Management of Adult Patients with Primary Immune Thrombocytopenia (ITP) in Clinical Practice: A Consensus Approach of the Spanish ITP Expert Group
المؤلفون المشاركون
Alvarez-Roman, M. Teresa
Mingot-Castellano, María Eva
Fernández Fuertes, Luis Fernando
González-López, Tomás José
Guinea de Castro, José María
Jarque, Isidro
López-Fernández, M. Fernanda
Lozano, Maria Luisa
Sánchez González, Blanca
Ferreiras, David Valcárcel
González Porras, José Ramón
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-11، 11ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-08-22
دولة النشر
مصر
عدد الصفحات
11
التخصصات الرئيسية
الملخص EN
Background and Objective.
Diagnosis and management of primary immune thrombocytopenia (ITP) have changed dramatically in the last decade.
The aim of the study was to obtain information about the opinion of the Spanish ITP Group (GEPTI) members regarding the best clinical practices for diagnosis and management of adult patients with ITP.
Materials and Methods.
A two-round Delphi method was carried out by sending to 129 experts a 90-item questionnaire developed by 11 specialists, with a 4-point Likert scale (“never,” “sometimes,” “frequently,” and “always”) for the assessment of responses.
Results.
Forty out of the 129 experts participated in the survey (participation rate 30.2%) and 39 completed the questionnaire (response rate 97.5%).
Salient consensus points included the following: the need to indicate workup studies from a sustained platelet count < 100 x 109/L in the absence of a clear etiology; bone marrow aspiration in elderly patients with suspected ITP; beginning treatment in asymptomatic patients with a platelet count < 20 x 109/L; not exceeding 6-7 weeks of corticosteroid therapy; switching from corticosteroids to one thrombopoietin receptor agonist (TRA); switching to other TRA or other options as combinations of them with immunosuppressive drugs in case of failure; how to reduce tapering TRA; treating patients with symptomatic persistent ITP and platelet count > 20 x 109/L; and considering mucosal or severe bleeding as a basic criterion for hospital admission.
Conclusions.
The present consensus document provides a reference framework for the management of patients with ITP in clinical practice.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Mingot-Castellano, María Eva& Alvarez-Roman, M. Teresa& Fernández Fuertes, Luis Fernando& González-López, Tomás José& Guinea de Castro, José María& Jarque, Isidro…[et al.]. 2019. Management of Adult Patients with Primary Immune Thrombocytopenia (ITP) in Clinical Practice: A Consensus Approach of the Spanish ITP Expert Group. Advances in Hematology،Vol. 2019, no. 2019, pp.1-11.
https://search.emarefa.net/detail/BIM-1118093
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Mingot-Castellano, María Eva…[et al.]. Management of Adult Patients with Primary Immune Thrombocytopenia (ITP) in Clinical Practice: A Consensus Approach of the Spanish ITP Expert Group. Advances in Hematology No. 2019 (2019), pp.1-11.
https://search.emarefa.net/detail/BIM-1118093
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Mingot-Castellano, María Eva& Alvarez-Roman, M. Teresa& Fernández Fuertes, Luis Fernando& González-López, Tomás José& Guinea de Castro, José María& Jarque, Isidro…[et al.]. Management of Adult Patients with Primary Immune Thrombocytopenia (ITP) in Clinical Practice: A Consensus Approach of the Spanish ITP Expert Group. Advances in Hematology. 2019. Vol. 2019, no. 2019, pp.1-11.
https://search.emarefa.net/detail/BIM-1118093
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1118093
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر