Evidence map›Paper›PMID 24363877›Full record

ArticleMediterranean journal of hematology and infectious diseases2013

Sickle cell disease: management options and challenges in developing countries.

Daniel Ansong, Alex Osei Akoto, Delaena Ocloo, Kwaku Ohene-Frempong

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Mediterranean journal of hematology and infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06989567 (A Phase III, Multi-Center, Double-Blind, Placebo-Controlled, Randomized Study of Intravenous L-Citrulline in Sickle Cell Disease Presenting to Emergency Departments in Acute Vaso-Occlusive Crisis in Children, Adolescents and Young Adults), which is not on this map. Cited by 42 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 10 pooled it
1.9field-weighted citation impact, top 15% 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.

NCT06989567 phase3not yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Phase III, Multi-Center, Double-Blind, Placebo-Controlled, Randomized Study of Intravenous L-Citrulline in Sickle Cell Disease Presenting to Emergency Departments in Acute Vaso-Occlusive Crisis in Children, Adolescents and Young Adults (6 to 21 Years)

TypeinterventionalSponsorAsklepion Pharmaceuticals, LLCRan2025 to 2029Enrolled120ConditionsSickle Cell DiseaseArmsL-citrulline, Placebo
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 10 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
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  4. Preoperative blood transfusions for sickle cell disease.The Cochrane database of systematic reviews · 2020
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  9. Preoperative blood transfusions for sickle cell disease.The Cochrane database of systematic reviews · 2016
    Pooled it
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  11. Trial
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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

4 authors at 3 institutions in 2 countries.

Daniel AnsongSchool of Medical Sciences,-Kwame Nkrumah University of Science and Technology, Kumasi-Ghana ; Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi-Ghana.
Alex Osei AkotoSchool of Medical Sciences,-Kwame Nkrumah University of Science and Technology, Kumasi-Ghana ; Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi-Ghana.
Delaena OclooDepartment of Child Health, Komfo Anokye Teaching Hospital, Kumasi-Ghana.
Kwaku Ohene-FrempongChildren's Hospital of Philadelphia, Director, Comprehensive Sickle Cell Centre, USA.
Kwame Nkrumah University of Science and Technology · GHChildren's Hospital of Philadelphia · USKomfo Anokye Teaching Hospital · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sickle Cell Disease (SCD) is the most common genetic disorder of haemoglobin in sub-Saharan Africa. This commentary focuses on the management options available and the challenges that health care professionals in developing countries face in caring for patients with SCD. In a developing countries like Ghana, new-born screening is now about to be implemented on a national scale. Common and important morbidities associated with SCD are vaso-occlusive episodes, infections, Acute Chest Syndrome (ACS), Stroke and hip necrosis. Approaches to the management of these morbidities are far advanced in the developed countries. The differences in setting and resource limitations in developing countries bring challenges that have a major influence in management options in developing countries. Obviously clinicians in developing countries face challenges in managing SCD patients. However understanding the disease, its progression, and instituting the appropriate preventive methods are paramount in its management. Emphasis should be placed on early counselling, new-born screening, anti-microbial prophylaxis, vaccination against infections, and training of healthcare workers, patients and caregivers. These interventions are affordable in developing countries.

Identifiers

PMID24363877
PMCPMC3867228
OpenAlexW2125129891

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.