Evidence map›Paper›PMID 38779941›Full record

ArticleJournal of veterinary internal medicine

ACVIM consensus statement on the treatment of immune thrombocytopenia in dogs and cats.

Dana N LeVine, Robert Goggs, Barbara Kohn, Andrew J Mackin, Linda Kidd, Oliver A Garden, Marjory B Brooks, Erin R B Eldermire, Anthony Abrams-Ogg, Elizabeth H Appleman and 15 more

Abstract readConsensus Statement
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Amegakaryocytic thrombocytopenia in a dog: Diagnostic challenges and therapeutic considerations.The Canadian veterinary journal = La revue veterinaire canadienne · 2025
    Article
  6. Pure red cell aplasia and amegakaryocytic thrombocytopenia in a cat.The Journal of veterinary medical science · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

25 authors.

Dana N LeVineDepartment of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, Alabama, USA.ORCID https://orcid.org/0000-0002-1089-5640
Robert GoggsDepartment of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.ORCID https://orcid.org/0000-0001-7446-6987
Barbara KohnSmall Animal Clinic, School of Veterinary Medicine, Freie Universität Berlin, Berlin, Germany.
Andrew J MackinDepartment of Clinical Sciences, College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA.ORCID https://orcid.org/0000-0001-8465-0198
Linda KiddLinda Kidd Veterinary Internal Medicine Consulting, Carlsbad, California, USA.ORCID https://orcid.org/0000-0002-2464-0796
Oliver A GardenSchool of Veterinary Medicine, Louisiana State University, Baton Rouge, Louisiana, USA.ORCID https://orcid.org/0000-0002-4133-9487
Marjory B BrooksDepartment of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.ORCID https://orcid.org/0000-0001-5489-9013
Erin R B EldermireFlower-Sprecher Veterinary Library, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Anthony Abrams-OggDepartment of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.ORCID https://orcid.org/0000-0002-0036-4213
Elizabeth H ApplemanDepartment of Internal Medicine, The Animal Medical Center, New York, New York, USA.ORCID https://orcid.org/0000-0003-2903-4354
Todd M ArcherBluff City Veterinary Specialists, Memphis, Tennessee, USA.ORCID https://orcid.org/0000-0003-2395-0810
Domenico BiancoCollege of Veterinary Medicine, Western University of Health Sciences, Pomona, California, USA.
Shauna L BloisDepartment of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.ORCID https://orcid.org/0000-0002-4148-4617
Benjamin M BrainardDepartment of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA.ORCID https://orcid.org/0000-0003-4299-2936
Mary Beth CallanDepartment of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-4508-9980
Claire L FellmanDepartment of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts, USA.ORCID https://orcid.org/0000-0003-4799-3372
Jillian M HainesDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington, USA.ORCID https://orcid.org/0000-0002-8066-838X
Anne S HaleZia Pet Hospital, Rio Rancho, New Mexico, USA.
Alice A HuangBluePearl Pet Hospital, Kirkland, Washington, USA.
John M LucyOradell Animal Hospital, Paramus, New Jersey, USA.ORCID https://orcid.org/0009-0005-6681-700X
Shana K O'MarraNorthwest Veterinary Critical Care Services, Vancouver, Washington, USA.ORCID https://orcid.org/0000-0002-4334-0449
Elizabeth A RozanskiDepartment of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts, USA.ORCID https://orcid.org/0000-0003-3233-8930
John M ThomasonDepartment of Clinical Sciences, College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA.ORCID https://orcid.org/0000-0001-5678-8923
Jenny E WaltonVeterinary Apheresis Service UK, Washington, Tyne and Wear, United Kingdom.
Helen E WilsonLangford Vets, University of Bristol, Langford, Somerset, United Kingdom.ORCID https://orcid.org/0000-0001-5743-9792

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Management of immune thrombocytopenia (ITP) in dogs and cats is evolving, but there are no evidence-based guidelines to assist clinicians with treatment decisions. Likewise, the overall goals for treatment of ITP have not been established. Immunosuppressive doses of glucocorticoids are the first line treatment, but optimal treatment regimens beyond glucocorticoids remain uncertain. Additional options include secondary immunosuppressive drugs such as azathioprine, modified cyclosporine, and mycophenolate mofetil, usually selected based on clinician preference. Vincristine, human IV immunoglobulin (hIVIg), and transfusion of platelet or red blood cell-containing products are often used in more severe cases. Splenectomy and thrombopoietin receptor agonists are usually reserved for refractory cases, but when and in which patient these modalities should be employed is under debate. To develop evidence-based guidelines for individualized treatment of ITP patients, we asked 20 Population Intervention Comparison Outcome (PICO) format questions. These were addressed by 17 evidence evaluators using a literature pool of 288 articles identified by a structured search strategy. Evidence evaluators, using panel-designed templates and data extraction tools, summarized evidence and created guideline recommendations. These were integrated by treatment domain chairs and then refined by iterative Delphi survey review to reach consensus on the final guidelines. In addition, 19 non-PICO questions covering scenarios in which evidence was lacking or of low quality were answered by expert opinion using iterative Delphi surveys with panelist integration and refinement. Commentary was solicited from multiple relevant professional organizations before finalizing the consensus. The rigorous consensus process identified few comparative treatment studies, highlighting many areas of ITP treatment requiring additional studies. This statement is a companion manuscript to the ACVIM Consensus Statement on the Diagnosis of Immune Thrombocytopenia in Dogs and Cats.

Indexed as

Cat DiseasesDog DiseasesPurpura, Thrombocytopenic, IdiopathicAnimalsCatsConsensusDogsImmunosuppressive AgentsImmunosuppressive Agentsglucocorticoidsimmunoglobulinimmunosuppressiveplatelettransfusionvincristine

Identifiers

PMID38779941
PMCPMC11256181

What Socratic 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 Socratic graph.