Evidence map›Paper›PMID 29316681›Full record

ReviewInternational journal of molecular sciences2018

Non-Transfusion-Dependent Thalassemia: An Update on Complications and Management.

Joseph Sleiman, Ali Tarhini, Rayan Bou-Fakhredin, Antoine N Saliba, Maria Domenica Cappellini, Ali T Taher

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
4.8field-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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. [Guidelines for iron chelation therapy in thalassemia in China (2025)].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
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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

6 authors at 3 institutions in 3 countries.

Joseph SleimanDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut 11-0236, Lebanon. joseph.sleiman.22@gmail.com.
Ali TarhiniDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut 11-0236, Lebanon. ali.ht13@gmail.com.
Rayan Bou-FakhredinDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut 11-0236, Lebanon. rib05@mail.aub.edu.
Antoine N SalibaDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA. antoine.nabil.saliba@gmail.com.
Maria Domenica CappelliniDepartment of Medicine, Ca'Granda Foundation IRCCS, University of Milan, 20122 Milan, Italy. maria.cappellini@unimi.it.ORCID 0000-0001-8676-6864
Ali T TaherDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut 11-0236, Lebanon. ataher@aub.edu.lb.
American University of Beirut Medical Center · LBIndiana University School of MedicineUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with non-transfusion-dependent thalassemia (NTDT) experience many clinical complications despite their independence from frequent transfusions. Morbidities in NTDT stem from the interaction of multiple pathophysiological factors: ineffective erythropoiesis, iron overload (IOL), and hypercoagulability. Ineffective erythropoiesis and hemolysis are associated with chronic hypoxia and a hypercoagulable state. The latter are linked to a high prevalence of thromboembolic and cerebrovascular events, as well as leg ulcers and pulmonary hypertension. IOL in NTDT patients is a cumulative process that can lead to several iron-related morbidities in the liver (liver fibrosis), kidneys, endocrine glands (endocrinopathies), and vascular system (vascular disease). This review sheds light on the pathophysiology underlying morbidities associated with NTDT and summarizes the mainstays of treatment and some of the possible future therapeutic interventions.

Indexed as

Blood TransfusionErythropoiesisHumansIron Chelating AgentsMorbiditySplenectomyThalassemiaIron Chelating Agentsineffective erythropoiesisiron chelation therapyiron overloadmanagementmorbiditynon-transfusion dependent thalassemia

Identifiers

PMID29316681
PMCPMC5796131
OpenAlexW2783530719

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.