Evidence map›Paper›PMID 31649726›Full record

ArticleFrontiers in genetics2019

Establishing a Multi-Country Sickle Cell Disease Registry in Africa: Ethical Considerations.

Nchangwi Syntia Munung, Victoria Nembaware, Jantina de Vries, Daima Bukini, Furahini Tluway, Marsha Treadwell, Raphael Zozimus Sangeda, Gaston Mazandu, Mario Jonas, Vivian Paintsil and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

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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

14 authors at 5 institutions in 5 countries.

Nchangwi Syntia MunungDepartment of Medicine, University of Cape Town, Cape Town, South Africa.
Victoria NembawareSickleInAfrica Data Coordinating Centre (SADaCC), University of Cape Town, Cape Town, South Africa.
Jantina de VriesDepartment of Medicine, University of Cape Town, Cape Town, South Africa.
Daima BukiniSickle Cell Programme, Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Furahini TluwaySickle Cell Programme, Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Marsha TreadwellDepartment of Hematology/Oncology, UCSF Benioff Children's Hospital Oakland, California, United States.
Raphael Zozimus SangedaSickle Cell Programme, Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Gaston MazanduSickleInAfrica Data Coordinating Centre (SADaCC), University of Cape Town, Cape Town, South Africa.
Mario JonasSickleInAfrica Data Coordinating Centre (SADaCC), University of Cape Town, Cape Town, South Africa.
Vivian PaintsilDepartment of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Obiageli E NnoduCenter for Sickle Cell Disease Research and Training, University of Abuja, Abuja, Nigeria.
Emmanuel BalandyaSickle Cell Programme, Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Julie MakaniSickle Cell Programme, Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
Ambroise WonkamSickleInAfrica Data Coordinating Centre (SADaCC), University of Cape Town, Cape Town, South Africa.
University of Cape Town · ZAMuhimbili University of Health and Allied Sciences · TZKomfo Anokye Teaching Hospital · GHUCSF Benioff Children's Hospital · USUniversity of Abuja · NG

Funding

Sickle Africa Data Coordinating CenterU24HL135600 · NHLBI · UNIVERSITY OF CAPE TOWN · PI MULDER, NICOLA, WONKAM, AMBROISE · 2017 to 2025
$8.6M
NHLBI NIH HHS U24 HL135600
6 · The paper itself

Abstract

Sickle cell disease (SCD) is one of the most prevalent genetic conditions in sub-Saharan Africa. It is a chronic, lifelong disease often characterized by severe pain. However, SCD has received little investment terms of health research, though there is currently a growing pool of SCD data from health and research facilities in different countries. To facilitate research on SCD in Africa, the SickleInAfrica consortium has established a SickleInAfrica registry. The registry will store a systematic collection of longitudinal data from persons with SCD across sub-Saharan Africa, and currently, participants are being enrolled in Ghana, Nigeria, and Tanzania. In establishing this registry, the SickleInAfrica consortium decided to actively identify and anticipate possible ethical issues that may arise in the development and management of the registry. This was motivated, in part, by the near absence of well documented ethical issues for registry research in Africa, more-so for registries enrolling participants across multiple countries and for a genetic condition. The consortium aims to establish standards for the equitable use of data stored in the registry. This paper presents a comprehensive report on the ethical considerations that came up in setting up a genetic disease registry across multiple African countries and how they were addressed by the SickleInAfrica consortium. Major issues included: active involvement of patients in the initiation and management of the registry; questions of assent and re-consent; the importance of ensuring that fears of exploitation are not replicated in African-African research collaborations; and the importance of public engagement in the management of registries. Drawing on this experience, SickleInAfrica plans to set up an ethics helpdesk for genetic disease registries and research in Africa.

Indexed as

Africaand social issues)ELSI (ethicallegalregistriessickle cell diseaseSickleInAfrica

Identifiers

PMID31649726
PMCPMC6795756
OpenAlexW2971869580

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.