Evidence map›Paper›PMID 31985807›Full record

GuidelineBlood advances2020

American Society of Hematology 2020 guidelines for sickle cell disease: transfusion support.

Stella T Chou, Mouaz Alsawas, Ross M Fasano, Joshua J Field, Jeanne E Hendrickson, Jo Howard, Michelle Kameka, Janet L Kwiatkowski, France Pirenne, Patricia A Shi and 5 more

Registry-linked trialOpen access · goldAbstract readPractice Guideline
In one paragraph

Guideline in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06529042 (Prediction of Adverse Outcomes in Pregnancies of Individuals With Sickle Cell Disease - SCRIPT), which is not on this map. Cited by 229 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
229citing papers in PubMed, 7 pooled it
31.9field-weighted citation impact, top 1% 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.

NCT06529042 enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Prediction of Adverse Outcomes in Pregnancies of Individuals With Sickle Cell Disease - SCRIPT: Sickle Cell Risk in Pregnancy Tool

TypeobservationalSponsorMount Sinai Hospital, CanadaRan2024 to 2026Enrolled1,000ConditionsSickle Cell Disease, Pregnancy, High Risk, Pregnancy ComplicationsArmsNon-Interventional
3 · Its place in the literature

Who cites it

229 citing papers in PubMed, 7 syntheses or guidelines pooled it, 433 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. [Guideline for transfusion management in Chinese children with transfusion-dependent thalassemia (2025)].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Guideline
  4. Position statement on the management of pregnancy in sickle cell disease.The Australian & New Zealand journal of obstetrics & gynaecology · 2025
    Guideline
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Article
  15. Article
  16. Article
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  18. Review
  19. Article
  20. Article

169 more citing papers are in PubMed but not listed here.

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

15 authors at 12 institutions in 4 countries.

Stella T ChouDivision of Hematology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Mouaz AlsawasMayo Clinic Evidence-Based Practice Research Program, Mayo Clinic, Rochester, MN.
Ross M FasanoCenter for Transfusion and Cellular Therapy, Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA.
Joshua J FieldDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Jeanne E HendricksonDepartment of Laboratory Medicine and.
Jo HowardDepartment of Haematological Medicine, King's College London, London, United Kingdom.
Michelle KamekaNicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL.
Janet L KwiatkowskiDivision of Hematology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
France PirenneINSERM-U955, Laboratory of Excellence, French Blood Establishment, Créteil, France.
Patricia A ShiNew York Blood Center, New York, NY.
Sean R StowellCenter for Transfusion and Cellular Therapy, Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA.
Swee Lay TheinSickle Cell Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Connie M WesthoffLaboratory of Immunohematology and Genomics, New York Blood Center, New York, NY.
Trisha E WongDivision of Hematology/Oncology, Department of Pediatrics, Oregon Health and Science University, Portland, OR; and.
Elie A AklDepartment of Internal Medicine, American University of Beirut, Beirut, Lebanon.
Children's Hospital of Philadelphia · USEmory University · USNew York Blood Center · USAmerican University of Beirut · LBFlorida International University · USInserm · FRKing's College London · GBMayo Clinic · USMedical College of Wisconsin · USNational Institutes of Health · USOregon Health & Science University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Sickle cell bone marrow niche and regulation of platelet activation and erythropoiesisP01HL149626 · NHLBI · NEW YORK BLOOD CENTER · PI Karina Yazdanbakhsh · 2020 to 2026
$24.4M
Examination of Initiating Factors that Regulate Red Blood Cell AlloimmunizationR01HL135575 · NHLBI · EMORY UNIVERSITY · PI Sean R Stowell · 2017 to 2026
$2.8M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS P01 HL149626NHLBI NIH HHS R01 HL135575
6 · The paper itself

Abstract

backgroundRed cell transfusions remain a mainstay of therapy for patients with sickle cell disease (SCD), but pose significant clinical challenges. Guidance for specific indications and administration of transfusion, as well as screening, prevention, and management of alloimmunization, delayed hemolytic transfusion reactions (DHTRs), and iron overload may improve outcomes.

objectiveOur objective was to develop evidence-based guidelines to support patients, clinicians, and other healthcare professionals in their decisions about transfusion support for SCD and the management of transfusion-related complications.

methodsThe American Society of Hematology formed a multidisciplinary panel that was balanced to minimize bias from conflicts of interest and that included a patient representative. The panel prioritized clinical questions and outcomes. The Mayo Clinic Evidence-Based Practice Research Program supported the guideline development process. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to form recommendations, which were subject to public comment.

resultsThe panel developed 10 recommendations focused on red cell antigen typing and matching, indications, and mode of administration (simple vs red cell exchange), as well as screening, prevention, and management of alloimmunization, DHTRs, and iron overload.

conclusionsThe majority of panel recommendations were conditional due to the paucity of direct, high-certainty evidence for outcomes of interest. Research priorities were identified, including prospective studies to understand the role of serologic vs genotypic red cell matching, the mechanism of HTRs resulting from specific alloantigens to inform therapy, the role and timing of regular transfusions during pregnancy for women, and the optimal treatment of transfusional iron overload in SCD.

Indexed as

Anemia, Sickle CellBlood Grouping and CrossmatchingErythrocyte TransfusionEvidence-Based MedicineHumansIron OverloadTransfusion Reaction

Identifiers

PMID31985807
PMCPMC6988392
OpenAlexW3001801472

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.