Evidence map›Paper›PMID 33264445›Full record

ArticleAmerican journal of hematology2021

Impact of sickle cell disease on patients' daily lives, symptoms reported, and disease management strategies: Results from the international Sickle Cell World Assessment Survey (SWAY).

Ifeyinwa Osunkwo, Biree Andemariam, Caterina P Minniti, Baba P D Inusa, Fuad El Rassi, Beverley Francis-Gibson, Alecia Nero, Cassandra Trimnell, Miguel R Abboud, Jean-Benoît Arlet and 11 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in American journal of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 3 pooled it
8.2field-weighted citation impact, top 2% 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

106 citing papers in PubMed, 3 syntheses or guidelines pooled it, 176 citations in OpenAlex.

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  12. Humanistic and economic burden among caregivers of adults and children with sickle cell disease and recurrent vaso-occlusive crises.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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46 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 19 institutions in 9 countries.

Ifeyinwa OsunkwoSickle Cell Disease Enterprise, The Levine Cancer Institute, Atrium Health, Charlotte, North Carolina, USA.
Biree AndemariamNew England Sickle Cell Institute, University of Connecticut Health, Farmington, Connecticut, USA.
Caterina P MinnitiAlbert Einstein College of Medicine, New York, New York, USA.ORCID 0000-0002-7059-2959
Baba P D InusaEvelina Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID 0000-0003-2643-765X
Fuad El RassiEmory University School of Medicine and Georgia Comprehensive Sickle Cell Center at Grady Health System, Atlanta, Georgia, USA.
Beverley Francis-GibsonSickle Cell Disease Association of America, Baltimore, Maryland, USA.
Alecia NeroUniversity of Texas Southwestern Medical Center, Dallas, Texas, USA.
Cassandra TrimnellSickle Cell 101, San Jose, California, USA.
Miguel R AbboudAmerican University of Beirut Medical Center, Beirut, Lebanon.
Jean-Benoît ArletSickle Cell Disease Referral Centre, Internal Medicine Department, Hôpital Européen Georges-Pompidou, AP-HP, Université de Paris, Paris, France.
Raffaella ColombattiAzienda Ospedale-Università di Padova, Padova, Italy.
Mariane de MontalembertHôpital Universitaire Necker-Enfants Malades, Paris, France.
Suman JainThalassemia and Sickle Cell Society, Hyderabad, India.
Wasil JastaniahUmm Al-Qura University, Mecca, Saudi Arabia.
Erfan NurAcademic Medical Center, Amsterdam, The Netherlands.
Marimilia PitaPediatric Hematology, Hospital Samaritano, Laureate University-UAM, São Paulo, Brazil.
Laurie DeBonnettNovartis Pharmaceuticals Corporation, East Hanover, New Jersey, USA.
Nicholas RamscarNovartis Pharma AG, Basel, Switzerland.
Tom BaileyAdelphi Real World, Bollington, UK.
Olivera Rajkovic-HooleyAdelphi Real World, Bollington, UK.
John JamesSickle Cell Society, London, UK.
Adelphi Group (United Kingdom) · GBCell Medica (Switzerland) · CHAlbert Einstein College of Medicine · USAmerican University of Beirut Medical Center · LBAmsterdam UMC Location University of Amsterdam · NLGrady Memorial Hospital · USGuy's and St Thomas' NHS Foundation Trust · GBHôpital Necker-Enfants Malades · FRHospital Samaritano de São Paulo · BRLevine Cancer Institute · USMultiple Sclerosis Society · GBNovartis (Switzerland) · CHNovartis (United States) · USSickle Cell Disease Association of America · USThe University of Texas Southwestern Medical Center · USUConn Health · USUmm al-Qura University · SAUniversité Paris Cité · FRUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sickle cell disease (SCD) is a genetic disorder, characterized by hemolytic anemia and vaso-occlusive crises (VOCs). Data on the global SCD impact on quality of life (QoL) from the patient viewpoint are limited. The international Sickle Cell World Assessment Survey (SWAY) aimed to provide insights into patient-reported impact of SCD on QoL. This cross-sectional survey of SCD patients enrolled by healthcare professionals and advocacy groups assessed disease impact on daily life, education and work, symptoms, treatment goals, and disease management. Opinions were captured using a Likert scale of 1-7 for some questions; 5-7 indicated "high severity/impact." Two thousand one hundred and forty five patients (mean age 24.7 years [standard deviation (SD) = 13.1], 39% ≤18 years, 52% female) were surveyed from 16 countries (six geographical regions). A substantial proportion of patients reported that SCD caused a high negative impact on emotions (60%) and school achievement (51%) and a reduction in work hours (53%). A mean of 5.3 VOCs (SD = 6.8) was reported over the 12 months prior to survey (median 3.0 [interquartile range 2.0-6.0]); 24% were managed at home and 76% required healthcare services. Other than VOCs, fatigue was the most commonly reported symptom in the month before survey (65%), graded "high severity" by 67% of patients. Depression and anxiety were reported by 39% and 38% of patients, respectively. The most common patient treatment goal was improving QoL (55%). Findings from SWAY reaffirm that SCD confers a significant burden on patients, epitomized by the high impact on patients' QoL and emotional wellbeing, and the high prevalence of self-reported VOCs and other symptoms.

Indexed as

Attitude to HealthCost of IllnessHealth SurveysQuality of LifeActivities of Daily LivingAcute PainAdolescentAdultAgedAged, 80 and overAnemia, Sickle CellAnxietyChildCross-Sectional StudiesDepressionDisease Management

Identifiers

PMID33264445
PMCPMC8248107
OpenAlexW3107827398

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.