Evidence map›Paper›PMID 34200315›Full record

ArticleMedical sciences (Basel, Switzerland)2021

Misleading HbA1c Measurement in Diabetic Patients with Hemoglobin Variants.

Manthana Mitchai, Nattakarn Suwansaksri, Suphakdee Seanseeha, Jindamanee Saenboonsiri, Putthichai Kraitree, Jirasak Piyapromdee, Atit Silsirivanit

Open access · goldAbstract read
In one paragraph

Article in Medical sciences (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. HbA1c levels in hemoglobin H disease.Biochemistry and biophysics reports · 2025
    Article
  9. Article
  10. Review
  11. Abnormally Low HbABritish journal of biomedical science · 2024
    Review
  12. [Effects of Hemoglobin Variants on Glycosylated Hemoglobin Testing].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023
    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

7 authors at 2 institutions in 1 country.

Manthana MitchaiMedical Molecular Biology Center, Department of Clinical Pathology, Khon Kaen Hospital, Ministry of Public Health, Khon Kaen 40000, Thailand.
Nattakarn SuwansaksriDepartment of Internal Medicine, Khon Kaen Hospital, Ministry of Public Health, Khon Kaen 40000, Thailand.
Suphakdee SeanseehaMedical Molecular Biology Center, Department of Clinical Pathology, Khon Kaen Hospital, Ministry of Public Health, Khon Kaen 40000, Thailand.
Jindamanee SaenboonsiriMedical Molecular Biology Center, Department of Clinical Pathology, Khon Kaen Hospital, Ministry of Public Health, Khon Kaen 40000, Thailand.
Putthichai KraitreeMedical Molecular Biology Center, Department of Clinical Pathology, Khon Kaen Hospital, Ministry of Public Health, Khon Kaen 40000, Thailand.
Jirasak PiyapromdeeDepartment of Internal Medicine, Khon Kaen Hospital, Ministry of Public Health, Khon Kaen 40000, Thailand.
Atit SilsirivanitDepartment of Biochemistry, and Center for Translational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.ORCID 0000-0002-5777-3843
Ministry of Public Health · THKhon Kaen University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesHemoglobin A1c (HbA1c) is widely used for the monitoring and management of diabetes mellitus. The aim of this study is to investigate the influence of hemoglobin (Hb) variants on the measurement of HbA1c. MATERIALS AND

methodsHbA1c levels of 845 blood samples obtained from diabetic patients with various hemoglobin types were measured using a turbidimetric inhibition immunoassay and capillary electrophoresis.

resultsOf 845 patients with diabetes, 65.7% (555/845) have the normal hemoglobin type (A

conclusionsWe have demonstrated the erroneous nature of HbA1c measurement in patients with hemoglobin variants, especially in those without HbA expression. Therefore, in the population with a high prevalence of hemoglobinopathies, hemoglobin typing should be considered as basic information prior to HbA1c measurement.

Indexed as

alpha-ThalassemiaDiabetes MellitusHemoglobinopathiesHemoglobins, AbnormalGlycated HemoglobinHumansGlycated HemoglobinHemoglobins, Abnormalcapillary electrophoresisglycated hemoglobinhemoglobin A1chemoglobin variant

Identifiers

PMID34200315
PMCPMC8293317
OpenAlexW3166604250

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.