Evidence map›Paper›PMID 34884404›Full record

ArticleJournal of clinical medicine2021

Focus on Key Issues in Immune Thrombotic Thrombocytopenic Purpura: Italian Experience of Six Centers.

Giovanni Tiscia, Maria Teresa Sartori, Gaetano Giuffrida, Angelo Ostuni, Nicola Cascavilla, Daniela Nicolosi, Cosima Battista, Teresa Maria Santeramo, Lorella Melillo, Giulio Giordano and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 52% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

18 authors at 6 institutions in 2 countries.

Giovanni TisciaThrombosis and Hemostasis Unit, Fondazione IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.
Maria Teresa SartoriDepartment of Internal Medicine, University of Padua, 35100 Padua, Italy.
Gaetano GiuffridaHematology Division, Department of Clinical and Molecular Biomedicine, University of Catania, 95123 Catania, Italy.
Angelo OstuniTransfusion Medicine & Blood Bank, University-Hospital of Bari, 70124 Bari, Italy.ORCID 0000-0001-8391-7938
Nicola CascavillaDivision of Hematology, Fondazione IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.
Daniela NicolosiHematology Division, Department of Clinical and Molecular Biomedicine, University of Catania, 95123 Catania, Italy.
Cosima BattistaTransfusion Medicine & Blood Bank, University-Hospital of Bari, 70124 Bari, Italy.
Teresa Maria SanteramoDivision of Hematology, "Monsignor Raffaele Dimiccoli" Hospital, 70051 Barletta, Italy.
Lorella MelilloDivision of Hematology, University-Hospital of Foggia, 71122 Foggia, Italy.
Giulio GiordanoDivision of Hematology, "Cardarelli" Hospital, 86100 Campobasso, Italy.ORCID 0000-0002-6932-5028
Filomena CappucciThrombosis and Hemostasis Unit, Fondazione IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.
Lucia FischettiThrombosis and Hemostasis Unit, Fondazione IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.
Elena ChinniThrombosis and Hemostasis Unit, Fondazione IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.ORCID 0000-0002-6400-8429
Giuseppe TarantiniDivision of Hematology, "Monsignor Raffaele Dimiccoli" Hospital, 70051 Barletta, Italy.
Anna CerboDepartment of Internal Medicine, University of Padua, 35100 Padua, Italy.
Antonella BertomoroDepartment of Internal Medicine, University of Padua, 35100 Padua, Italy.
Fabrizio FabrisDepartment of Internal Medicine, University of Padua, 35100 Padua, Italy.
Elvira GrandoneThrombosis and Hemostasis Unit, Fondazione IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.
Casa Sollievo della Sofferenza · ITUniversity of Padua · ITUniversity of Bari Aldo Moro · ITUniversity of Catania · ITUniversity of Foggia · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune-mediated thrombotic thrombocytopenic purpura is a rare and challenging hematological disease caused by the antibody anti-ADAMTS13. Though the mortality rate has decreased considerably in recent years, fatalities still remain unacceptable. This study aimed at further adding to the existing knowledge of this medical challenge. We enrolled 89 consecutive patients observed in six Italian centers (from 8 August 2013 to 28 May 2021) with a diagnosis of immune-mediated thrombotic thrombocytopenic purpura. Clinical information and blood parameters were collected for all patients. We describe clinical manifestations and laboratory data, possible risk factors and the therapeutic management of first episodes or relapses. A total of 74 first episodes and 19 relapses (median 3 years (interquartile range (IQR): 2-7)) were recorded. Seventy percent of patients enrolled at the first episode showed neurological signs and/or symptoms. All the patients enrolled at the first episode were treated with plasma exchange (median = 12; IQR: 8-19.5) and methylprednisolone (1 mg/kg/day). Rituximab (375 mg/m

Indexed as

ADAMTS13mortalityoutcomerelapsethrombotic thrombocytopenic purpura

Identifiers

PMID34884404
PMCPMC8658151
OpenAlexW4200029207

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.