Evidence map›Paper›PMID 31167861›Full record

ArticleBMJ open2019

Risk of infection associated with intravenous iron preparations: protocol for updating a systematic review.

Akshay Shah, Anita Sugavanam, Jack Reid, Antony J Palmer, Edward Dickson, Susan Brunskill, Carolyn Doree, Charles M Oliver, Austin Acheson, Ravi Rao Baikady and 3 more

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

13 authors.

Akshay ShahRadcliffe Department of Medicine, University of Oxford, Oxford, UK.ORCID 0000-0002-1869-2231
Anita SugavanamDepartment of Anaesthetics, Brighton and Sussex University Hospitals NHS Trust, Brighton and Hove, UK.
Jack ReidDepartment of Anaesthetics, Brighton and Sussex University Hospitals NHS Trust, Brighton and Hove, UK.
Antony J PalmerNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Edward DicksonDepartment of Colorectal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Susan BrunskillSystematic Review Initiative, NHS Blood and Transplant, Oxford, UK.
Carolyn DoreeNHS Blood and Transplant, John Radcliffe Hospital, Oxford, UK.
Charles M OliverDivision of Biosciences, University College London, London, UK.ORCID 0000-0003-1869-0196
Austin AchesonDepartment of Colorectal Surgery and NIHR Biomedical Research Unit in Gastrointestinal and Liver Diseases, Queen's Medical Centre, Nottingham, UK.
Ravi Rao BaikadyDepartment of Anaesthetics, Perioperative Medicine and Pain, Royal Marsden NHS Foundation Trust, London, UK.
Sohail BampoeDepartment of Anaesthesia and Perioperative Medicine, University College London Hospitals NHS Foundation Trust, London, UK.
Edward LittonIntensive Care Unit, St John of God Hospital, Perth, Western Australia, Australia.
Simon StanworthDepartment of Haematology/Transfusion Medicine, Oxford Radcliffe Hospitals Trust, Oxford, UK.

Funding

Department of Health DRF-2017-10-094
6 · The paper itself

Abstract

introductionThe benefits and risk of intravenous iron have been documented in previous systematic reviews and continue to be the subject of randomised controlled trials (RCTs). An ongoing issue that continues to be raised is the relationship between administering iron and developing infection. This is supported by biological plausibility from animal models. We propose an update of a previously published systematic review and meta-analysis with the primary focus being infection. METHODS AND ANALYSIS: We will include RCTs and non-randomised studies (NRS) in this review update. We will search the relevant electronic databases. Two reviewers will independently extract data. Risk of bias for RCTs and NRS will be assessed using the relevant tools recommended by The Cochrane Collaboration. Data extracted from RCTs and NRS will be analysed and reported separately. Pooled data from RCTs will be analysed using a random effects model. We will also conduct subgroup analyses to identify any patient populations that may be at increased risk of developing infection. We will provide a narrative synthesis on the definitions, sources and responsible pathogens for infection in the included studies. Overall quality of evidence on the safety outcomes of mortality and infection will be assessed using the Grading of Recommendations, Assessment, Development and Evaluation approach. ETHICS AND DISSEMINATION: This systematic review will only investigate published studies and therefore ethical approval is not required. The results will be broadly distributed through conference presentations and peer-reviewed publications. TRIAL REGISTRATION NUMBER: PROSPERO (CRD42018096023).

Indexed as

Administration, IntravenousBlood TransfusionHumansInfectionsIronLength of StayMeta-Analysis as TopicRandomized Controlled Trials as TopicResearch DesignRisk FactorsSystematic Reviews as TopicIronInfectionIntravenous IronMeta-analysisMortalitySystematic review

Identifiers

PMID31167861
PMCPMC6561462

What OpenQuestion holds

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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.