Evidence map›Paper›PMID 32816244›Full record

SynthesisEuropean journal of epidemiology2020

Anemia and iron metabolism in COVID-19: a systematic review and meta-analysis.

Petek Eylul Taneri, Sergio Alejandro Gómez-Ochoa, Erand Llanaj, Peter Francis Raguindin, Lyda Z Rojas, Zayne Milena Roa-Díaz, Dante Salvador, Dion Groothof, Beatrice Minder, Doris Kopp-Heim and 5 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European journal of epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 194 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
194citing papers in PubMed, 4 pooled it
37.6field-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.

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

194 citing papers in PubMed, 4 syntheses or guidelines pooled it, 379 citations in OpenAlex.

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  13. Kidney involvement and anemia in COVID-19 infection.World journal of nephrology · 2025
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134 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 5 institutions in 6 countries.

Petek Eylul TaneriPublic Health Department, Faculty of Medicine, Bahcesehir University, Istanbul, Turkey.
Sergio Alejandro Gómez-OchoaPublic Health and Epidemiological Studies Group, Cardiovascular Foundation of Colombia, Floridablanca, Colombia.
Erand LlanajDoctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary.
Peter Francis RaguindinInstitute of Social and Preventive Medicine (ISPM), University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland.
Lyda Z RojasPublic Health and Epidemiological Studies Group, Cardiovascular Foundation of Colombia, Floridablanca, Colombia.
Zayne Milena Roa-DíazInstitute of Social and Preventive Medicine (ISPM), University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland.
Dante SalvadorInstitute of Social and Preventive Medicine (ISPM), University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland.
Dion GroothofDepartment of Internal Medicine, Division of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Beatrice MinderPublic Health & Primary Care Library, University Library of Bern, University of Bern, Bern, Switzerland.
Doris Kopp-HeimPublic Health & Primary Care Library, University Library of Bern, University of Bern, Bern, Switzerland.
Wolf E HautzDepartment of Emergency Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Michele F EisengaDepartment of Internal Medicine, Division of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Oscar H FrancoInstitute of Social and Preventive Medicine (ISPM), University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland.
Marija GlisicInstitute of Social and Preventive Medicine (ISPM), University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland.
Taulant MukaInstitute of Social and Preventive Medicine (ISPM), University of Bern, Mittelstrasse 43, 3012, Bern, Switzerland. taulant.muka@ispm.unibe.ch.ORCID http://orcid.org/0000-0003-3235-3073
University of Bern · CHFundación Cardiovascular de Colombia · COUniversity Medical Center Groningen · NLBahçeşehir University · TRUniversity of Debrecen · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Iron metabolism and anemia may play an important role in multiple organ dysfunction syndrome in Coronavirus disease 2019 (COVID-19). We conducted a systematic review and meta-analysis to evaluate biomarkers of anemia and iron metabolism (hemoglobin, ferritin, transferrin, soluble transferrin receptor, hepcidin, haptoglobin, unsaturated iron-binding capacity, erythropoietin, free erythrocyte protoporphyrine, and erythrocyte indices) in patients diagnosed with COVID-19, and explored their prognostic value. Six bibliographic databases were searched up to August 3rd 2020. We included 189 unique studies, with data from 57,563 COVID-19 patients. Pooled mean hemoglobin and ferritin levels in COVID-19 patients across all ages were 129.7 g/L (95% Confidence Interval (CI), 128.51; 130.88) and 777.33 ng/mL (95% CI, 701.33; 852.77), respectively. Hemoglobin levels were lower with older age, higher percentage of subjects with diabetes, hypertension and overall comorbidities, and admitted to intensive care. Ferritin level increased with older age, increasing proportion of hypertensive study participants, and increasing proportion of mortality. Compared to moderate cases, severe COVID-19 cases had lower hemoglobin [weighted mean difference (WMD), - 4.08 g/L (95% CI - 5.12; - 3.05)] and red blood cell count [WMD, - 0.16 × 10

Indexed as

Coronavirus InfectionsPandemicsPneumonia, ViralAnemiaBetacoronavirusBiomarkersClinical Laboratory TechniquesCoronavirusCOVID-19COVID-19 TestingErythropoietinFerritinsHemoglobinsHepcidinsHumansIronBiomarkersEPO protein, humanErythropoietinFerritinsHAMP protein, humanHemoglobinsHepcidinsIronReceptors, TransferrinTransferrinAnemiaCovid-19FerritinHemoglobinIronPrognosis

Identifiers

PMID32816244
PMCPMC7438401
OpenAlexW3070973952

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.