Evidence map›Paper›PMID 25612463›Full record

Trial reportBritish journal of haematology2015

Therapeutic phlebotomy is safe in children with sickle cell anaemia and can be effective treatment for transfusional iron overload.

Banu Aygun, Nicole A Mortier, Karen Kesler, Alexandre Lockhart, William H Schultz, Alan R Cohen, Ofelia Alvarez, Zora R Rogers, Janet L Kwiatkowski, Scott T Miller and 5 more

Open access · greenAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in British journal of haematology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 5 pooled it
2.1field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 5 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Hydroxyurea (hydroxycarbamide) for sickle cell disease.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Hydroxyurea (hydroxycarbamide) for sickle cell disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. How we manage iron overload in sickle cell patients.British journal of haematology · 2017
    Review
  12. Review
  13. Clinical applications of therapeutic phlebotomy.Journal of blood medicine · 2016
    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

15 authors at 10 institutions in 1 country.

Banu AygunSteven and Alexandra Cohen Children's Medical Center, New Hyde Park, NY, USA.
Nicole A Mortier
Karen Kesler
Alexandre Lockhart
William H Schultz
Alan R Cohen
Ofelia Alvarez
Zora R Rogers
Janet L Kwiatkowski
Scott T Miller
Pamela Sylvestre
Rathi Iyer
Peter A Lane
Russell E Ware
Stroke With Transfusions Changing to Hydroxyurea (SWiTCH) Trial Investigators
Cincinnati Children's Hospital Medical Center · USRho (United States) · USUniversity of Pennsylvania · USChildren's Healthcare of Atlanta · USCohen Children's Medical Center · USDucks Unlimited · USJackson Memorial Hospital · USSUNY Downstate Health Sciences University · USThe University of Texas Southwestern Medical Center · USUniversity of Miami · US

Funding

Stroke with Transfusions Changing to HydroxyureaU01HL078787 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI WARE, RUSSELL E · 2005 to 2010
$15.5M
Stroke with Transfusions Changing to Hydroxyurea (SWITCH) Trial Data CoordinatingU01HL078987 · NHLBI · RHO FEDERAL SYSTEMS DIVISION, INC. · PI HELMS, RONALD W. · 2005 to 2010
$4.2M
NHLBI NIH HHS U01 HL078787NHLBI NIH HHS U01-HL078787NHLBI NIH HHS U01 HL078987NHLBI NIH HHS U01-HL078987
6 · The paper itself

Abstract

Serial phlebotomy was performed on sixty children with sickle cell anaemia, stroke and transfusional iron overload randomized to hydroxycarbamide in the Stroke With Transfusions Changing to Hydroxyurea trial. There were 927 phlebotomy procedures with only 33 adverse events, all of which were grade 2. Among 23 children completing 30 months of study treatment, the net iron balance was favourable (-8·7 mg Fe/kg) with significant decrease in ferritin, although liver iron concentration remained unchanged. Therapeutic phlebotomy was safe and well-tolerated, with net iron removal in most children who completed 30 months of protocol-directed treatment.

Indexed as

PhlebotomyAdolescentAnemia, Sickle CellChildChild, PreschoolFemaleFerritinsHumansIronIron OverloadLiverMaleTransfusion ReactionTreatment OutcomeYoung AdultFerritinsIroniron overloadliver ironphlebotomysickle cell

Identifiers

PMID25612463
PMCPMC4631316
OpenAlexW2027246229

What OpenQuestion holds

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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.