Evidence map›Paper›PMID 41324301›Full record

Observational studyTransfusion2026

Demand for human leukocyte antigen or human platelet antigen-selected platelets: An observational study at Canadian Blood Services.

Natasha Rickards, Phuoc-An Duong Hoang, Johnathan Mack, Matthew Seftel, John T Blake, Akash Gupta

Abstract readObservational Study
In one paragraph

Observational study in Transfusion, 2026. 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. Observational
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

6 authors.

Natasha RickardsMedical Affairs Division, Canadian Blood Services, Ottawa, Canada.
Phuoc-An Duong HoangCancer Research Program, Ottawa Hospital Research Institute, Ottawa, Canada.ORCID https://orcid.org/0009-0008-1426-0627
Johnathan MackMedical Affairs Division, Canadian Blood Services, Ottawa, Canada.
Matthew SeftelMedical Affairs Division, Canadian Blood Services, Ottawa, Canada.
John T BlakeMedical Affairs Division, Canadian Blood Services, Ottawa, Canada.
Akash GuptaMedical Affairs Division, Canadian Blood Services, Ottawa, Canada.

Funding

Canadian Blood Services
6 · The paper itself

Abstract

backgroundPlatelet transfusion refractoriness (PTR) is a clinically important condition. The Human Leukocyte Antigen and Human Platelet Antigen (HLA/HPA) Platelet Program at Canadian Blood Services (CBS) provides platelet products to support such patients. This study provides a blood operator perspective on the provision of products for the management of immune-mediated PTR (iPTR), including the evaluation of patient data to determine trends in the prevalence and diagnoses associated with iPTR. STUDY DESIGN AND

methodsA retrospective observational study of patients enrolled in the CBS HLA/HPA Platelet Program between April 2021 and March 2025. Patient demographics and platelet product issuance were extracted from internal electronic records. Descriptive statistics were utilized for baseline characteristics and linear regression for temporal trends.

resultsWe identified 788 cases representing 688 unique patients. Median patient age was 60.5 years. The most frequent diagnoses were acute leukemia (44%) and myelodysplastic syndrome (15%). HLA/HPA platelet issuance showed a statistically significant upward trend (average increase 23 units/quarter, p = .004). Platelet requests strongly predicted units issued (R DISCUSSION: The CBS HLA/HPA Platelet Program has experienced a rise in product demand. The strong relationship between product requests and issuance demonstrates the responsiveness of this program, though variability in fill rates and the limited predictive value of case counts highlight ongoing operational challenges. These findings can inform strategies for donor recruitment, inventory management, and case management to ensure reliable access to compatible platelets for sensitized patients.

Indexed as

Antigens, Human PlateletBlood PlateletsHLA AntigensPlatelet TransfusionAdultAgedCanadaFemaleHumansMaleMiddle AgedRetrospective StudiesAntigens, Human PlateletHLA Antigensalloimmunizationhuman leukocyte antigenspathogen reductionplatelet transfusion refractorinessthrombocytopenia

Identifiers

PMID41324301
PMCPMC12857877

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.