Evidence map›Paper›PMID 32123889›Full record

ArticleThe Analyst2020

Paper-based microchip electrophoresis for point-of-care hemoglobin testing.

Muhammad Noman Hasan, Arwa Fraiwan, Ran An, Yunus Alapan, Ryan Ung, Asya Akkus, Julia Z Xu, Amy J Rezac, Nicholas J Kocmich, Melissa S Creary and 19 more

Open access · hybridAbstract read
In one paragraph

Article in The Analyst, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Advancement of microchip electrophoresis coupled with capacitively coupled contactless conductivity detection-from design to application (2018-2024).Analytical sciences : the international journal of the Japan Society for Analytical Chemistry · 2025
    Review
  11. Article
  12. Article
  13. Newborn screening initiatives for sickle cell disease in Africa.Hematology. American Society of Hematology. Education Program · 2024
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

29 authors at 14 institutions in 6 countries.

Muhammad Noman HasanCase Biomanufacturing and Microfabrication Laboratory, Department of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio 44106, USA. umut@case.edu.
Arwa Fraiwan
Ran An
Yunus Alapan
Ryan Ung
Asya Akkus
Julia Z Xu
Amy J Rezac
Nicholas J Kocmich
Melissa S Creary
Tolulope Oginni
Grace Mfon Olanipekun
Fatimah Hassan-Hanga
Binta W Jibir
Safiya Gambo
Anil K Verma
Praveen K Bharti
Suchada Riolueang
Takdanai Ngimhung
Thidarat Suksangpleng
Priyaleela Thota
Greg Werner
Rajasubramaniam Shanmugam
Aparup Das
Vip Viprakasit
Connie M Piccone
Jane A Little
Stephen K Obaro
Umut A Gurkan
Case Western Reserve University · USRani Durgavati University · INSiriraj Hospital · THNigeria Centre for Disease Control · NGPediatric Infectious Diseases Society · USAminu Kano Teaching Hospital · NGBayero University Kano · NGCTS Corporation (Czechia) · CZDurham Technical Community College · USeHealth Africa · USMax Planck Institute for Intelligent Systems · DERainbow Babies & Children's Hospital · USUniversity of Michigan · USUniversity of North Carolina at Chapel Hill · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
The Cleveland Clinic Innovation AcceleratorU54HL119810 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI VINCE, D. GEOFFREY · 2013 to 2020
$14.4M
Vanderbilt-Emory-Cornell-Duke Global Health Fellowship Consortium-Expanding Diversity for Global Equity (EDGE)D43TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALIYU, MUKTAR HASSAN, HEIMBURGER, DOUGLAS CORBETT · 2017 to 2021
$6.3M
HLS-Affordable, quantitative microchip-electrophoresis for sickle cell disease screeningR44HL140739 · NHLBI · HEMEX HEALTH, INC. · PI GALEN, PETER · 2018 to 2025
$4.7M
Standardized Monitoring of Cellular Adhesion to Improve Clinical Care in Sickle Cell DiseaseR01HL133574 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI GURKAN, UMUT A., LITTLE, JANE · 2016 to 2020
$2.0M
CWRU- Cardiovascular Research Training ProgramT32HL134622 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI JAIN, MUKESH KUMAR, PROWELLER, AARON · 2017 to 2021
$1.9M
Mobile Device Support for Sickle Cell Disease Care in NigeriaR21TW010610 · FIC · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI OBARO, STEPHEN · 2017 to 2018
$329k
FIC NIH HHS D43 TW009337FIC NIH HHS R21 TW010610NCATS NIH HHS UL1 TR002548NHLBI NIH HHS R01 HL133574NHLBI NIH HHS R44 HL140739NHLBI NIH HHS T32 HL134622NHLBI NIH HHS U54 HL119810
6 · The paper itself

Abstract

Nearly 7% of the world's population live with a hemoglobin variant. Hemoglobins S, C, and E are the most common and significant hemoglobin variants worldwide. Sickle cell disease, caused by hemoglobin S, is highly prevalent in sub-Saharan Africa and in tribal populations of Central India. Hemoglobin C is common in West Africa, and hemoglobin E is common in Southeast Asia. Screening for significant hemoglobin disorders is not currently feasible in many low-income countries with the high disease burden. Lack of early diagnosis leads to preventable high morbidity and mortality in children born with hemoglobin variants in low-resource settings. Here, we describe HemeChip, the first miniaturized, paper-based, microchip electrophoresis platform for identifying the most common hemoglobin variants easily and affordably at the point-of-care in low-resource settings. HemeChip test works with a drop of blood. HemeChip system guides the user step-by-step through the test procedure with animated on-screen instructions. Hemoglobin identification and quantification is automatically performed, and hemoglobin types and percentages are displayed in an easily understandable, objective way. We show the feasibility and high accuracy of HemeChip via testing 768 subjects by clinical sites in the United States, Central India, sub-Saharan Africa, and Southeast Asia. Validation studies include hemoglobin E testing in Bangkok, Thailand, and hemoglobin S testing in Chhattisgarh, India, and in Kano, Nigeria, where the sickle cell disease burden is the highest in the world. Tests were performed by local users, including healthcare workers and clinical laboratory personnel. Study design, methods, and results are presented according to the Standards for Reporting Diagnostic Accuracy (STARD). HemeChip correctly identified all subjects with hemoglobin S, C, and E variants with 100% sensitivity, and displayed an overall diagnostic accuracy of 98.4% in comparison to reference standard methods. HemeChip is a versatile, mass-producible microchip electrophoresis platform that addresses a major unmet need of decentralized hemoglobin analysis in resource-limited settings.

Indexed as

PaperElectrophoresis, MicrochipHemoglobinsHemoglobin, SickleHumansImage Processing, Computer-AssistedMiniaturizationPoint-of-Care SystemsUser-Computer InterfaceHemoglobinsHemoglobin, Sickle

Identifiers

PMID32123889
PMCPMC7315854
OpenAlexW3009290203

What OpenQuestion holds

Textmetadata
LicenceTDM
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.