Controversies in the management of acute idiopathic thrombocytopenic purpura: a survey of specialists

A total of 322 physicians, Board-certified in pediatric hematology, responded to a survey designed to determine several aspects of their management of children with acute idiopathic thrombocytopenic purpura. The survey demonstrates that, in practice among specialists, a controversy exists as to whet...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Pediatrics (Evanston) 1986, Vol.77 (1), p.49-52
Hauptverfasser: DUBANSKY, A. S, OSKI, F. A
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 52
container_issue 1
container_start_page 49
container_title Pediatrics (Evanston)
container_volume 77
creator DUBANSKY, A. S
OSKI, F. A
description A total of 322 physicians, Board-certified in pediatric hematology, responded to a survey designed to determine several aspects of their management of children with acute idiopathic thrombocytopenic purpura. The survey demonstrates that, in practice among specialists, a controversy exists as to whether or not bone marrow examination needs to be performed, and how often corticosteroids should be prescribed. Seventy-four percent of practitioners would perform the bone marrow examination, whereas 26% would not do so. Forty-six percent of responders prescribe steroids more than half the time, whereas 54% prescribe steroids less than half the time. The questionnaire ascertained the reasons why physicians performed marrow aspirations and prescribed steroids.
doi_str_mv 10.1542/peds.77.1.49
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_76681218</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>76681218</sourcerecordid><originalsourceid>FETCH-LOGICAL-c315t-9641ef463b314e6f3f5793ad1c5351c67c8b78c6a5b6528af60955bac31ff5793</originalsourceid><addsrcrecordid>eNo9kM1r3DAQxUVJSTdpb70WfAg9xVvJ-rJ7K0vzAYFe2rMYa0eNim25Gnlh__t6myUw8GDe773DY-yj4FuhVfNlxj1trd2KreresI3gXVurxuoLtuFcilpxrt-xK6I_nHOlbXPJLmWnuDR8w3CXppLTATNFpCpOVXnGaoQJfuOIU6lSqMAvBau4j2mG8hz9iuQ09skfS5pxWh_zkteDrxVUtOQDHk8xmtFHGCIVes_eBhgIP5z1mv26-_5z91A__bh_3H17qr0UutSdUQKDMrKXQqEJMmjbSdgLr6UW3ljf9rb1BnRvdNNCMLzTuoc1Hf6j1-zzS--c098FqbgxksdhgAnTQs4a04pGtCt4-wL6nIgyBjfnOEI-OsHdaVV3WtVZ64RTp95P596lH3H_Cp9nXP2bsw_kYQgZJh_pFWu1kUZ28h-PAYHD</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>76681218</pqid></control><display><type>article</type><title>Controversies in the management of acute idiopathic thrombocytopenic purpura: a survey of specialists</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>DUBANSKY, A. S ; OSKI, F. A</creator><creatorcontrib>DUBANSKY, A. S ; OSKI, F. A</creatorcontrib><description>A total of 322 physicians, Board-certified in pediatric hematology, responded to a survey designed to determine several aspects of their management of children with acute idiopathic thrombocytopenic purpura. The survey demonstrates that, in practice among specialists, a controversy exists as to whether or not bone marrow examination needs to be performed, and how often corticosteroids should be prescribed. Seventy-four percent of practitioners would perform the bone marrow examination, whereas 26% would not do so. Forty-six percent of responders prescribe steroids more than half the time, whereas 54% prescribe steroids less than half the time. The questionnaire ascertained the reasons why physicians performed marrow aspirations and prescribed steroids.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.77.1.49</identifier><identifier>PMID: 3940360</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: American Academy of Pediatrics</publisher><subject>Adrenal Cortex Hormones - therapeutic use ; Biological and medical sciences ; Bone Marrow Examination ; Child ; Child, Preschool ; Health Surveys ; Hematologic and hematopoietic diseases ; Humans ; Medical sciences ; Platelet Count ; Platelet diseases and coagulopathies ; Purpura, Thrombocytopenic - diagnosis ; Purpura, Thrombocytopenic - drug therapy</subject><ispartof>Pediatrics (Evanston), 1986, Vol.77 (1), p.49-52</ispartof><rights>1986 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c315t-9641ef463b314e6f3f5793ad1c5351c67c8b78c6a5b6528af60955bac31ff5793</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=8563639$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3940360$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DUBANSKY, A. S</creatorcontrib><creatorcontrib>OSKI, F. A</creatorcontrib><title>Controversies in the management of acute idiopathic thrombocytopenic purpura: a survey of specialists</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>A total of 322 physicians, Board-certified in pediatric hematology, responded to a survey designed to determine several aspects of their management of children with acute idiopathic thrombocytopenic purpura. The survey demonstrates that, in practice among specialists, a controversy exists as to whether or not bone marrow examination needs to be performed, and how often corticosteroids should be prescribed. Seventy-four percent of practitioners would perform the bone marrow examination, whereas 26% would not do so. Forty-six percent of responders prescribe steroids more than half the time, whereas 54% prescribe steroids less than half the time. The questionnaire ascertained the reasons why physicians performed marrow aspirations and prescribed steroids.