Evidence map›Paper›PMID 24960653›Full record

Trial reportBlood transfusion = Trasfusione del sangue2014

Splenectomy improves anaemia but does not reduce iron burden in patients with haemoglobin H Constant Spring disease.

Ya-Li Zhou, Xin-Hua Zhang, Tie-Niu Liu, Li Wang, Xiao-Lin Yin

Abstract readClinical Trial
In one paragraph

Trial report in Blood transfusion = Trasfusione del sangue, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

5 authors at 1 institution in 1 country.

Ya-Li ZhouDepartment of Haematology, 303rd Hospital of the People's Liberation Army, Nanning, Guangxi, China.
Xin-Hua ZhangDepartment of Haematology, 303rd Hospital of the People's Liberation Army, Nanning, Guangxi, China.
Tie-Niu LiuDepartment of Haematology, 303rd Hospital of the People's Liberation Army, Nanning, Guangxi, China.
Li WangDepartment of Haematology, 303rd Hospital of the People's Liberation Army, Nanning, Guangxi, China.
Xiao-Lin YinDepartment of Haematology, 303rd Hospital of the People's Liberation Army, Nanning, Guangxi, China.
303 Hospital of People's Liberation Army · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSplenectomy is reported to increase the haemoglobin level in patients with haemoglobin H Constant Spring (HbH CS) disease; however, its impact on iron burden and the underlying mechanism remains unclear. MATERIALS AND

methodsFrom March through to May 2013, a total of 50 adults with HbH CS disease (25 cases splenectomised and 25 cases non-splenectomised) were enrolled. The patients' general conditions, history of blood transfusion and iron chelator treatment were investigated. Levels of haemoglobin, nucleated red blood cell counts, and serum ferritin were measured. The percentage of apoptotic erythroid precursor cells in bone marrow, an index representing ineffective erythropoiesis, was determined in some cases.

resultsThere were no significant differences in age, blood transfusion volume, and use of iron chelator drugs between the splenectomised group and the non-splenectomised group. Significantly higher haemoglobin levels, serum ferritin levels and nucleated red blood cell counts as well as a higher percentage of apoptotic erythroid progenitor cells were detected in the splenectomised group. Regression analysis revealed that age and nucleated red blood cell counts were independent risk factors affecting the serum ferritin level. DISCUSSION: Despite improving the haemoglobin level, splenectomy is associated with greater iron burden in HbH CS disease. A high nucleated red blood cell count is predictive of the risk of severe iron overload.

Indexed as

ApoptosisSplenectomyAdultalpha-ThalassemiaBlood TransfusionErythroid Precursor CellsFemaleFerritinsFollow-Up StudiesHumansIronIron Chelating AgentsMaleFerritinsIronIron Chelating Agents

Identifiers

PMID24960653
PMCPMC4212026
OpenAlexW173608146

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.