Evidence map›Paper›PMID 29104181›Full record

ArticleArchives of disease in childhood2018

Evaluation of newborn sickle cell screening programme in England: 2010-2016.

Allison Streetly, Rupa Sisodia, Moira Dick, Radoslav Latinovic, Kirsty Hounsell, Elizabeth Dormandy

Open access · hybridAbstract read
In one paragraph

Article in Archives of disease in childhood, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Advances and Gaps in Global Newborn Screening for Sickle Cell Disease.International journal of neonatal screening · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Sickle Cell Disease.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2024
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Allison StreetlySchool of Population Health and Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.
Rupa SisodiaSchool of Population Health and Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.
Moira DickDepartment of Paediatrics, Kings College Hospital, NHS Foundation Trust, London, UK.
Radoslav LatinovicPHE Screening, Health Improvement Directorate, Public Health England, London, UK.
Kirsty HounsellSchool of Population Health and Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.
Elizabeth DormandySchool of Population Health and Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK.
King's College London · GBKing's College Hospital NHS Foundation Trust · GBPublic Health England · GB

Funding

Department of Health
6 · The paper itself

Abstract

objectiveTo evaluate England's NHS newborn sickle cell screening programme performance in children up to the age of 5 years.

designCohort of resident infants with sickle cell disease (SCD) born between 1 September 2010 and 31 August 2015 and followed until August 2016.

participants1317 infants with SCD were notified to the study from all centres in England and 1313 (99%) were followed up.

interventionsEarly enrolment in clinical follow-up, parental education and routine penicillin prophylaxis.

main outcome measuresAge seen by a specialist clinician, age at prescription of penicillin prophylaxis and mortality.

resultsAll but two resident cases of SCD were identified through screening; one baby was enrolled in care after prenatal diagnosis; one baby whose parents refused newborn screening presented symptomatically. There were 1054/1313 (80.3%, 95% CI 78% to 82.4%) SCD cases seen by a specialist by 3 months of age and 1273/1313 (97%, 95% CI 95.9% to 97.8%) by 6 months. The percentage seen by 3 months increased from 77% in 2010 to 85.4% in 2015. 1038/1292 (80.3%, 95% CI 78.1% to 82.5%) were prescribed penicillin by 3 months of age and 1257/1292 (97.3%, 95% CI 96.3% to 98.1%) by 6 months. There were three SCD deaths <5 years caused by invasive pneumococcal disease (IPD) sensitive to penicillin.

conclusionThe SCD screening programme is effective at detecting affected infants. Enrolment into specialist care is timely but below the programme standards. Mortality is reducing but adherence to antibiotic prophylaxis remains important for IPD serotypes not in the current vaccine schedule.

Indexed as

Age FactorsAnemia, Sickle CellAnti-Bacterial AgentsAntibiotic ProphylaxisDrug MonitoringEnglandHealth EducationHealth Services ResearchHumansInfant, NewbornNeonatal ScreeningParentsPenicillinsProgram EvaluationState MedicineAnti-Bacterial AgentsPenicillinshaematologyhealth services researchimmunisationoutcomes researchscreening

Identifiers

PMID29104181
PMCPMC6047151
OpenAlexW2765351571

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.