Evidence map›Paper›PMID 33459573›Full record

SynthesisPlatelets2022

The efficacy and safety of thrombopoietin receptor agonists in patients with chronic liver disease undergoing elective procedures: a systematic review and meta-analysis.

Ingrid Lindquist, Sven R Olson, Ang Li, Hanny Al-Samkari, Janice H Jou, Owen J T McCarty, Joseph J Shatzel

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Platelets, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. [Analysis of the efficacy and safety profile of the use of eltrombopag ethanolamine tablets in patients with cirrhotic thrombocytopenia].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Article
  4. Review
  5. Review
  6. How to manage hemostasis in patients with liver disease during interventions.Hematology. American Society of Hematology. Education Program · 2023
    Review
  7. Review
  8. Review
  9. Rebalanced hemostasis in liver disease: a misunderstood coagulopathy.Hematology. American Society of Hematology. Education Program · 2021
    Article
  10. Review
  11. Treatment of bleeding in patients with liver disease.Journal of thrombosis and haemostasis : JTH · 2021
    Article
  12. 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 3 institutions in 1 country.

Ingrid LindquistDivision of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, OR, USA.
Sven R OlsonDivision of Hematology and Oncology, Oregon Health & Science University, Portland, OR, USA.ORCID 0000-0002-2717-4620
Ang LiSection of Hematology Oncology, Baylor College of Medicine, Houston, TX, USA.
Hanny Al-SamkariDivision of Hematology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Janice H JouDivision of Gastroenterology and Hepatology, Oregon Health & Science University, Portland, OR, USA.
Owen J T McCartyDepartment of Biomedical Engineering, Oregon Health & Science University, Portland, OR, USA.
Joseph J ShatzelDivision of Hematology and Oncology, Oregon Health & Science University, Portland, OR, USA.
Oregon Health & Science University · USBaylor College of Medicine · USHarvard 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
Contact Pathway Activation on Vascular DevicesR01HL144113 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI HINDS, MONICA T, MCCARTY, OWEN J · 2018 to 2025
$6.0M
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 HL101972NHLBI NIH HHS R01 HL144113NHLBI NIH HHS R01 HL151367
6 · The paper itself

Abstract

Thrombopoietin receptor agonists (TPO-RAs) can mitigate preprocedural thrombocytopenia in patients with chronic liver disease (CLD) however their effects on procedural outcomes is unclear. In this meta-analysis, we aimed to better define the efficacy, thrombotic risk and bleeding mitigation associated with the use of preoperative TPO-RAs in patients with CLD. We performed a systematic review and meta-analysis of randomized placebo-controlled clinical trials to assess the use of preprocedural TPO-RAs in patients with CLD, searching MEDLINE, EMBASE and the Cochrane library database. Six publications comprising eight randomized trials (1229 patients; 717 received TPO-RAs, 512 received placebo) and three unique TPO-RAs were retrieved. The majority of the included procedures were endoscopic. TPO-RAs were significantly more likely to result in a preoperative platelet count greater than 50 x 10

Indexed as

Elective Surgical ProceduresHumansLiver DiseasesRandomized Controlled Trials as TopicReceptors, ThrombopoietinReceptors, ThrombopoietinBleedingproceduresthrombopoietin

Identifiers

PMID33459573
PMCPMC8286270
OpenAlexW3123287832

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.