Evidence map›Paper›PMID 27232535›Full record

Trial reportTransfusion2016

Effect of iron supplementation on iron stores and total body iron after whole blood donation.

Ritchard G Cable, Donald Brambilla, Simone A Glynn, Steven Kleinman, Alan E Mast, Bryan R Spencer, Mars Stone, Joseph E Kiss, National Heart, Lung, and Blood Institute Recipient Epidemiology and Donor Evaluation Study-III (REDS-III)

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Transfusion, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04250298 (Pilot Study to Gain First Indications for the Impact of a Three-month's Oral Intake of an Iron Supplement With High Bioavailability on the Hemoglobin Concentration in Iron Deficient Blood Donors), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.1field-weighted citation impact, top 6% 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.

NCT04250298 nacompletednot on this mapstarted 2019, after this paper: background citation

Pilot Study to Gain First Indications for the Impact of a Three-month's Oral Intake of an Iron Supplement With High Bioavailability on the Hemoglobin Concentration in Iron Deficient Blood Donors

TypeinterventionalSponsorMedical University of GrazRan2019 to 2020Enrolled50ConditionsIron-deficiencyArmssucrosomial iron
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 69 citations in OpenAlex.

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  13. Pilot Study to Gain First Indications for the Impact of a 3-Month's Oral Intake of a Sucrosomial Iron Supplement on Hemoglobin in Iron-Deficient Blood Donors.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2023
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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

9 authors at 7 institutions in 2 countries.

Ritchard G CableAmerican Red Cross, Farmington, Connecticut.
Donald BrambillaRTI, Rockville, Maryland.
Simone A GlynnNational Heart, Lung, and Blood Institute, Bethesda, Maryland.
Steven KleinmanUniversity of British Columbia, Victoria, British Columbia, Canada.
Alan E MastBloodCenter of Wisconsin, Milwaukee, Wisconsin.
Bryan R SpencerAmerican Red Cross, Dedham, Massachusetts.
Mars StoneBlood Systems Research Institute, San Francisco, California.
Joseph E KissInstitute for Transfusion Medicine, Pittsburgh, Pennsylvania.
National Heart, Lung, and Blood Institute Recipient Epidemiology and Donor Evaluation Study-III (REDS-III)
American Red Cross · USAdvanced Bioscience Laboratories (United States) · USBlood Systems Research Institute · USInstitute for Transfusion Medicine · USNational Heart Lung and Blood Institute · USUniversity of British Columbia · CAVersiti Blood Center of Wisconsin · US

Funding

NHLBI NIH HHS HHSN268201100001INHLBI NIH HHS HHSN268201100002INHLBI NIH HHS HHSN268201100003INHLBI NIH HHS HHSN268201100004INHLBI NIH HHS HHSN268201100005CNHLBI NIH HHS HHSN268201100005GNHLBI NIH HHS HHSN268201100005INHLBI NIH HHS HHSN268201100006CWHI NIH HHS HHSN268201100001CWHI NIH HHS HHSN268201100002CWHI NIH HHS HHSN268201100003CWHI NIH HHS HHSN268201100004C
6 · The paper itself

Abstract

backgroundUnderstanding the effect of blood donation and iron supplementation on iron balance will inform strategies to manage donor iron status. STUDY DESIGN AND

methodsA total of 215 donors were randomized to receive ferrous gluconate daily (37.5 mg iron) or no iron for 24 weeks after blood donation. Iron stores were assessed using ferritin and soluble transferrin receptor. Hemoglobin (Hb) iron was calculated from total body Hb. Total body iron (TBI) was estimated by summing iron stores and Hb iron.

resultsAt 24 weeks, TBI in donors taking iron increased by 281.0 mg (95% confidence interval [CI], 223.4-338.6 mg) compared to before donation, while TBI in donors not on iron decreased by 74.1 mg (95% CI, -112.3 to -35.9; p < 0.0001, iron vs. no iron). TBI increased rapidly after blood donation with iron supplementation, especially in iron-depleted donors. Supplementation increased TBI compared to controls during the first 8 weeks after donation: 367.8 mg (95% CI, 293.5-442.1) versus -24.1 mg (95% CI, -82.5 to 34.3) for donors with a baseline ferritin level of not more than 26 ng/mL and 167.8 mg (95% CI, 116.5-219.2) versus -68.1 mg (95% CI, -136.7 to 0.5) for donors with a baseline ferritin level of more than 26 ng/mL. A total of 88% of the benefit of iron supplementation occurred during the first 8 weeks after blood donation.

conclusionDonors on iron supplementation replaced donated iron while donors not on iron did not. Eight weeks of iron supplementation provided nearly all of the measured improvement in TBI. Daily iron supplementation after blood donation allows blood donors to recover the iron loss from blood donation and prevents sustained iron deficiency.

Indexed as

AdultBlood DonorsBlood TransfusionFemaleFerrous CompoundsHumansIronMaleTime FactorsFerrous Compoundsferrous gluconateIron

Identifiers

PMID27232535
PMCPMC4980154
OpenAlexW2397734497

What OpenQuestion holds

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LicenceTDM
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.