Evidence map›Paper›PMID 33669423›Full record

ReviewJournal of clinical medicine2021

Primary Immune Thrombocytopenia: Novel Insights into Pathophysiology and Disease Management.

Anurag Singh, Günalp Uzun, Tamam Bakchoul

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07214025 (Safety and Efficacy of Romiplostim in Treatment of Chronic ITP in Children), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
8.9field-weighted citation impact, top 2% 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.

NCT07214025 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Safety and Efficacy of Romiplostim in Treatment of Chronic ITP in Children

TypeobservationalSponsorAssiut UniversityRan2025 to 2027Enrolled100ConditionsRomiplostim N01, ITPArmsSafety and efficacy of Romiplostim in Treatment of chronic ITP in children
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
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  15. On the horizon: upcoming new agents for the management of ITP.Hematology. American Society of Hematology. Education Program · 2024
    Review
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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

3 authors.

Anurag SinghInstitute for Clinical and Experimental Transfusion Medicine (IKET), University Hospital of Tuebingen, 72076 Tuebingen, Germany.ORCID 0000-0002-9370-1038
Günalp UzunCentre for Clinical Transfusion Medicine, University Hospital of Tuebingen, 72076 Tuebingen, Germany.ORCID 0000-0002-8717-6230
Tamam BakchoulInstitute for Clinical and Experimental Transfusion Medicine (IKET), University Hospital of Tuebingen, 72076 Tuebingen, Germany.ORCID 0000-0002-6797-6812

Funding

Deutsche Herzstiftung BA5158/4
6 · The paper itself

Abstract

Immune thrombocytopenia (ITP) is an autoimmune disorder defined by a significantly reduced number of platelets in blood circulation. Due to low levels of platelets, ITP is associated with frequent bruising and bleeding. Current evidence suggests that low platelet counts in ITP are the result of multiple factors, including impaired thrombopoiesis and variations in immune response leading to platelet destruction during pathological conditions. Patient outcomes as well as clinic presentation of the disease have largely been shown to be case-specific, hinting towards ITP rather being a group of clinical conditions sharing common symptoms. The most frequent characteristics include dysfunction in primary haemostasis and loss of immune tolerance towards platelet as well as megakaryocyte antigens. This heterogeneity in patient population and characteristics make it challenging for the clinicians to choose appropriate therapeutic regimen. Therefore, it is vital to understand the pathomechanisms behind the disease and to consider various factors including patient age, platelet count levels, co-morbidities and patient preferences before initiating therapy. This review summarizes recent developments in the pathophysiology of ITP and provides a comprehensive overview of current therapeutic strategies as well as potential future drugs for the management of ITP.

Indexed as

bleedingimmune thrombocytopeniaimmune toleranceITP treatmentmegakaryocytesplatelet destructionplatelets

Identifiers

PMID33669423
PMCPMC7920457
OpenAlexW3129813527

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.