Evidence map›Paper›PMID 14726931›Full record

SynthesisJournal of perinatology : official journal of the California Perinatal Association2004

Effect of administering recombinant erythropoietin to women with postpartum anemia: a meta-analysis.

Anne C Kotto-Kome, Darlene A Calhoun, Raul Montenegro, Roberto Sosa, Luis Maldonado, Robert D Christensen

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Journal of perinatology : official journal of the California Perinatal Association, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 48% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 24 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Anne C Kotto-KomeDivision of Neonatology, Department of Pediatrics, University of South Florida College of Medicine, All Children's Hospital, St. Petersburg, FL 33772, USA.
Darlene A Calhoun
Raul Montenegro
Roberto Sosa
Luis Maldonado
Robert D Christensen
Florida College · USUniversity of South Florida St. Petersburg · USBayfront Medical Center · US

Funding

High dose erythropoietin for neonates with asphyxiaR21HD042308 · NICHD · UNIVERSITY OF SOUTH FLORIDA · PI CHRISTENSEN, ROBERT D · 2002 to 2004
$587k
PATHOGENESIS OF THROMBOCYTOPENIAS OF NEONATESR01HL061798 · NHLBI · UNIVERSITY OF SOUTH FLORIDA · PI CHRISTENSEN, ROBERT D · 1999 to 2002
$389k
DEVELOPMENTAL EXPRESSION OF G-CSF IN THE PLACENTAK08HD001180 · NICHD · UNIVERSITY OF SOUTH FLORIDA · PI CALHOUN, DARLENE A · 1998 to 2002
$253k
Development Expression of Chemokines and Their ReceptorsR03HD042326 · NICHD · UNIVERSITY OF SOUTH FLORIDA · PI CALHOUN, DARLENE A · 2001 to 2002
$145k
NHLBI NIH HHS HL-61798NICHD NIH HHS HD-01180NICHD NIH HHS HD-42308NICHD NIH HHS HD-42326NICHD NIH HHS HD-69990
6 · The paper itself

Abstract

objectivesRecombinant erythropoietin (rEpo) has been administered to women with postpartum anemia in an attempt to accelerate their increase in hemoglobin concentration and reduce postpartum transfusions. However, it is not clear whether such an approach can be supported by evidence and should be generally recommended. STUDY DESIGN AND

methodsMedical and scientific literature from January 1990 to December 2002 was searched and studies that reported the administration of rEpo to women with postpartum anemia were evaluated.

resultsEight evaluated studies reported an aggregate of 480 women; 300 rEpo recipients and 180 controls. Significant diversity in design was observed in rEpo dose, route of rEpo administration, iron supplementation, and baseline hemoglobin. No significant safety concerns were reported. In all five studies where it was reported, 4 to 7 days after beginning treatment, greater increases in hemoglobin concentration were observed among the rEpo recipients than among the controls. However, heterogeneity of results (Q-test statistic, p<0.01) indicated that it was not appropriate to apply summary statistics. The effect of rEpo on postpartum transfusion rate was not measurable by summary statistics because of the limited number of transfusions given (no transfusions among the 300 rEpo recipients vs two transfusions among the 180 controls).

conclusionAdministration of rEpo to women with postpartum anemia appears to be safe, and is associated with a trend toward a faster increase in hemoglobin concentration. However, its efficacy in terms of diminishing postpartum transfusions is unproven.

Indexed as

AdultAnemiaCase-Control StudiesDose-Response Relationship, DrugDrug Administration ScheduleErythropoietinFemaleHemoglobinsHumansInjections, SubcutaneousPerinatologyPostpartum PeriodRandomized Controlled Trials as TopicRecombinant ProteinsReference ValuesTreatment OutcomeErythropoietinHemoglobinsRecombinant Proteins

Identifiers

PMID14726931
OpenAlexW2032274270

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.