Evidence map›Paper›PMID 29572786›Full record

ArticleInternal and emergency medicine2018

Changes in hemoglobin profile reflect autologous blood transfusion misuse in sports.

Nicola Lamberti, Alessia Finotti, Jessica Gasparello, Ilaria Lampronti, Christel Zambon, Lucia Carmela Cosenza, Enrica Fabbri, Nicoletta Bianchi, Francesca Dalla Corte, Maurizio Govoni and 3 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Internal and emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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

13 authors at 1 institution in 2 countries.

Nicola LambertiSection of Sport Sciences, Department of Biomedical and Surgical Specialties Sciences, University of Ferrara, Italy, Via Gramicia 35, 44124, Ferrara, Italy.
Alessia FinottiSection of Biochemistry and Molecular Biology, Department of Life Sciences and Biotechnologies, University of Ferrara, Italy, Via Fossato di Mortara 74, 44124, Ferrara, Italy.
Jessica GasparelloSection of Biochemistry and Molecular Biology, Department of Life Sciences and Biotechnologies, University of Ferrara, Italy, Via Fossato di Mortara 74, 44124, Ferrara, Italy.
Ilaria LamprontiSection of Biochemistry and Molecular Biology, Department of Life Sciences and Biotechnologies, University of Ferrara, Italy, Via Fossato di Mortara 74, 44124, Ferrara, Italy.
Christel ZambonSection of Sport Sciences, Department of Biomedical and Surgical Specialties Sciences, University of Ferrara, Italy, Via Gramicia 35, 44124, Ferrara, Italy.
Lucia Carmela CosenzaSection of Biochemistry and Molecular Biology, Department of Life Sciences and Biotechnologies, University of Ferrara, Italy, Via Fossato di Mortara 74, 44124, Ferrara, Italy.
Enrica FabbriSection of Biochemistry and Molecular Biology, Department of Life Sciences and Biotechnologies, University of Ferrara, Italy, Via Fossato di Mortara 74, 44124, Ferrara, Italy.
Nicoletta BianchiSection of Biochemistry and Molecular Biology, Department of Life Sciences and Biotechnologies, University of Ferrara, Italy, Via Fossato di Mortara 74, 44124, Ferrara, Italy.
Francesca Dalla CorteImmunohematological and Transfusional Service, University Hospital of Ferrara, Via Aldo Moro 8, Ferrara, Italy.
Maurizio GovoniImmunohematological and Transfusional Service, University Hospital of Ferrara, Via Aldo Moro 8, Ferrara, Italy.
Roberto ReverberiImmunohematological and Transfusional Service, University Hospital of Ferrara, Via Aldo Moro 8, Ferrara, Italy.
Roberto GambariSection of Biochemistry and Molecular Biology, Department of Life Sciences and Biotechnologies, University of Ferrara, Italy, Via Fossato di Mortara 74, 44124, Ferrara, Italy. roberto.gambari@unife.it.
Fabio ManfrediniSection of Sport Sciences, Department of Biomedical and Surgical Specialties Sciences, University of Ferrara, Italy, Via Gramicia 35, 44124, Ferrara, Italy. fabio.manfredini@unife.it.ORCID http://orcid.org/0000-0001-9476-6434
University of Ferrara · IT

Funding

World Anti-Doping Agency 14C06FM
6 · The paper itself

Abstract

The changes in hemoglobin (Hb) profile following autologous blood transfusion (ABT) for the first time were studied for anti-doping purposes. Twenty-four healthy, trained male subjects (aged 18‒40) were enrolled and randomized into either the transfusion (T) or control (C) groups. Blood samples were taken from the T subjects at baseline, after withdrawal and reinfusion of 450 ml of refrigerated or cryopreserved blood, and from C subjects at the same time points. Hematological variables (Complete blood count, Reticulocytes, Immature Reticulocytes Fraction, Red-cell Distribution Width, OFF-hr score) were measured. The Hb types were analyzed by high-performance liquid chromatography and the Hemoglobin Profile Index (HbPI) arbitrarily calculated. Between-group differences were observed for red blood cells and reticulocytes. Unlike C, the T group, after withdrawal and reinfusion, showed a significant trend analysis for both hematological variables (Hemoglobin concentration, reticulocytes, OFF-hr score) and Hb types (glycated hemoglobin-HbA1c, HbPI). The control charts highlighted samples with abnormal values (> 3-SD above/below the population mean) after reinfusion for hematological variables in one subject versus five subjects for HbA1c and HbPI. A significant ROC-curve analysis (area = 0.649, p = 0.015) identified a HbA1c cut-off value ≤ 2.7% associated to 100% specificity of blood reinfusion (sensitivity 25%). Hemoglobin profile changed in trained subjects after ABT, with abnormal values of HbA1c and HbPI in 42% of subjects after reinfusion. Future studies will confirm the usefulness of these biomarkers in the anti-doping field.

Indexed as

JurisprudenceAdolescentAdultBiomarkersBlood Transfusion, AutologousDoping in SportsHemoglobinsHumansMaleSportsBiomarkersHemoglobinsBiomarkersBlood transfusion autologousDoping in SportsHemoglobins

Identifiers

PMID29572786
OpenAlexW2794047868

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.