Evidence map›Paper›PMID 31794603›Full record

GuidelineBlood advances2019

2019 sickle cell disease guidelines by the American Society of Hematology: methodology, challenges, and innovations.

M Hassan Murad, Robert I Liem, Eddy S Lang, Elie A Akl, Joerg J Meerpohl, Michael R DeBaun, John F Tisdale, Amanda M Brandow, Sophie M Lanzkron, Stella T Chou and 2 more

Abstract readGuidelineHistorical Article
In one paragraph

Guideline 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, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 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

16 citing papers in PubMed, 3 syntheses or guidelines 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

12 authors.

M Hassan MuradEvidence-Based Practice Center, Mayo Clinic, Rochester, MN.
Robert I LiemDivision of Hematology, Oncology & Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Eddy S LangDepartment of Emergency Medicine, University of Calgary Alberta Health Services, Calgary, Canada.
Elie A AklDepartment of Internal Medicine, American University of Beirut, Beirut, Lebanon.
Joerg J MeerpohlInstitute for Evidence in Medicine, Medical Center, University of Freiburg, Freiburg, Germany.
Michael R DeBaunDepartment of Pediatrics, Vanderbilt-Meharry Center of Excellence in Sickle Cell Disease, Vanderbilt University Medical Center, Nashville, TN.
John F TisdaleNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Amanda M BrandowSection of Pediatric Hematology/Oncology, Medical College of Wisconsin, Milwaukee, WI.
Sophie M LanzkronDivision of Hematology, Johns Hopkins University School of Medicine, Baltimore, MD.
Stella T ChouChildren's Hospital of Philadelphia, Philadelphia, PA.
Starr WebbAmerican Society of Hematology, Washington, DC; and.
Reem A MustafaDepartment of Medicine, University of Kansas Medical Center, Kansas City, KS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The American Society of Hematology (ASH) convened 5 guideline panels to develop clinical practice recommendations addressing 5 management areas of highest importance to individuals living with sickle cell disease: pain, cerebrovascular complications, pulmonary and kidney complications, transfusion, and hematopoietic stem cell transplant. Panels were multidisciplinary and consisted of patient representatives, content experts, and methodologists. The Mayo Clinic Evidence-Based Practice Center conducted systematic reviews based on a priori selected questions. In this exposition, we describe the process used by ASH, including the GRADE approach (Grades of Recommendations, Assessment, Development and Evaluation) for rating certainty of the evidence and the GRADE Evidence to Decision Framework. We also describe several unique challenges faced by the guideline panels and the specific innovations and solutions used to address them, including a curriculum to train patients to engage in guideline development, dealing with the opioid crisis, and working with indirect and noncomparative evidence.

Indexed as

HematologyHistory, 21st CenturyHumansUnited States

Identifiers

PMID31794603
PMCPMC6963245

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.