Evidence map›Paper›PMID 26794457›Full record

ArticleActa haematologica2016

The Problem of Borderline Hemoglobin A2 Levels in the Screening for β-Thalassemia Carriers in Sardinia.

Maria Elisabetta Paglietti, Stefania Satta, Maria Carla Sollaino, Susanna Barella, Arianna Ventrella, Maria Franca Desogus, Franca Rosa Demartis, Laura Manunza, Raffaella Origa

Abstract readComment
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In one paragraph

Article in Acta haematologica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Thalassemia and erythroid transcription factorArchives of medical science : AMS · 2022
    Article
  5. Hemoglobin AGenes · 2021
    Article
  6. Article
  7. Article
  8. Challenges in diagnosis of thalassemia syndromes.Medical journal, Armed Forces India
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Maria Elisabetta PagliettiDipartimento di Sanitx00E0; Pubblica, Medicina Clinica e Molecolare, Universitx00E0; degli Studi di Cagliari, Ospedale Microcitemico, Cagliari, Italy.
Stefania Satta
Maria Carla Sollaino
Susanna Barella
Arianna Ventrella
Maria Franca Desogus
Franca Rosa Demartis
Laura Manunza
Raffaella Origa
Ospedale Microcitemico · ITUniversity of Cagliari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increase in HbA2 is the most important parameter for the identification of thalassemia carriers. However, in routine screening for hemoglobinopathies, some cases are difficult to classify because the level of HbA2 is not typically elevated. In this work, we report the results of a molecular investigation on a cohort of subjects with borderline HbA2.

methodsAll subjects with a β-thalassemia carrier partner and a borderline percentage level of HbA2 were investigated for the presence of a pathological mutation in the β-globin gene. All negative subjects were screened for both the KLF1 mutation and the presence of ααα/ or αααα/ alleles. The subjects with reduced MCV and/or MCH were also screened for deletional and nondeletional α-globin gene defects.

resultsVarious β-globin mutations and KLF1 gene defects are the most common genetic determinants responsible for this phenotype in our population.

conclusionKLF1 mutations are important in a screening program for hemoglobinopathies. An increase in HbF in association with borderline HbA2 levels is a useful but not exclusive marker that suggests the investigation of this gene. On the basis of our findings, we are able to suggest the molecular procedure to use in a population characterized by a high prevalence of thalassemia carriers.

Indexed as

alpha-Globinsalpha-Thalassemiabeta-Globinsbeta-ThalassemiaHemoglobin A2HumansMutationalpha-Globinsbeta-GlobinsHemoglobin A2

Identifiers

PMID26794457
OpenAlexW2275969103

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.