Evidence map›Paper›PMID 30774961›Full record

ArticleBMC hematology2019

Magnitude of elevated iron stores and risk associated in steady state sickle cell anemia Congolese children: a cross sectional study.

Jean-Robert Makulo, Karen Efombola Itokua, Rosette Kevani Lepira, Gloire Mavinga Bundutidi, Michel Ntetani Aloni, René Makuala Ngiyulu, Jean Lambert Gini, François Bompeka Lepira

Abstract read
In one paragraph

Article in BMC hematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

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

12 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

8 authors.

Jean-Robert Makulo1Division of Nephrology, Nephrology Unit, Department of Internal Medicine, University Hospital of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa XI, PO.BOX 123, Democratic Republic of Congo.
Karen Efombola Itokua2Division of Hemato-Oncology and Nephrology, Department of Pediatric, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Rosette Kevani Lepira2Division of Hemato-Oncology and Nephrology, Department of Pediatric, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Gloire Mavinga Bundutidi2Division of Hemato-Oncology and Nephrology, Department of Pediatric, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Michel Ntetani Aloni2Division of Hemato-Oncology and Nephrology, Department of Pediatric, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
René Makuala Ngiyulu2Division of Hemato-Oncology and Nephrology, Department of Pediatric, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Jean Lambert Gini2Division of Hemato-Oncology and Nephrology, Department of Pediatric, University Hospital of Kinshasa, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
François Bompeka Lepira1Division of Nephrology, Nephrology Unit, Department of Internal Medicine, University Hospital of Kinshasa, Faculty of Medicine, University of Kinshasa, Kinshasa XI, PO.BOX 123, Democratic Republic of Congo.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe serum ferritin assay is recommended in Sickle Cell Anemia (SCA) patients receiving regular transfusions. According to several authors, elevated iron stores indicating iron chelation corresponds to hyperferritinemia ≥500 ng/ml, and becomes detectable after twenty blood transfusions. The objectives of the study were to determine the prevalence of elevated iron stores and identify associated risk factors in a case series of Steady state SCA Congolese children. MATERIAL AND

methodsSerum ferritin was assayed in Steady state SCA children followed in 2 specialized hospitals in Kinshasa. Elevated iron stores was defined as serum ferritin level ≥ 500 ng/ml, and the associated risk factors were identified using univariate analysis.

resultsSeventy patients (median age 9 years, 56% boys, 53% receiving hydroxyurea) were selected in the study. Serum ferritin levels ranged from 24 to 2584 ng / ml with 21.4% of children having elevated iron stores. Mean levels of LDH, indirect bilirubin, plasma free Hb and CRP were similar between the 2 groups whereas history of polytransfusions (> 3 during the last year) was more frequent among patients with elevated iron stores (73% vs. 44%,

conclusionIn SCA children, hyperferritinemia requiring iron chelation is most strongly related to blood transfusion. This situation concerned almost one in five children in present study; this shows the magnitude of the problem which is underestimated.

Indexed as

DR CongoElevated iron storesPolytransfusionsSickle cell anemia

Identifiers

PMID30774961
PMCPMC6368684

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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.