Evidence map›Paper›PMID 39059013›Full record

ArticleBlood advances2024

What is in a name: defining pediatric refractory ITP.

Taizo A Nakano, Amanda B Grimes, Robert J Klaassen, Michele P Lambert, Cindy Neunert, Jennifer A Rothman, Kristin A Shimano, Christina Amend, Megan Askew, Sherif M Badawy and 20 more

Abstract read
In one paragraph

Article in Blood advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

7 citing papers in PubMed.

  1. Review
  2. Refractory ITP: revisiting definitions, diagnostics, and management paradigms.Hematology. American Society of Hematology. Education Program · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

30 authors.

Taizo A NakanoCenter for Cancer and Blood Disorders, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO.
Amanda B GrimesTexas Children's Hematology Center, Baylor College of Medicine, Houston, TX.ORCID 0000-0003-2842-9266
Robert J KlaassenChildren's Hospital of Eastern Ontario, Ottawa, ON, Canada.ORCID 0000-0002-6913-2808
Michele P LambertDivision of Hematology, Children's Hospital of Philadelphia, Perelman School of Medicine at UPenn, Philadelphia, PA.ORCID 0000-0003-0439-402X
Cindy NeunertColumbia University Medical School, New York, NY.ORCID 0000-0001-6753-6107
Jennifer A RothmanDuke University Medical Center, Durham, NC.ORCID 0000-0003-1582-2886
Kristin A ShimanoUCSF Benioff Children's Hospital, San Francisco, CA.ORCID 0000-0001-8371-1040
Christina AmendUniversity of Wisconsin School of Medicine and Public Health, Madison, WI.
Megan AskewLisa Dean Moseley Foundation Institute for Cancer and Blood Disorders, Nemours Children's Hospital, Wilmington, DE.
Sherif M BadawyDivision of Hematology, Oncology and Stem cell Transplant, Lurie Children's Hospital of Chicago; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL.
Jillian M BakerThe Hospital for Sick Children and Unity Health Toronto (St. Michael's Hospital), Toronto, ON, Canada.
Vicky BreakeyDepartment of Pediatrics, McMaster University, Hamilton, ON, Canada.
Shelley CraryUniversity of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR.ORCID 0000-0002-5133-9624
Monica DaviniUniversity of Arizona, Banner University Medical Center, Tucson, AZ.
Stephanie Fritch LillaChildren's Minnesota, Minneapolis, MN.ORCID 0000-0001-8987-7252
Megan GilbertLucile Packard Children's Hospital, Stanford University School of Medicine, Palo Alto, CA.
Taru HaysCenter for Cancer and Blood Disorders, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO.
Kerry HegeRiley Children's Health, Indiana University School of Medicine, Indianapolis, IN.
Kirsty HillierDivision of Pediatric Hematology/Oncology, Department of Pediatrics, Hassenfeld Children's Hospital at NYU Langone Health, NYU Grossman School of Medicine, New York, NY.ORCID 0000-0001-7080-2293
Amanda Jacobson-KellyNationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH.ORCID 0000-0002-9118-4487
Shipra KaickerWeill Cornell Medicine, New York, NY.
Taylor O KimChildren's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA.
Manpreet KochharHasbro Children's Hospital at Brown University, Providence, RI.
Thierry LeblancService d'hématologie et d'Immunologie, Hôpital Robert-Debré, L'Assistance publique Hôpitaux de Paris and Université Paris-Cité, Paris, France.
Marie MartinelliDivision of Hematology/Oncology, Oregon Health and Science University, Portland, OR.
Mara NunezDivision of Hematology, Instituto Nacional de Pediatría, Mexico City, Mexico.ORCID 0000-0001-7210-6785
Allison RemikerChildren's Wisconsin, Medical College of Wisconsin, Milwaukee, WI.
Corrina SchultzLisa Dean Moseley Foundation Institute for Cancer and Blood Disorders, Nemours Children's Hospital, Wilmington, DE.
Ruchika SharmaUniversity of Texas Southwestern Medical Center, Dallas, TX.
Rachael F GraceDana-Farber/Boston Children's Cancer and Blood Disorders Center, Harvard Medical School, Boston, MA.ORCID 0000-0001-7302-0449

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractThere are no agreed upon terminology to define "refractory" pediatric immune thrombocytopenia (ITP). Guidelines are therefore limited to arbitrary and outdated definitions. The Pediatric ITP Consortium of North America held a meeting in 2023 to define this entity. With 100% agreement, the faculty established that pediatric ITP that is refractory to emergent therapy could be defined as no platelet response after treatment with all eligible emergent pharmacotherapies. With 100% agreement, the working group established that pediatric patients with ITP that continue to demonstrate high disease burden and/or no platelet response despite treatment with multiple classes of disease-modifying therapies represent a challenging subset of ITP. These patients are at higher risk of ongoing disease burden and merit additional investigation as well as consideration for clinical trials or novel therapies. Future efforts to define disease burden and disease response will be completed in collaboration with the ITP International Working Group.

Indexed as

Purpura, Thrombocytopenic, IdiopathicChildDisease ManagementHumansTerminology as Topic

Identifiers

PMID39059013
PMCPMC11460440

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.