Evidence map›Paper›PMID 21772051›Full record

ArticleBlood2011

Risk factors and mortality associated with an elevated tricuspid regurgitant jet velocity measured by Doppler-echocardiography in thalassemia: a Thalassemia Clinical Research Network report.

Claudia R Morris, Hae-Young Kim, Felicia Trachtenberg, John Wood, Charles T Quinn, Nancy Sweeters, Janet L Kwiatkowski, Alexis A Thompson, Patricia J Giardina, Jeanne Boudreaux and 5 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00661804 (A Longitudinal Cohort Study of Patients With Thalassemia in the Thalassemia Clinical Research Network), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.5field-weighted citation impact, top 8% 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.

NCT00661804 completednot on this map

A Longitudinal Cohort Study of Patients With Thalassemia in the Thalassemia Clinical Research Network

TypeobservationalSponsorCarelon ResearchRan2007 to 2011Enrolled416ConditionsThalassemia
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 66 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. The microbiota-gut-brain axis: An emerging role for the epigenome.Experimental biology and medicine (Maywood, N.J.) · 2020
    Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Pulmonary hypertension associated with thalassemia syndromes.Annals of the New York Academy of Sciences · 2016
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Pathophysiology and Clinical Manifestations of the β-Thalassemias.Cold Spring Harbor perspectives in medicine · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 3 countries.

Claudia R MorrisDepartment of Emergency Medicine, Children's Hospital & Research Center Oakland, Oakland, CA, USA. claudiamorris@comcast.net
Hae-Young Kim
Felicia Trachtenberg
John Wood
Charles T Quinn
Nancy Sweeters
Janet L Kwiatkowski
Alexis A Thompson
Patricia J Giardina
Jeanne Boudreaux
Nancy F Olivieri
John B Porter
Ellis J Neufeld
Elliott P Vichinsky
Thalassemia Clinical Research Network
New England Research Institutes · USOakland University · USBoston Children's Museum · USChildren's Healthcare of Atlanta · USChildren's Hospital of Los Angeles · USChildren's Hospital of Philadelphia · USCornell University · USLurie Children's Hospital · USThe University of Texas Southwestern Medical Center · USToronto General Hospital · CAUniversity College London · GB

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Thalassemia Network - RegistryU01HL065238 · NHLBI · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, SONJA M · 2000 to 2009
$13.3M
THALASSEMIA CLINICAL RESEARCH NETWORKU01HL065260 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI NEUFELD, ELLIS J · 2000 to 2009
$2.0M
Glutamine Therapy for Hemolysis-Associated Pulmonary HypertensionR01FD003531 · FDA · CHILDREN'S HOSPITAL & RES CTR AT OAKLAND · PI MORRIS, CLAUDIA R · 2009 to 2011
$1.2M
FDA HHS 1R01FD003531-02FDA HHS R01 FD003531NCRR NIH HHS UL1 RR024131NHLBI NIH HHS U01 HL065238NHLBI NIH HHS U01 HL065260
6 · The paper itself

Abstract

An elevated tricuspid regurgitant jet velocity (TRV) is associated with hemolysis and early mortality in sickle cell disease, yet risk factors, clinical parameters, and mortality associated with this biomarker in thalassemia are poorly defined. This report summarizes the prevalence of an elevated TRV in 325 patients screened by Doppler echocardiography in the Thalassemia Clinical Research Network. A documented TRV was reported in 148 of 325 (46%) of patients. Average age was 25.9 years (range, 5-56 years) and 97% were transfusion-dependent. Mean TRV was 2.3 ± 0.4 m/s (range, 0.2-3.5 m/s). An abnormal TRV ≥ 2.5 m/s was identified in 49 of 148 (33%) of patients with a documented TRV, 5% (8/148), with a TRV ≥ 3.0 m/s, suggesting significant PH risk. Older age was strongly associated with a high TRV; however, 16% of children had a TRV ≥ 2.5 m/s. A history of splenectomy, hepatitis C, smoking, or high white blood cell count was associated with TRV elevation. In summary, an elevated TRV is noted in one-third of transfusion-dependent thalassemia patients with a documented value and develops in both children and adults. Age, splenectomy, hepatitis C, and smoking are significant univariate risk factors, with splenectomy surfacing as the dominant risk factor over time. Mortality was low in this cohort. Prospective longitudinal studies are needed. This study is registered at http://www.clinicaltrials.gov as NCT00661804.

Indexed as

AdolescentAdultChildChild, PreschoolCohort StudiesEchocardiography, DopplerFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsThalassemiaTricuspid Valve InsufficiencyYoung Adult

Identifiers

PMID21772051
PMCPMC3193260
OpenAlexW1976799894

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.