{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T20:01:18Z","timestamp":1762459278167},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,7,1]],"date-time":"2015-07-01T00:00:00Z","timestamp":1435708800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>In patients with chronic idiopathic thrombocytopenic purpura (<jats:styled-content style=\"fixed-case\">cITP<\/jats:styled-content>), the platelet count tends to be quite variable and, in the majority of cases, specific therapy is not warranted on a regular basis. However, patients with low platelet count (&lt;30\u2009nL) or with bleeding complications would require therapy, such as prednisolone, intravenous immunoglobulin infusions, splenectomy and\/or immunosuppression. Romiplostim, a thrombopoietin agonist, has also proven to be useful in improving platelet counts. <jats:styled-content style=\"fixed-case\">cITP<\/jats:styled-content> can be associated with bleeding complications perioperatively. As such, a higher platelet count is warranted (approximately 80\u2009nL), particularly for invasive surgeries, such as orthopaedic surgery, cardio\u2010thoracic surgery, head and neck surgery and abdominal surgery, where risk of bleeding is quite high already.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study is to evaluate the safety and efficacy of short\u2010term use of romiplostim, perioperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with chronic <jats:styled-content style=\"fixed-case\">ITP<\/jats:styled-content> requiring major surgical interventions were enrolled in the study. Patients with malignancies or myelodysplastic syndromes, major bleeding disorders, under 18 years of age or pregnancy were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study has shown that the use of romiplostim is safe and effective in improving platelet counts preoperatively and that this could achieve excellent haemostasis, with no associated bleeding complications or rebound thrombocytopenia. A larger study involving multiple centres is required to verify these findings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.12794","type":"journal-article","created":{"date-parts":[[2015,4,22]],"date-time":"2015-04-22T07:51:42Z","timestamp":1429689102000},"page":"718-724","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Use of romiplostim in patients with chronic idiopathic thrombocytopenic purpura during perioperative period"],"prefix":"10.1111","volume":"45","author":[{"given":"R.","family":"Ramakrishna","sequence":"first","affiliation":[{"name":"Southern Haematology and Cancer Research Institute University of Wollongong  Wollongong New South Wales Australia"},{"name":"Graduate School of Medicine University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Rehman","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Ramakrishna","sequence":"additional","affiliation":[{"name":"Southern Haematology and Cancer Research Institute University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"Alexander","sequence":"additional","affiliation":[{"name":"Southern Haematology and Cancer Research Institute University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. 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