Evidence map›Paper›PMID 34177424›Full record

ArticleTransfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie2021

Ethical Issues and Management of Fetal Hemolytic Anemia Caused by Anti-Rh17 in a Multipara with Rare -D- Phenotype.

Patrick P Torreiter, Susanne Macher, Eva-Maria Matzhold, Bernhard Resch, Philipp Klaritsch, Günther F Körmöczi, Helene Polin, Leopold Neuhold, Marlies Schönbacher, Peter Schlenke and 1 more

Open access · goldAbstract read
In one paragraph

Article in Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 46% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Characterization of NovelBiomedicines · 2024
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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

11 authors at 4 institutions in 1 country.

Patrick P TorreiterDepartment of Blood Group Serology and Transfusion Medicine, Medical University of Graz, Graz, Austria.
Susanne MacherDepartment of Blood Group Serology and Transfusion Medicine, Medical University of Graz, Graz, Austria.
Eva-Maria MatzholdDepartment of Blood Group Serology and Transfusion Medicine, Medical University of Graz, Graz, Austria.
Bernhard ReschDivison of Neonatology, Medical University of Graz, Graz, Austria.
Philipp KlaritschDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Günther F KörmöcziDepartment of Blood Group Serology and Transfusion Medicine, Medical University of Vienna, Vienna, Austria.
Helene PolinRed Cross Transfusion Service of Upper Austria, Linz, Austria.
Leopold NeuholdInstitute of Ethics and Sociology, University of Graz, Graz, Austria.
Marlies SchönbacherDepartment of Blood Group Serology and Transfusion Medicine, Medical University of Vienna, Vienna, Austria.
Peter SchlenkeDepartment of Blood Group Serology and Transfusion Medicine, Medical University of Graz, Graz, Austria.
Thomas WagnerDepartment of Blood Group Serology and Transfusion Medicine, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATMedical University of Vienna · ATAustrian Red Cross · ATUniversity of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe development of allo-anti-Rh17 (anti-Hr0) in a -D- phenotype whose red blood cells (RBCs) lack CcEe antigens is most likely triggered by transfusion, transplantation, or pregnancy. Gene conversion is the predominating factor in generating RHD-CE-D and RHCE-D-CE hybrids like -D-.

methodsWe report here immunohematological and obstetrical data from 2 of the 5 pregnancies of a 24-year-old woman presenting with the -D- phenotype with anti-Rh17. Blood group typing, antibody screening, antibody differentiation, direct antiglobulin test (DAT), and antibody titers were performed by routine gel technology and tube testing. Additionally, molecular genetic analysis was performed. Fetal surveillance was done by sonographic evaluation of the fetal middle cerebral artery peak systolic velocity (MCA-PSV).

resultsBlood group typing showed O, C-c-D+E-e- and the DAT was negative. DNA sequencing revealed homozygosity for an

conclusionOur case shows that the risk for hemolytic complications increases with the number of pregnancies of sensitized women. Only people who also lack CcEe antigens are compatible as donors. The role of such rare donors as lifesavers, their freedom, and voluntariness conflict with the urgent need for compatible blood.

Indexed as

Anti-Rh17 (anti-Hr0)Hemolytic anemiaHyperbilirubinemiaMaternal alloimmunizationMedical ethics

Identifiers

PMID34177424
PMCPMC8216032
OpenAlexW3119782547

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.