Evidence map›Paper›PMID 27403740›Full record

ReviewBlood transfusion = Trasfusione del sangue2016

Health Technology Assessment of pathogen reduction technologies applied to plasma for clinical use.

Americo Cicchetti, Alexandra Berrino, Marina Casini, Paola Codella, Giuseppina Facco, Alessandra Fiore, Giuseppe Marano, Marco Marchetti, Emanuela Midolo, Roberta Minacori and 9 more

Abstract readReview
In one paragraph

Review in Blood transfusion = Trasfusione del sangue, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Rare congenital bleeding disorders.Annals of translational medicine · 2018
    Review
  9. 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

19 authors.

Americo CicchettiPostgraduate School of Health Economics and Management (Altems), Catholic University of the Sacred Heart, Rome, Italy.
Alexandra BerrinoHealth Technology Assessment Unit of "Gemelli" Teaching Hospital, Catholic University of the Sacred Heart, Rome, Italy.
Marina CasiniInstitute of Bioethics, Catholic University of the Sacred Heart, Rome, Italy.
Paola CodellaPostgraduate School of Health Economics and Management (Altems), Catholic University of the Sacred Heart, Rome, Italy.
Giuseppina FaccoItalian National Blood Centre, National Institute of Health, Rome, Italy.
Alessandra FiorePostgraduate School of Health Economics and Management (Altems), Catholic University of the Sacred Heart, Rome, Italy.
Giuseppe MaranoItalian National Blood Centre, National Institute of Health, Rome, Italy.
Marco MarchettiHealth Technology Assessment Unit of "Gemelli" Teaching Hospital, Catholic University of the Sacred Heart, Rome, Italy.
Emanuela MidoloInstitute of Bioethics, Catholic University of the Sacred Heart, Rome, Italy.
Roberta MinacoriInstitute of Bioethics, Catholic University of the Sacred Heart, Rome, Italy.
Pietro RefoloInstitute of Bioethics, Catholic University of the Sacred Heart, Rome, Italy.
Federica RomanoPostgraduate School of Health Economics and Management (Altems), Catholic University of the Sacred Heart, Rome, Italy.
Matteo RuggeriPostgraduate School of Health Economics and Management (Altems), Catholic University of the Sacred Heart, Rome, Italy.
Dario SacchiniInstitute of Bioethics, Catholic University of the Sacred Heart, Rome, Italy.
Antonio G SpagnoloInstitute of Bioethics, Catholic University of the Sacred Heart, Rome, Italy.
Irene UrbinaHealth Technology Assessment Unit of "Gemelli" Teaching Hospital, Catholic University of the Sacred Heart, Rome, Italy.
Stefania VaglioItalian National Blood Centre, National Institute of Health, Rome, Italy.
Giuliano GrazziniItalian National Blood Centre, National Institute of Health, Rome, Italy.
Giancarlo M LiumbrunoItalian National Blood Centre, National Institute of Health, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although existing clinical evidence shows that the transfusion of blood components is becoming increasingly safe, the risk of transmission of known and unknown pathogens, new pathogens or re-emerging pathogens still persists. Pathogen reduction technologies may offer a new approach to increase blood safety. The study is the output of collaboration between the Italian National Blood Centre and the Post-Graduate School of Health Economics and Management, Catholic University of the Sacred Heart, Rome, Italy. A large, multidisciplinary team was created and divided into six groups, each of which addressed one or more HTA domains.Plasma treated with amotosalen + UV light, riboflavin + UV light, methylene blue or a solvent/detergent process was compared to fresh-frozen plasma with regards to current use, technical features, effectiveness, safety, economic and organisational impact, and ethical, social and legal implications. The available evidence is not sufficient to state which of the techniques compared is superior in terms of efficacy, safety and cost-effectiveness. Evidence on efficacy is only available for the solvent/detergent method, which proved to be non-inferior to untreated fresh-frozen plasma in the treatment of a wide range of congenital and acquired bleeding disorders. With regards to safety, the solvent/detergent technique apparently has the most favourable risk-benefit profile. Further research is needed to provide a comprehensive overview of the cost-effectiveness profile of the different pathogen-reduction techniques. The wide heterogeneity of results and the lack of comparative evidence are reasons why more comparative studies need to be performed.

Indexed as

Blood TransfusionAnimalsBacteriaBlood SafetyDisinfectionHumansPlasmaTransfusion ReactionViruses

Identifiers

PMID27403740
PMCPMC4942318

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.