Evidence map›Paper›PMID 30341986›Full record

Trial reportCardiovascular therapeutics2018

Effects of serial phlebotomy on vascular endothelial function: Results of a prospective double-blind randomized study.

Qurat-Ul-Ain Jelani, Bhisham Harchandani, Ritchard G Cable, Yu Guo, Hua Zhong, Timothy Hilbert, Jonathan D Newman, Stuart D Katz

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cardiovascular therapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. New Progress in Early Diagnosis of Atherosclerosis.International journal of molecular sciences · 2022
    Review
  4. Article
  5. Observational
  6. Article
  7. 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

8 authors at 2 institutions in 1 country.

Qurat-Ul-Ain JelaniDepartment of Medicine, New York University School of Medicine, New York University Langone Medical Center, New York City, New York.
Bhisham HarchandaniDepartment of Medicine, New York University School of Medicine, New York University Langone Medical Center, New York City, New York.
Ritchard G CableAmerican Red Cross, Farmington, Connecticut.
Yu GuoDepartment of Population Health, New York University Langone Medical Center, New York City, New York.
Hua ZhongDepartment of Population Health, New York University Langone Medical Center, New York City, New York.
Timothy HilbertDepartment of Medicine, New York University School of Medicine, New York University Langone Medical Center, New York City, New York.
Jonathan D NewmanDepartment of Medicine, New York University School of Medicine, New York University Langone Medical Center, New York City, New York.
Stuart D KatzDepartment of Medicine, New York University School of Medicine, New York University Langone Medical Center, New York City, New York.ORCID http://orcid.org/0000-0003-2340-2021
NYU Langone Health · USAmerican Red Cross · US

Funding

Project-005UL1TR001445 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BREDELLA, MIRIAM ANTOINETTE, HOCHMAN, JUDITH S · 2015 to 2025
$103.5M
Institutional Clinical and Translational Science AwardUL1TR000038 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CRONSTEIN, BRUCE NEIL, HOCHMAN, JUDITH S · 2012 to 2014
$16.8M
Studies on Serial Phlebotomy in Voluntary Blood DonorsR01HL086932 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI KATZ, STUART D · 2008 to 2013
$1.6M
Arsenic Exposure, Diabetes and AtherosclerosisK23HL125991 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI NEWMAN, JONATHAN D · 2016 to 2020
$868k
National Center for Research Resources UL1 TR000038National Heart, Lung, and Blood Institute, National Institutes of Health 1R01HL086932National Institutes of HealthNCATS NIH HHS UL1 TR000038NCATS NIH HHS UL1 TR001445NHLBI NIH HHS K23 HL125991NHLBI NIH HHS R01 HL086932
6 · The paper itself

Abstract

introductionBlood donation has been proposed as a potential therapy to reduce risk of cardiovascular disease, but the effects of phlebotomy on vascular function in human subjects have not been well characterized.

aimsWe conducted a prospective randomized double-blind study to determine the effects of serial phlebotomy on vascular endothelial function in the brachial artery. Eighty-four iron-replete, non-anemic subjects were randomly assigned to one of three study treatment groups: (a) four serial phlebotomy procedures each followed by intravenous infusion of placebo normal saline; (b) four serial phlebotomy procedures each followed by intravenous infusion to replete lost iron; and (c) four serial sham phlebotomy procedures each followed by intravenous infusion of placebo normal saline. Assigned phlebotomy procedures were conducted at 56-day intervals. We measured brachial artery reactivity (BAR, %) in response to transient oxidative stress induced by oral methionine with high-resolution duplex ultrasound imaging before and one week after the fourth study phlebotomy.

resultsBefore phlebotomy, oral methionine decreased BAR by -2.04% (95% CI -2.58%, -1.50%), P < 0.001) with no significant difference between groups (P = 0.42). After phlebotomy, the BAR response to oral methionine did not significantly change between groups (P = 0.53). Brachial artery nitroglycerin-mediated dilation did not change in response to phlebotomy.

conclusionsFour serial phlebotomy procedures over six months with or without intravenous iron supplementation did not alter vascular endothelial function in the brachial artery when compared with sham phlebotomy.

Indexed as

Blood DonorsPhlebotomyVasodilationAdministration, OralAdultAgedBrachial ArteryDouble-Blind MethodEndothelium, VascularFemaleHumansInfusions, IntravenousMaleMethionineMiddle AgedNitroglycerinMethionineNitroglycerinSaline SolutionVasodilator Agentsendothelial functioniron therapyphysiologyvascular biology

Identifiers

PMID30341986
PMCPMC6351195
OpenAlexW2897643023

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.