Evidence map›Paper›PMID 30327399›Full record

ArticleBMJ open2018

Diagnostic, preventive and therapeutic evidence in obstetrics for the implementation of patient blood management: a systematic review protocol.

Iosief Abraha, Alessandro Montedori, Gian Carlo Di Renzo, Patrizio Angelozzi, Marta Micheli, Danilo Carloni, Antonella Germani, Gianluca Palmieri, Marta Casali, Chiara Maria Grazia Nenz and 8 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

18 authors at 4 institutions in 1 country.

Iosief AbrahaCentro Regionale Sangue, Servizio Immunotrasfusionale, Azienda Ospedaliera di Perugia, Perugia, Italy.ORCID 0000-0002-5440-775X
Alessandro MontedoriHealth Planning Service, Regional Health Authority of Umbria, Perugia, Italy.
Gian Carlo Di RenzoClinica Ostetrica e Ginecologica, Policlinico, Università di Perugia, Perugia, Italy.
Patrizio AngelozziGinecologia e Ostetricia, USL Umbria 2, Orvieto, Italy.
Marta MicheliServizio Immunotrasfusionale, USL Umbria 2, Foligno, Italy.
Danilo CarloniAnestesia e Rianimazione, USL Umbria 2, Foligno, Italy.
Antonella GermaniServizio Immunotrasfusionale, USL Umbria 2, Foligno, Italy.
Gianluca PalmieriServizio Immunotrasfusionale, Azienda Ospedaliera Santa Maria di Terni, Terni, Italy.
Marta CasaliAnestesia e Rianimazione, Azienda Ospedaliera Santa Maria di Terni, Terni, Italy.
Chiara Maria Grazia NenzGinecologia e Ostetricia, Azienda Ospedaliera Santa Maria di Terni, Terni, Italy.
Elisabetta GarganoTerapia Intensiva e Rianimazione, USL Umbria 1, Perugia, Italy.
Michela PazzagliaGinecologia e Ostetricia, USL Umbria 1, Perugia, Italy.
Laura BerchicciServizio Immunotrasfusionale, USL Umbria 1, Perugia, Italy.
Simonetta TesoroAnestesia e Rianimazione, Azienda Ospedaliera di Perugia, Perugia, Italy.
Giorgio EpicocoGinecologia e Ostetricia, Azienda Ospedaliera di Perugia, Perugia, Italy.
Gianni GiovanniniHealth Planning Service, Regional Health Authority of Umbria, Perugia, Italy.
Mauro MarchesiCentro Regionale Sangue, Servizio Immunotrasfusionale, Azienda Ospedaliera di Perugia, Perugia, Italy.
Umbria PBM Group
Azienda Ospedaliera di Perugia · ITAzienda Ospedaliera S.Maria · ITOspedale di Spoleto · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatientblood management (PBM) is defined as the application of evidence-based diagnostic, preventive and therapeutic approaches designed to maintain haemoglobin concentration, optimise haemostasis and minimise blood loss in an effort to improve patient outcome. We propose a protocol for the assessment of the evidence of diagnostic, preventive and therapeutic approaches for the management of relevant outcomes in obstetrics with the aim to create a framework for PBM implementation. METHODS AND ANALYSIS: Diagnostic, preventive and therapeutic tools will be considered in the gynaecological conditions and obstetrics setting (antenatal care, peripartum care and maternity care). For each condition, (1) clinical questions based on prioritised outcomes will be developed; (2) evidence will be retrieved systematically from electronic medical literature (MEDLINE, EMBASE, the Cochrane Library, Web of Science, and CINAHL); (3) quality of the reviews will be assessed using the AMSTAR (A Measurement Tool to Assess Systematic Reviews) checklist; quality of primary intervention studies will be assessed using the risk of bias tool (Cochrane method); quality of diagnostic primary studies will be assessed using QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies); (4) the Grading of Recommendations Assessment, Development and Evaluation method will be applied to rate the quality of the evidence and to develop recommendations. ETHICS AND DISSEMINATION: For each diagnostic, preventive or therapeutic intervention evaluated, a manuscript comprising the evidence retrieved and the recommendation produced will be provided and published in peer-reviewed journals. Ethical approval is not required.

Indexed as

AnemiaBlood Component TransfusionFemaleGynecologyHumansObstetricsPostpartum PeriodPractice Guidelines as TopicPregnancyPregnancy Complications, HematologicSystematic Reviews as TopicObstetricsPatient Blood ManagementSystematic ReviewTransfusion Medicine

Identifiers

PMID30327399
PMCPMC6196839
OpenAlexW2896093994

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.