Evidence map›Paper›PMID 30459954›Full record

ArticleBMC hematology2018

A ten year review of the sickle cell program in Muhimbili National Hospital, Tanzania.

Julie Makani, Furahini Tluway, Abel Makubi, Deogratius Soka, Siana Nkya, Raphael Sangeda, Josephine Mgaya, Stella Rwezaula, Fenella J Kirkham, Christina Kindole and 10 more

Open access · hybridAbstract read
In one paragraph

Article in BMC hematology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
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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

20 authors at 7 institutions in 4 countries.

Julie Makani1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.ORCID 0000-0002-4801-6250
Furahini Tluway1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Abel Makubi1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Deogratius Soka1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Siana Nkya1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Raphael Sangeda1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Josephine Mgaya1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Stella Rwezaula1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Fenella J Kirkham5University College London, London, UK.
Christina Kindole1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Elisha Osati1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Elineema Meda3Muhimbili National Hospital, Dar-es-Salaam, Tanzania.
Robert W Snow2University of Oxford, Oxford, UK.
Charles R Newton2University of Oxford, Oxford, UK.
David Roberts2University of Oxford, Oxford, UK.
Muhsin Aboud1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Swee Lay Thein7National Institutes of Health, Bethesda, USA.
Sharon E Cox8London School of Hygiene & Tropical Medicine, London, UK.
Lucio Luzzatto *1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Bruno P Mmbando *1Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Muhimbili University of Health and Allied Sciences · TZKenya Medical Research Institute · KEMuhimbili National Hospital · TZNational Institutes of Health · USUniversity College London · GBUniversity of London · GBUniversity of Oxford · GB

Funding

The Sickle Pan-African Research Consortium (SPARCO)U24HL135881 · NHLBI · MUHIMBILI UNIVERSITY/ ALLIED HLTH SCIS · PI MAKANI, JULIE · 2017 to 2025
$5.3M
NHLBI NIH HHS U24 HL135881Wellcome Trust 072064Wellcome Trust 080025Wellcome Trust 084538Wellcome Trust 093727Wellcome Trust 103602
6 · The paper itself

Abstract

backgroundAfrica has the highest burden of Sickle cell disease (SCD) but there are few large, systematic studies providing reliable descriptions of the disease spectrum. Tanzania, with 11,000 SCD births annually, established the Muhimbili Sickle Cell program aiming to improve understanding of SCD in Africa. We report the profile of SCD seen in the first 10 years at Muhimbili National Hospital (MNH).

methodsIndividuals seen at MNH known or suspected to have SCD were enrolled at clinic and laboratory testing for SCD, haematological and biochemical analyses done. Ethnicity was self-reported. Clinical and laboratory features of SCD were documented. Comparison was made with non-SCD population as well as within 3 different age groups (< 5, 5-17 and ≥ 18 years) within the SCD population.

resultsFrom 2004 to 2013, 6397 individuals, 3751 (58.6%) SCD patients, were enrolled, the majority (47.4%) in age group 5-17 years. There was variation in the geographical distribution of SCD. Individuals with SCD compared to non-SCD, had significantly lower blood pressure and peripheral oxygen saturation (SpO

conclusionThis report confirms that the wide spectrum of clinical expression of SCD observed elsewhere is also present in Tanzania, with non-uniform geographical distribution across the country. Age-specific analysis is consistent with different disease-patterns across the lifespan.

Indexed as

AfricaSickle cell anemiaTanzania

Identifiers

PMID30459954
PMCPMC6236876
OpenAlexW2900675268

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.