Splenectomy in children with chronic ITP: long-term efficacy and relation between its outcome and responses to previous treatments

Pediatr Blood Cancer. 2006 Oct 15;47(5 Suppl):742-5. doi: 10.1002/pbc.20978.

Abstract

This retrospective study was conducted to determine whether the response to splenectomy is related to the response to previous treatments. We examined the records of 90 children splenectomized for chronic ITP. Platelet counts were constantly>50x10(9)/L in 68 patients (75%). An improvement in the quality of life was observed in 79 (85%). The success of splenectomy was strongly correlated with a good response to previous treatment. A negative response to any of the prior treatments had no predictive value. This finding is relevant when elective splenectomy is considered as a treatment option.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Chronic Disease
  • Female
  • Follow-Up Studies
  • Humans
  • Immunoglobulins, Intravenous / administration & dosage
  • Immunoglobulins, Intravenous / therapeutic use
  • Infant
  • Isoantibodies / administration & dosage
  • Isoantibodies / therapeutic use
  • Male
  • Purpura, Thrombocytopenic, Idiopathic / diagnosis
  • Purpura, Thrombocytopenic, Idiopathic / drug therapy
  • Purpura, Thrombocytopenic, Idiopathic / surgery*
  • Quality of Life
  • Retrospective Studies
  • Rho(D) Immune Globulin
  • Splenectomy*
  • Time Factors
  • Treatment Outcome

Substances

  • Immunoglobulins, Intravenous
  • Isoantibodies
  • RHO(D) antibody
  • Rho(D) Immune Globulin