</description><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Bone Marrow Examination</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Health Surveys</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Platelet Count</subject><subject>Platelet diseases and coagulopathies</subject><subject>Purpura, Thrombocytopenic - diagnosis</subject><subject>Purpura, Thrombocytopenic - drug therapy</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM1r3DAQxUVJSTdpb70WfAg9xVvJ-rJ7K0vzAYFe2rMYa0eNim25Gnlh__t6myUw8GDe773DY-yj4FuhVfNlxj1trd2KreresI3gXVurxuoLtuFcilpxrt-xK6I_nHOlbXPJLmWnuDR8w3CXppLTATNFpCpOVXnGaoQJfuOIU6lSqMAvBau4j2mG8hz9iuQ09skfS5pxWh_zkteDrxVUtOQDHk8xmtFHGCIVes_eBhgIP5z1mv26-_5z91A__bh_3H17qr0UutSdUQKDMrKXQqEJMmjbSdgLr6UW3ljf9rb1BnRvdNNCMLzTuoc1Hf6j1-zzS--c098FqbgxksdhgAnTQs4a04pGtCt4-wL6nIgyBjfnOEI-OsHdaVV3WtVZ64RTp95P596lH3H_Cp9nXP2bsw_kYQgZJh_pFWu1kUZ28h-PAYHD</recordid><startdate>1986</startdate><enddate>1986</enddate><creator>DUBANSKY, A. S</creator><creator>OSKI, F. A</creator><general>American Academy of Pediatrics</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1986</creationdate><title>Controversies in the management of acute idiopathic thrombocytopenic purpura: a survey of specialists</title><author>DUBANSKY, A. S ; OSKI, F. A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-9641ef463b314e6f3f5793ad1c5351c67c8b78c6a5b6528af60955bac31ff5793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Bone Marrow Examination</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Health Surveys</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Platelet Count</topic><topic>Platelet diseases and coagulopathies</topic><topic>Purpura, Thrombocytopenic - diagnosis</topic><topic>Purpura, Thrombocytopenic - drug therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DUBANSKY, A. S</creatorcontrib><creatorcontrib>OSKI, F. A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DUBANSKY, A. S</au><au>OSKI, F. A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Controversies in the management of acute idiopathic thrombocytopenic purpura: a survey of specialists</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>1986</date><risdate>1986</risdate><volume>77</volume><issue>1</issue><spage>49</spage><epage>52</epage><pages>49-52</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>A total of 322 physicians, Board-certified in pediatric hematology, responded to a survey designed to determine several aspects of their management of children with acute idiopathic thrombocytopenic purpura. The survey demonstrates that, in practice among specialists, a controversy exists as to whether or not bone marrow examination needs to be performed, and how often corticosteroids should be prescribed. Seventy-four percent of practitioners would perform the bone marrow examination, whereas 26% would not do so. Forty-six percent of responders prescribe steroids more than half the time, whereas 54% prescribe steroids less than half the time. The questionnaire ascertained the reasons why physicians performed marrow aspirations and prescribed steroids.</abstract><cop>Elk Grove Village, IL</cop><pub>American Academy of Pediatrics</pub><pmid>3940360</pmid><doi>10.1542/peds.77.1.49</doi><tpages>4</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0031-4005
ispartof Pediatrics (Evanston), 1986, Vol.77 (1), p.49-52
issn 0031-4005
1098-4275
language eng
recordid cdi_proquest_miscellaneous_76681218
source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adrenal Cortex Hormones - therapeutic use
Biological and medical sciences
Bone Marrow Examination
Child
Child, Preschool
Health Surveys
Hematologic and hematopoietic diseases
Humans
Medical sciences
Platelet Count
Platelet diseases and coagulopathies
Purpura, Thrombocytopenic - diagnosis
Purpura, Thrombocytopenic - drug therapy
title Controversies in the management of acute idiopathic thrombocytopenic purpura: a survey of specialists
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T02%3A15%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Controversies%20in%20the%20management%20of%20acute%20idiopathic%20thrombocytopenic%20purpura:%20a%20survey%20of%20specialists&rft.jtitle=Pediatrics%20(Evanston)&rft.au=DUBANSKY,%20A.%20S&rft.date=1986&rft.volume=77&rft.issue=1&rft.spage=49&rft.epage=52&rft.pages=49-52&rft.issn=0031-4005&rft.eissn=1098-4275&rft.coden=PEDIAU&rft_id=info:doi/10.1542/peds.77.1.49&rft_dat=%3Cproquest_cross%3E76681218%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=76681218&rft_id=info:pmid/3940360&rfr_iscdi=true