering on the thrombotic risk in ET patients with normal WBC counts. Therefore, selective platelet lowering with anagrelide appears sufficient for thrombotic risk reduction in WHO-diagnosed ET patients lacking leukocytosis.

Indexed as

Leukocyte CountAgedBiomarkersBlood PlateletsDisease SusceptibilityFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMaleMiddle AgedPlatelet CountPrognosisRegistriesThrombocythemia, EssentialThrombosisBiomarkersessential thrombocythemiaplateletsthrombotic riskwhite blood cells

Identifiers

PMID32909297
PMCPMC7756407
OpenAlexW3085949444

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.