Evidence map›Paper›PMID 32785684›Full record

ArticleBlood advances2020

Building access to care in adult sickle cell disease: defining models of care, essential components, and economic aspects.

Julie Kanter, Wally R Smith, Payal C Desai, Marsha Treadwell, Biree Andemariam, Jane Little, Diane Nugent, Susan Claster, Deepa G Manwani, Judith Baker and 7 more

Abstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
–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

59 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Chronic pain in the aging adult with sickle cell disease.Frontiers in pain research (Lausanne, Switzerland) · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Buprenorphine Is Associated With Lower Home Opioid Use and Acute Care Utilization in Sickle Cell Disease.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Barriers to Care for Adults With Sickle Cell Disease: A Qualitative Descriptive Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Review
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

17 authors.

Julie KanterHematology-Oncology, The University of Alabama at Birmingham, Birmingham, AL.
Wally R SmithDivision of General Internal Medicine, Virginia Commonwealth University, Richmond, VA.
Payal C DesaiDivision of Hematology, The Ohio State University Wexner Medical Center, Columbus, OH.
Marsha TreadwellUniversity of California San Francisco Benioff Children's Hospitals, Oakland, CA.
Biree AndemariamNew England Sickle Cell Institute, Neag Comprehensive Cancer Center, University of Connecticut Health, Farmington, CT.
Jane LittleComprehensive Sickle Cell Disease Program, The University of North Carolina at Chapel Hill, Chapel Hill, NC.
Diane NugentCenter for Inherited Blood Disorders, Orange, CA.
Susan ClasterCenter for Inherited Blood Disorders, Orange, CA.
Deepa G ManwaniDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY.
Judith BakerCenter for Inherited Blood Disorders, Orange, CA.
John J StrouseDivision of Hematology and.
Ifeyinwa OsunkwoSickle Cell Disease Enterprise, The Levine Cancer Institute, Atrium Health, Charlotte, NC.
Rosalyn W StewartGeneral Internal Medicine, Johns Hopkins University, Baltimore, MD.
Allison KingPediatric Hematology and Oncology, Washington University School of Medicine in St. Louis, St. Louis, MO.
Lisa M ShookDivision of Hematology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
John D RobertsDepartment of Internal Medicine, Yale New Haven Health, New Haven, CT; and.
Sophie LanzkronDepartment of Medicine, School of Medicine, The Johns Hopkins University, Baltimore, MD.

Funding

Enhancing Use of Hydroxyurea In Sickle Cell Disease Using Patient NavigatorsR18HL112737 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI SMITH, WALLY R · 2012 to 2017
$3.3M
PAIN IN SICKLE CELL EPIDEMIOLOGIC STUDYR01HL064122 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI SMITH, WALLY R · 2001 to 2003
$2.2M
NHLBI NIH HHS R01 HL064122NHLBI NIH HHS R18 HL112737
6 · The paper itself

Abstract

Sickle cell disease (SCD) is the most common inherited blood disorder in the United States. It is a medically and socially complex, multisystem illness that affects individuals throughout the lifespan. Given improvements in care, most children with SCD survive into adulthood. However, access to adult sickle cell care is poor in many parts of the United States, resulting in increased acute care utilization, disjointed care delivery, and early mortality for patients. A dearth of nonmalignant hematology providers, the lack of a national SCD registry, and the absence of a centralized infrastructure to facilitate comparative quality assessment compounds these issues. As part of a workshop designed to train health care professionals in the skills necessary to establish clinical centers focused on the management of adults living with SCD, we defined an SCD center, elucidated required elements of a comprehensive adult SCD center, and discussed different models of care. There are also important economic impacts of these centers at an institutional and health system level. As more clinicians are trained in providing adult-focused SCD care, center designation will enhance the ability to undertake quality improvement and compare outcomes between SCD centers. Activities will include an assessment of the clinical effectiveness of expanded access to care, the implementation of SCD guidelines, and the efficacy of newly approved targeted medications. Details of this effort are provided.

Indexed as

Anemia, Sickle CellHematologic DiseasesAdultChildHealth Services AccessibilityHumansUnited States

Identifiers

PMID32785684
PMCPMC7448595

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.