Evidence map›Paper›PMID 33544940›Full record

ArticleEuropean journal of haematology2021

The incidence of thrombocytopenia in adult patients receiving chemotherapy for solid tumors or hematologic malignancies.

Jaime L Shaw, Carrie M Nielson, Joseph K Park, Andrea Marongiu, Gerald A Soff

Registry-linked trialOpen 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. It is linked to trial NCT07586826 (A Prospective, Randomized, Open-Label, Controlled Study of Romiplostim N01 Combined With All-Trans Retinoic Acid Versus Romiplostim N01 Alone for Persistent Isolated Chemotherapy-Induced Thrombocytopenia in Patients With Complete Remission of Gynecologic, Breast, or Lung Solid Tumors), which is not on this map. Cited by 59 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 4 pooled it
5.2field-weighted citation impact, top 3% 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.

NCT07586826 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Prospective, Randomized, Open-Label, Controlled Study of Romiplostim N01 Combined With All-Trans Retinoic Acid Versus Romiplostim N01 Alone for Persistent Isolated Chemotherapy-Induced Thrombocytopenia in Patients With Complete Remission of Gynecologic, Breast, or Lung Solid Tumors

TypeinterventionalSponsorPeking University People's HospitalRan2025 to 2027Enrolled220ConditionsPersistent Isolated Chemotherapy-Induced Thrombocytopenia, Chemotherapy-Induced Thrombocytopenia, Gynecologic Cancers, Ovarian CancerArmsRomiplostim N01, All-trans retinoic acid
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 4 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
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  16. Anticoagulant therapy in patients with cancer and thrombocytopenia.Journal of thrombosis and thrombolysis · 2025
    Review
  17. Platelet Transfusion for Patients with Cancer: An Update.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Review
  18. Article
  19. The Differential Diagnosis of Thromobocytopenia.Deutsches Arzteblatt international · 2025
    Review
  20. Intravenous thrombolysis in the context of stroke and cancer.Journal of thrombosis and thrombolysis · 2025
    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

5 authors at 3 institutions in 2 countries.

Jaime L ShawAmgen, Thousand Oaks, CA, USA.
Carrie M NielsonAmgen, Thousand Oaks, CA, USA.
Joseph K ParkAmgen, Thousand Oaks, CA, USA.
Andrea MarongiuAmgen, Uxbridge, UK.
Gerald A SoffMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Amgen (United States) · USAmgen (United Kingdom) · GBMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Amgen IncNCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectivesTo estimate the risk of thrombocytopenia in various cancers and chemotherapy regimens.

methodsStructured patient-level data from the Flatiron Health Electronic Health Record database were used to identify adult patients who received chemotherapy for a solid tumor or hematologic malignancy from 2012 to 2017. Three-month cumulative incidence of thrombocytopenia was assessed based on platelet counts, overall and by grade of thrombocytopenia. Co-occurrence of anemia, neutropenia, and leukopenia was evaluated.

resultsOf 15,521 patients with solid tumors, 13% had thrombocytopenia within 3 months (platelet count < 100 × 10

conclusionsIn a large, US-representative sample of patients undergoing chemotherapy in clinical practice, thrombocytopenia incidence varied across tumor and regimen types. Despite recommendations to alter chemotherapy to avoid severe thrombocytopenia, 4% of patients with solid tumors and 16% with hematologic malignancies experienced grade 3 thrombocytopenia. Prediction and prevention of thrombocytopenia may help oncologists avoid dose modifications and their adverse effects on survival.

Indexed as

AgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkersDisease SusceptibilityFemaleHematologic NeoplasmsHumansIncidenceMaleMiddle AgedNeoplasmsPublic Health SurveillanceRetrospective StudiesThrombocytopeniaTime FactorsBiomarkersadverse eventchemotherapychemotherapy-induced thrombocytopeniaCIThematologic malignancyincidencesolid tumorThrombocytopeniatoxicity

Identifiers

PMID33544940
PMCPMC8248430
OpenAlexW3128240549

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.