Evidence map›Paper›PMID 22958163›Full record

Trial reportBritish journal of haematology2012

Magnetic resonance angiography-defined intracranial vasculopathy is associated with silent cerebral infarcts and glucose-6-phosphate dehydrogenase mutation in children with sickle cell anaemia.

Mathula Thangarajh, Genyan Yang, Dana Fuchs, Maria R Ponisio, Robert C McKinstry, Alok Jaju, Michael J Noetzel, James F Casella, Emily Barron-Casella, W Craig Hooper and 9 more

Registry-linked trialOpen access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in British journal of haematology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00072761 (Silent Cerebral Infarct Transfusion Multi-Center Clinical Trial), which is not on this map. Cited by 31 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 6 pooled it
2.0field-weighted citation impact, top 14% 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.

NCT00072761 phase3completednot on this map

Silent Cerebral Infarct Transfusion Multi-Center Clinical Trial

TypeinterventionalSponsorWashington University School of MedicineRan2004 to 2013Enrolled196ConditionsSickle Cell Anemia, StrokeArmstransfusion therapy
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 6 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Guideline
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Epidemiology of Stroke in Sickle Cell Disease.Journal of clinical medicine · 2021
    Review
  17. Article
  18. Review
  19. Article
  20. 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

19 authors at 6 institutions in 1 country.

Mathula ThangarajhDepartment of Neurology and Pediatrics, Washington University School of Medicine, Saint Louis, MO, USA.
Genyan Yang
Dana Fuchs
Maria R Ponisio
Robert C McKinstry
Alok Jaju
Michael J Noetzel
James F Casella
Emily Barron-Casella
W Craig Hooper
Sheree L Boulet
Christopher J Bean
Meredith E Pyle
Amanda B Payne
Jennifer Driggers
Heidi A Trau
Bruce A Vendt
Mark Rodeghier
Michael R DeBaun
Washington University in St. Louis · USCenters for Disease Control and Prevention · USNational Center on Birth Defects and Developmental Disabilities · USJohns Hopkins University · USStatistical Research (United States) · USVanderbilt University · US

Funding

Silent Cerebral Infarct Multi-Center Clinical TrialU01NS042804 · NINDS · WASHINGTON UNIVERSITY · PI DEBAUN, MICHAEL R. · 2003 to 2010
$20.7M
NINDS NIH HHS U01 NS042804
6 · The paper itself

Abstract

Silent cerebral infarct (SCI) is the most commonly recognized cause of neurological injury in sickle cell anaemia (SCA). We tested the hypothesis that magnetic resonance angiography (MRA)-defined vasculopathy is associated with SCI. Furthermore, we examined genetic variations in glucose-6-phosphate dehydrogenase (G6PD) and HBA (α-globin) genes to determine their association with intracranial vasculopathy in children with SCA. Magnetic resonance imaging (MRI) of the brain and MRA of the cerebral vasculature were available in 516 paediatric patients with SCA, enrolled in the Silent Infarct Transfusion (SIT) Trial. All patients were screened for G6PD mutations and HBA deletions. SCI were present in 41·5% (214 of 516) of SIT Trial children. The frequency of intracranial vasculopathy with and without SCI was 15·9% and 6·3%, respectively (P < 0·001). Using a multivariable logistic regression model, only the presence of a SCI was associated with increased odds of vasculopathy (P = 0·0007, odds ratio (OR) 2·84; 95% Confidence Interval (CI) = 1·55-5·21). Among male children with SCA, G6PD status was associated with vasculopathy (P = 0·04, OR 2·78; 95% CI = 1·04-7·42), while no significant association was noted for HBA deletions. Intracranial vasculopathy was observed in a minority of children with SCA, and when present, was associated with G6PD status in males and SCI.

Indexed as

Magnetic Resonance AngiographyMutationAdolescentalpha-GlobinsAnemia, Sickle CellBlood TransfusionCerebral InfarctionChildChild, PreschoolFemaleGlucosephosphate DehydrogenaseHumansMaleSex Factorsalpha-GlobinsGlucosephosphate Dehydrogenase

Identifiers

PMID22958163
PMCPMC3775590
OpenAlexW1980853117

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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.