Evidence map›Paper›PMID 41003735›Full record

Observational studyAnnals of hematology2025

Outcome and response to different management regimens in pediatric patients with immune thrombocytopenia (ITP).

Rasha AbdelRaouf AbdelAziz, Dalia El-Sayed, Fatma El Zahraa Ahmed, Mohammed Al Komy

Abstract readObservational Study
In one paragraph

Observational study in Annals of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Rasha AbdelRaouf AbdelAzizDepartment of Pediatrics, Pediatric Hematology and BMT unit, Faculty of Medicine, Cairo University, Cairo, Egypt.
Dalia El-SayedDepartment of Pediatrics, Pediatric Hematology and BMT unit, Faculty of Medicine, Cairo University, Cairo, Egypt. dalia_sayed2018@cu.edu.eg.
Fatma El Zahraa AhmedDepartment of Pediatrics, Pediatric Hematology and BMT unit, Faculty of Medicine, Cairo University, Cairo, Egypt.
Mohammed Al KomyDepartment of Pediatrics, Pediatric Hematology and BMT unit, Faculty of Medicine, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune thrombocytopenia (ITP) is the most common acquired bleeding disorder in children and a frequent source of clinical concern. This study aimed to evaluate the clinical outcomes and treatment responses to different therapeutic lines. This observational study included 90 children with newly diagnosed ITP who were registered and followed at Cairo University Children's Hospital between June 2022 and December 2023. The study cohort consisted of 40 males (44.4%) and 50 females (55.6%), with a mean age of 5.3 years. The mean platelet count at presentation was 9.9 ± 11.9 × 10⁹/L, increasing to 384.6 ± 141.0 × 10⁹/L at six months post-treatment. Six patients (5.8%) experienced spontaneous recovery without treatment, while 84 patients (94.2%) received therapeutic interventions including corticosteroids or intravenous immunoglobulin (IVIG). By three months, 61 patients (68.9%) had responded to treatment, while 29 patients (32.2%) required second-line therapy with thrombopoietin receptor agonists (TPO-RAs). Corticosteroids remain the cornerstone of first-line therapy in newly diagnosed pediatric ITP. Patients who do not respond to initial treatment or experience relapse demonstrate favorable outcomes with TPO-RA therapy.

Indexed as

Adrenal Cortex HormonesImmunoglobulins, IntravenousPurpura, Thrombocytopenic, IdiopathicAdolescentChildChild, PreschoolFemaleHumansInfantMalePlatelet CountReceptors, ThrombopoietinRetrospective StudiesThrombopoietinTreatment OutcomeAdrenal Cortex HormonesImmunoglobulins, IntravenousReceptors, ThrombopoietinThrombopoietinCorticosteroidsImmune thrombocytopenia (ITPIntravenous immunoglobulin (IVIG).Thrombopoietin receptors agonists (TPO-RA)

Identifiers

PMID41003735
PMCPMC12619819

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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.