1. Management strategies for newly diagnosed immune thrombocytopenia in Italian AIEOP Centres: do we overtreat? Data from a multicentre, prospective cohort study
- Author
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Emilia Parodi 1, Giovanna Russo 2, Piero Farruggia 3, Lucia D Notarangelo 4, Maria T Giraudo 5, Margherita Nardi 6, Fiorina Giona 7, Paola Giordano 8, Ugo Ramenghi 1, 'AIEOP-ITP Study Group' (Appendix 1), Angelica Barone 9, Gianluca Boscarol 10, Simone Cesaro 11, Francesca Fioredda 12, Saverio Ladogana 13, Maria Licciardello 14, Francesca Rossi, Laura Rubert 16, Marco Spinelli 17, Fabio Tucci 1, 1, Emilia Parodi, 2, Giovanna Russo, 3, Piero Farruggia, D Notarangelo 4, Lucia, T Giraudo 5, Maria, 6, Margherita Nardi, 7, Fiorina Giona, 8, Paola Giordano, 1, Ugo Ramenghi, Study Group' (Appendix 1), 'AIEOP-ITP, 9, Angelica Barone, Boscarol 10, Gianluca, Cesaro 11, Simone, Fioredda 12, Francesca, Ladogana 13, Saverio, Licciardello 14, Maria, Rossi, Francesca, Rubert 16, Laura, Spinelli 17, Marco, and 1, Fabio Tucci
- Abstract
Background: The aim of the present study was to assess management strategies for immune thrombocytopenia (ITP) among Italian paediatric haematologists, and to compare these with those of recent international guidelines. Predictors of early remission or disease chronicity were also evaluated. Materials and methods: During a period of 1 year, 205 children (age: 1 month-18 years) with newly diagnosed ITP were prospectively enrolled by 16 centres belonging to the Italian Association of Paediatric Haematology and Oncology (AIEOP). We collected the subjects demographic data, history, clinical symptoms, platelet count and treatment at presentation and at subsequent visits. Results: Of the 205 patients, 47 (23%) were initially managed with a wait-and-see approach. Compared to these patients, children administered platelet-enhancing therapies were significantly younger (median age: 4.75 vs 7.96 years; p
- Published
- 2020