Evidence map›Paper›PMID 34131897›Full record

ArticleBritish journal of haematology2021

Time to rethink haemoglobin threshold guidelines in sickle cell disease.

Samir K Ballas, Frans A Kuypers, Victor R Gordeuk, Jane S Hankins, Alexis A Thompson, Elliott Vichinsky

Open access · hybridAbstract read
In one paragraph

Article in British journal of haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Crosstalk Between Sickle Cell Disease and Ferroptosis.International journal of molecular sciences · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Adverse events of red blood cell transfusions in patients with sickle cell disease.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2022
    Review
  9. 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 5 institutions in 1 country.

Samir K BallasDepartment of Medicine, Cardeza Foundation for Hematologic Research, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.ORCID 0000-0002-7566-1466
Frans A KuypersChildren's Hospital Oakland Research Institute, Oakland, CA, USA.
Victor R GordeukUniversity of Illinois, Chicago, IL, USA.ORCID 0000-0003-4725-7295
Jane S HankinsDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID 0000-0003-4439-7321
Alexis A ThompsonAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Elliott VichinskyUCSF Benioff Children's Hospital Oakland, Oakland, CA, USA.
Lurie Children's Hospital · USSt. Jude Children's Research Hospital · USThomas Jefferson University · USUCSF Benioff Children's Hospital · USUniversity of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alleviating anaemia in patients with sickle cell disease (SCD) is crucial in managing acute complications, mitigating end-organ damage and preventing early mortality. Some disease-modifying and curative therapies have increased haemoglobin (Hb) levels to exceed 100 g/l, a threshold above which complications from red blood cell (RBC) transfusions have occurred, raising concern about whole-blood viscosity-related complications with these therapies. Here we discuss the rationale behind this limit, the effect of viscosity on blood flow and the applicability of this Hb threshold to therapies for SCD beyond RBC transfusions.

Indexed as

Blood TransfusionAnemia, Sickle CellAntisickling AgentsBenzaldehydesBlood ViscosityGenetic TherapyHematocritHematopoietic Stem Cell TransplantationHemoglobinsHemoglobin, SickleHumansHydroxyureaPractice Guidelines as TopicPyrazinesPyrazolesAntisickling AgentsBenzaldehydesHemoglobinsHemoglobin, SickleHydroxyureaPyrazinesPyrazolesvoxelotorblood transfusionhydroxycarbamidehyperviscositysickle cell diseasevoxelotor

Identifiers

PMID34131897
PMCPMC9292304
OpenAlexW3170521958

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.