Evidence map›Paper›PMID 31578191›Full record

ArticleBlood advances2019

Reversal of a rheologic cardiomyopathy following hematopoietic stem cell transplantation for sickle cell disease.

Vandana Sachdev, Matthew Hsieh, Neal Jeffries, Anna Noreuil, Wen Li, Stanislav Sidenko, Hwaida Hannoush, Emily Limerick, Delon Wilson, John Tisdale and 1 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Long-term health outcomes following curative therapies for sickle cell disease.Hematology. American Society of Hematology. Education Program · 2022
    Article
  11. Article
  12. Allogeneic Transplant and Gene Therapy: Evolving Toward a Cure.Hematology/oncology clinics of North America · 2022
    Review
  13. Review
  14. Article
  15. Cardiac pathophysiology in sickle cell disease.Journal of thrombosis and thrombolysis · 2021
    Review
  16. 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

11 authors at 1 institution in 1 country.

Vandana SachdevNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; and.ORCID 0000-0002-1168-5055
Matthew HsiehNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; and.
Neal JeffriesNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; and.
Anna NoreuilNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; and.
Wen LiNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; and.
Stanislav SidenkoNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; and.
Hwaida HannoushNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; and.
Emily LimerickNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; and.
Delon WilsonNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; and.
John TisdaleNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; and.
Courtney FitzhughNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD; and.ORCID 0000-0002-5306-7167
National Institutes of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac complications have been well-described in sickle cell disease; however, it has been rare to see improvements in cardiac abnormalities following any interventions. Previous work has shown no significant structural changes after treatment with hydroxyurea. The cardiac effects of red blood cell exchange transfusion (RBCx) and hematopoietic stem cell transplantation (HSCT) have not been well described. We studied 56 patients undergoing HSCT (41 HLA-matched, 15 haploidentical), of whom 32 had RBCx within 3 months before HSCT. Echocardiograms and laboratory parameters were obtained at baseline, and at 3, 6, and 12 months following HSCT. Although hemolytic parameters and anemia improved following RBCx, there was a small increase in left ventricular volume index. Following successful HSCT, however, there were significant improvements in cardiac size, function, and diastolic filling parameters at 3 months followed by continued smaller improvements up to 1 year. There was a significant improvement in N-terminal pro B-type natriuretic peptide levels and a trend toward improvement in 6-minute walk time 1 year after HSCT. The magnitude of cardiac improvement seen following HSCT was comparable to that observed following correction of a volume overload state as seen in pregnancy or after repair of chronic valvular regurgitation. Further studies in sickle cell disease patients will help delineate which cardiac complications and what level of severity should be considered indications for HSCT.

Indexed as

AdultAnemia, Sickle CellCardiomyopathiesFemaleHematopoietic Stem Cell TransplantationHumansMaleTransplantation Conditioning

Identifiers

PMID31578191
PMCPMC6784516
OpenAlexW2977344841

What OpenQuestion holds

Textmetadata
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.