Evidence map›Paper›PMID 28508413›Full record

ReviewBritish journal of haematology2017

Serological weak D phenotypes: a review and guidance for interpreting the RhD blood type using the RHD genotype.

S Gerald Sandler, Leonard N Chen, Willy A Flegel

Open access · bronzeAbstract readReview
In one paragraph

Review in British journal of haematology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 113 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Complexity of Weak Rhesus Positivity in Pregnancy: Challenges and Management.Clinical practice and cases in emergency medicine · 2026
    Article
  7. Article
  8. Review
  9. IntegratingMedicina (Kaunas, Lithuania) · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Evaluation of the LightCyclerBiomedicines · 2024
    Article
  14. Article
  15. Review
  16. Annals of laboratory medicine · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. Transfusion support for a woman withImmunohematology · 2022
    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

3 authors at 1 institution in 1 country.

S Gerald SandlerDepartment of Pathology and Laboratory Medicine, MedStar Georgetown University Hospital, Washington, DC, USA.ORCID 0000-0002-1813-0175
Leonard N ChenDepartment of Pathology and Laboratory Medicine, MedStar Georgetown University Hospital, Washington, DC, USA.
Willy A FlegelDepartment of Pathology and Laboratory Medicine, MedStar Georgetown University Hospital, Washington, DC, USA.
Georgetown University · US

Funding

Intramural NIH HHS Z99 CL999999
6 · The paper itself

Abstract

Approximately 0·2-1% of routine RhD blood typings result in a "serological weak D phenotype." For more than 50 years, serological weak D phenotypes have been managed by policies to protect RhD-negative women of child-bearing potential from exposure to weak D antigens. Typically, blood donors with a serological weak D phenotype have been managed as RhD-positive, in contrast to transfusion recipients and pregnant women, who have been managed as RhD-negative. Most serological weak D phenotypes in Caucasians express molecularly defined weak D types 1, 2 or 3 and can be managed safely as RhD-positive, eliminating unnecessary injections of Rh immune globulin and conserving limited supplies of RhD-negative RBCs. If laboratories in the UK, Ireland and other European countries validated the use of potent anti-D reagents to result in weak D types 1, 2 and 3 typing initially as RhD-positive, such laboratory results would not require further testing. When serological weak D phenotypes are detected, laboratories should complete RhD testing by determining RHD genotypes (internally or by referral). Individuals with a serological weak D phenotype should be managed as RhD-positive or RhD-negative, according to their RHD genotype.

Indexed as

GenotypePhenotypeAmino Acid SubstitutionAntigenic VariationBlood Grouping and CrossmatchingBlood TransfusionCost-Benefit AnalysisFemaleGene ExpressionHumansIsoantibodiesMutationPractice Guidelines as TopicPregnancyPrevalenceRh-Hr Blood-Group SystemIsoantibodiesRh-Hr Blood-Group Systemblood transfusionpartial D phenotypeRhD blood groupRHD geneserological weak D phenotype

Identifiers

PMID28508413
PMCPMC5612847
OpenAlexW2616181550

What OpenQuestion holds

Textmetadata
LicenceTDM
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.