title: To treat or not to treat--from guidelines to individualized patient management.
abstract: Immune thrombocytopenia (ITP) is a rare disorder. Evidence-based guidelines provide important information for hematologists, as well as diagnostic and therapeutic recommendations to other physicians with limited expertise in the field. However, guidelines in pediatric and adult ITP do not answer some imperative questions: which patient is at risk of severe bleeding and requires pharmacologic treatment? Who will recover spontaneously? Is splenectomy still an appropriate second-line treatment for all chronic or persistent ITP patients? This review summarizes the current approach to these important issues, the patients' perspective, and how we can improve individual patient management.
authors.affiliation: Caritasclinic Saarbruecken, Saarbruecken, Germany. a.matzdorff@caritasklinikum.de
authors.forename: Axel
authors.initials: A
authors.lastname: Matzdorff
authors.forename: Ellis J
authors.initials: EJ
authors.lastname: Neufeld
authors.forename: Jelena
authors.initials: J
authors.lastname: Roganovic
mesh_terms: D006287:Health Planning Guidelines; D006801:Humans; D057285:Precision Medicine / Q000379:methods*; D013921:Thrombocytopenia / Q000188:drug therapy / Q000276:immunology* / Q000601:surgery / Q000628:therapy*