Evidence map›Paper›PMID 30397666›Full record

ArticleBMJ paediatrics open2018

High body mass index in children with sickle cell disease: a retrospective single-centre audit.

Rachael Hall, Kate Gardner, David C Rees, Subarna Chakravorty

Registry-linked trialAbstract read
In one paragraph

Article in BMJ paediatrics open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04676113 (Obesity in Pediatric Sickle Cell Disease), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

NCT04676113 completednot on this mapstarted 2021, after this paper: background citation

Obesity in Pediatric Sickle Cell Disease: A New Phenomenon

TypeobservationalSponsorUniversity of Mississippi Medical CenterRan2021 to 2022Enrolled100ConditionsSickle Cell Disease, Obesity, Childhood, Hypertension, Hyperlipidemia in Children
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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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

4 authors.

Rachael HallDepartment of Haematology, Imperial College London, London, UK.
Kate GardnerDepartment of Haematological Medicine, King's College London, London, UK.
David C ReesDepartment of Haematological Medicine, King's College London, London, UK.
Subarna ChakravortyDepartment of Haematological Medicine, King's College London, London, UK.ORCID 0000-0003-3862-3230

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the prevalence of high body mass index (BMI) in children with sickle cell disease and assess correlation between BMI and disease severity.

designRetrospective chart review followed by statistical analysis.

settingA single tertiary paediatric clinic in inner city London. PATIENTS: All patients with sickle cell disease, including homozygous haemoglobin (HbSS) and compound heterozygous Hb (HbSC), age 2-18 years receiving clinical care at the centre, were included in the study.

interventionsHeight and weight measurements, steady-state laboratory blood tests, hospital admission rates, adjunct therapy such as hydroxycarbamide or blood transfusions and obstructive sleep apnoea (OSA) data were obtained from the hospital electronic patient records.

main outcome measuresTo study the prevalence of high BMI and to identify any correlation between BMI and disease severity.

results385 patients were included. 64 children (17%) were overweight or obese, of which a significantly higher number of children with HbSC were obese or overweight (23 out of 91, 25%) compared with those with HbSS (36 out of 273, 13%), p≤0.001. No correlation was found between high BMI and presence of OSA, and markers of disease severity such as admission rates, fetal haemoglobin or lactate dehydrogenase levels.

conclusionsHigh BMI did not correlate with disease severity in this cohort of patients with sickle cell disease. Obesity was more prevalent in females and those with HbSC. Further prospective studies are needed to determine long-term effects of BMI in disease severity and outcome.

Indexed as

comm child healthhaematologyobesity

Identifiers

PMID30397666
PMCPMC6202990

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Registered trials

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