Evidence map›Paper›PMID 35849155›Full record

ArticleAnnals of hematology2022

Thrombopoietin receptor agonist discontinuation rates and reasons among patients with immune thrombocytopenia: a study of administrative claims linked with medical chart review.

Adam Cuker, Lincy Lal, Anuja Roy, Caitlin Elliott, Maureen Carlyle, Carolyn Martin, Jens Haenig, Ricardo Viana

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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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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

3 citing papers in PubMed.

  1. Observational
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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

8 authors.

Adam CukerPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Lincy LalOptum HEOR, Eden Prairie, MN, USA.
Anuja RoyNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Caitlin ElliottOptum HEOR, Eden Prairie, MN, USA.
Maureen CarlyleOptum HEOR, Eden Prairie, MN, USA.
Carolyn MartinOptum HEOR, Eden Prairie, MN, USA. cmartin111@msn.com.
Jens HaenigNovartis Pharma AG, Basel, Switzerland.
Ricardo VianaNovartis Pharma AG, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Administrative claims provide a rich data source for retrospective studies of real-world clinical practice, yet some important data may be inconsistent or unavailable. This study explored factors influencing discontinuation of thrombopoietin receptor agonists (TPO-RAs) among patients with immune thrombocytopenia (ITP), by adding medical chart abstraction for additional details. Adult (≥ 18 years) patients with continuous commercial or Medicare Advantage with Part D health insurance coverage were included. Inclusion criteria were ≥ 1 claim for eltrombopag or romiplostim and ≥ 2 diagnoses of ITP between December 31, 2017, and January 1, 2020. Providers were asked to provide access to medical charts for abstraction. The analyses included only patients who discontinued TPO-RA and described patient characteristics, treatment patterns, platelet values, and reasons for discontinuation. Among 207 ITP patients treated with a TPO-RA, 137 (66%) discontinued treatment during the observation period. The mean TPO-RA treatment duration was 185 days. Mean platelet count at the time of discontinuation was 197 × 10

Indexed as

Hematologic AgentsPurpura, Thrombocytopenic, IdiopathicAdultAgedBenzoatesHumansHydrazinesMedicarePlatelet CountReceptors, FcReceptors, ThrombopoietinRecombinant Fusion ProteinsRetrospective StudiesThrombopoietinUnited StatesBenzoatesHematologic AgentsHydrazinesReceptors, FcReceptors, ThrombopoietinRecombinant Fusion ProteinsThrombopoietinAdministrative claimsDiscontinuationEltrombopagImmune thrombocytopeniaMedical chart reviewObservationalPlatelet responseRetrospective studyRomiplostim

Identifiers

PMID35849155

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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.