Evidence map›Paper›PMID 35396605›Full record

ArticleAnnals of hematology2022

Real-world experience of anti-D immunoglobulin in immune thrombocytopenia.

Kundan Mishra, Suman Kumar, Kanwaljeet Singh, Aditya Jandial, Rajeev Sandal, Kamal Kant Sahu, Sanjeev Khera, Rajiv Kumar, Rajan Kapoor, Sanjeevan Sharma and 5 more

Abstract read
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In one paragraph

Article in Annals of hematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 12 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

15 authors at 6 institutions in 2 countries.

Kundan MishraDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral), Delhi, 110010, India.
Suman KumarDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral), Delhi, 110010, India. hematologyhod@gmail.com.
Kanwaljeet SinghDepatment of Lab Sciences and Molecular Medicine, Army Hospital (Research & Referral), Delhi, India.
Aditya JandialDepartment of Internal Medicine, PGIMER, Chandigarh, India.
Rajeev SandalDepartment of Radiotherapy and Oncology, IGMC Shimla, Himachal Pradesh, India.
Kamal Kant SahuDivision of Hematology and Medical Oncology, Department of Internal Medicine, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, 84112, USA.
Sanjeev KheraDepartment of Pediatrics, Army Hospital (Research & Referral), Delhi, India.
Rajiv KumarDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral), Delhi, 110010, India.
Rajan KapoorDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral), Delhi, 110010, India.
Sanjeevan SharmaDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral), Delhi, 110010, India.
Jasjit SinghDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral), Delhi, 110010, India.
Satyaranjan DasDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral), Delhi, 110010, India.
Tathagat ChatterjeeDepatment of Lab Sciences and Molecular Medicine, Army Hospital (Research & Referral), Delhi, India.
Ajay SharmaDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral), Delhi, 110010, India.
Velu NairDepartment of Clinical Hematology and Stem Cell Transplant, Army Hospital (Research & Referral), Delhi, 110010, India.
Army Hospital Research and Referral · INCommand Hospital · INHuntsman Cancer Institute · USINHS Asvini · INPost Graduate Institute of Medical Education and Research · INSir Ganga Ram Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In developing countries, anti-D has been used in immune thrombocytopenia (ITP) as a cheaper alternative to human immunoglobulin. We aim to analyze the response and safety profile of anti-D in patients with severe ITP. A retrospective study was conducted at a tertiary care hospital in Northern India. Patients received a single intravenous infusion of 75 μg/kg anti-D. In total, 36 patients (20 females) were included in this study. The median duration from ITP diagnosis to anti-D therapy was 235 days (range 1-1613 days). Four (11.1%) patients received anti-D as an upfront treatment. The patients' platelet counts rose significantly by the end of day three and continued to be significantly high until day 30 of receiving anti-D (p ≤ 0.001). The overall response rate (ORR) by day seven was 88.89%. There was no effect of age, sex, duration of disease, prior therapy, and platelet count on the ORR. Patients were followed up for a median duration of 52 days (longest follow-up: 3080 days). Six (6/36, 16.67%) patients continued to be in remission till the last follow-up. The hemoglobin fall was statistically significant on day three and day seven (p < 0.001 and p = 0.001) and got normalized by day 30. We observed equally good ORR in mixed populations and different phases of ITP along with long-term sustained response. The study demonstrates a quick and high response rate along with good safety profile to anti-D in all forms of ITP.

Indexed as

Purpura, Thrombocytopenic, IdiopathicThrombocytopeniaFemaleHumansMaleRetrospective StudiesRho(D) Immune GlobulinTreatment OutcomeRHO(D) antibodyRho(D) Immune GlobulinAnti-DImmune thrombocytopeniaImmunoglobulinITPResource constraint settingsThrombocytopenia

Identifiers

PMID35396605
OpenAlexW4223458320

What OpenQuestion holds

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Registered trials

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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.