Evidence map›Paper›PMID 32313459›Full record

ArticleProceedings (Baylor University. Medical Center)2020

Evaluation of the use of erythropoietin-stimulating agents in a hospital setting to assess the necessity of a protocol-driven anemia management service.

Shivali K Patel, Michael R Griggs, Yehya M Ghoneim, Cindy K Malhotra, Andrew Z Fenves, Susan C Jacob

Open access · greenAbstract read
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 55% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 2 institutions in 1 country.

Shivali K PatelDepartment of Pharmacy, Massachusetts General HospitalBostonMassachusetts.ORCID 0000-0003-1325-0095
Michael R GriggsDepartment of Pharmacy, Massachusetts General HospitalBostonMassachusetts.
Yehya M GhoneimDepartment of Pharmacy, Massachusetts General HospitalBostonMassachusetts.
Cindy K MalhotraDepartment of Pharmacy, Massachusetts General HospitalBostonMassachusetts.
Andrew Z FenvesDepartment of Medicine, Massachusetts General HospitalBostonMassachusetts.ORCID 0000-0003-2817-3280
Susan C JacobDepartment of Pharmacy, Massachusetts General HospitalBostonMassachusetts.ORCID 0000-0003-1256-5757
Massachusetts General Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Erythropoietin-stimulating agents (ESA) have revolutionized the management of anemia. However, these agents are not always utilized with proper monitoring parameters, which can present significant safety concerns, unwarranted drug expenditures, and decreased ESA efficacy. This retrospective study assessed the utilization of all ESAs in non-intensive care unit hospitalized patients at a large academic medical center from August 18, 2018, to August 31, 2018, using established guideline-based assessment criteria. Among the 167 doses of ESA evaluated, 86% (n = 144) were utilized in accordance with guideline-based assessment criteria regarding laboratory monitoring of iron studies. However, 24% (n = 40) of ESA doses were administered to patients with active, untreated iron deficiency at the time of administration. Although most ESA doses were utilized in accordance with the guideline-based criteria, interventions can be implemented to further improve anemia treatment. Implementing a protocol-driven anemia management service is one strategy that can improve patient care, advance patient safety, and be cost-beneficial.

Indexed as

Anemiacost savingserythropoietin-stimulating agentskidney diseaseprotocolutilization

Identifiers

PMID32313459
PMCPMC7155985
OpenAlexW3008570024

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.