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Real-life clinical practice in Spain in the setting of new drug availability for ITP treatment. A Delphi-based Spanish expert panel consensus. | LitMetric

AI Article Synopsis

  • Immune thrombocytopenia (ITP) is a prevalent autoimmune disorder that presents diagnostic challenges due to varied symptoms and no specific test available.
  • Recent research and new medications have led to different management guidelines for ITP worldwide, including new approaches developed in Spain.
  • A study using the Delphi methodology reached an 81% consensus on managing adult ITP patients, resulting in practical recommendations, but some areas still require further clarification and improvement.

Article Abstract

Immune thrombocytopenia (ITP) is a common autoimmune hematological disorder. Despite this, diagnosis is still challenging due to clinical heterogeneity and the lack of a specific diagnostic test. New findings in the pathology and the availability of new drugs have led to the development of different guidelines worldwide. In the present study, the Delphi methodology has been used to get a consensus on the management of adult patients with ITP in Spain and to help in decision-making. The Delphi questionnaire has been designed by a scientific ad hoc committee and has been divided into 13 topics, with a total of 127 items, covering the maximum possible scenarios for the management of ITP. As a result of the study, a total consensus of 81% has been reached. It is concluded that this Delphi consensus provides practical recommendations on topics related to diagnosis and management of ITP patients to help doctors to improve outcomes. Some aspects remain unclear, without consensus among the experts. Thus, more advances are needed to optimize ITP management.

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Source
http://dx.doi.org/10.1080/09537104.2024.2336104DOI Listing

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