Evidence map›Paper›PMID 33123986›Full record

ArticleThe patient2021

Patient- and Caregiver-Reported Burden of Transfusion-Dependent β-Thalassemia Measured Using a Digital Application.

Clark Paramore, Laurice Levine, Emma Bagshaw, Chengyu Ouyang, Amber Kudlac, Mark Larkin

Open access · hybridAbstract read
In one paragraph

Article in The patient, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  3. Humanistic and economic burden among caregivers of adults and children with transfusion dependent β-thalassemia: a mixed-methods study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  6. Health-related quality of life and economic impacts in adults with transfusion-dependent β-thalassemia: findings from a prospective longitudinal real-world study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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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 2 countries.

Clark Paramorebluebird bio, Cambridge, MA, USA.
Laurice LevineSelf-Employed Medical Consultant, San Francisco, CA, USA.
Emma BagshawVitaccess Ltd, 2nd Floor Nucleus House, 2 Lower Mortlake Road, Richmond, Greater London, TW9 2JA, UK. emma.bagshaw@vitaccess.com.ORCID 0000-0001-7208-1303
Chengyu OuyangVitaccess Ltd, 2nd Floor Nucleus House, 2 Lower Mortlake Road, Richmond, Greater London, TW9 2JA, UK.
Amber KudlacVitaccess Ltd, 2nd Floor Nucleus House, 2 Lower Mortlake Road, Richmond, Greater London, TW9 2JA, UK.
Mark LarkinVitaccess Ltd, 2nd Floor Nucleus House, 2 Lower Mortlake Road, Richmond, Greater London, TW9 2JA, UK.
Bluebird Bio (United States) · USInaccess (Greece) · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveTransfusion-dependent β-thalassemia (TDT) is a rare genetic disease characterized by a deficiency of functional β-globin, ultimately leading to lifelong dependence on blood transfusions. There is little patient- and caregiver-reported data with which to understand the holistic and societal impact of TDT. The objective of this study was to evaluate the patient- and caregiver-reported disease-management, symptom, and quality-of-life burden of TDT.

methodsWe conducted a prospective, observational, real-world study of adults with TDT and caregivers of adolescents with TDT, in Italy, the UK, and the USA. Over 90 days, participants used a smartphone application to respond to surveys about their or their dependent's TDT, including bespoke background and disease-management surveys, the Brief Fatigue Inventory (BFI), the Transfusion-dependent Quality of life questionnaire (TranQol), and the Brief Pain Inventory Short Form (BPI-SF).

resultsEighty-five individuals participated. Mean BFI and TranQol scores on enrollment were 5.0 (0-10 scale; 10 = worst symptoms) and 51 (0-100 scale; 100 = best quality of life), respectively. Mean transfusion frequency was every 3.2 weeks. Mean time spent on TDT management was 592 min on transfusion days and 91 min on non-transfusion days (11 h per week). Mean BFI and BPI-SF "worst fatigue" and "worst pain" scores were higher in the 5 days pre-transfusion than in the 5 days post-transfusion (fatigue 5.05 vs 4.29; pain 4.33 vs 3.85; 0-10 scale; 10 = worst symptoms).

conclusionsThe patient- and caregiver-reported burden of TDT is high, influenced by disease-management time, fatigue, pain, and quality-of-life impairment.

Indexed as

beta-ThalassemiaCaregiversAdolescentAdultHumansProspective StudiesQuality of LifeSurveys and Questionnaires

Identifiers

PMID33123986
PMCPMC7884594
OpenAlexW3094637556

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.