Evidence map›Paper›PMID 34522695›Full record

ArticleSouthern African journal of infectious diseases2021

Indications and diagnostic value of bone marrow examination in HIV-positive individuals: A 3-year review at Tygerberg Hospital.

Ibtisam Abdullah, Nadhiya Subramony, Ernest Musekwa, Erica-Mari Nell, Fatima Alzanad, Carissa Chetty, Ethan Gantana, Robert K Lohlun, Wardah Cerfontein, Bridget Cochrane and 1 more

Open access · goldAbstract read
In one paragraph

Article in Southern African journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.2field-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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. 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

11 authors at 1 institution in 1 country.

Ibtisam AbdullahDepartment of Haematological Pathology, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-6152-5730
Nadhiya SubramonyDepartment of Haematological Pathology, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-5604-4924
Ernest MusekwaDepartment of Haematological Pathology, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-8080-3820
Erica-Mari NellDepartment of Haematological Pathology, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-7932-3210
Fatima AlzanadDepartment of Haematological Pathology, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-7633-8233
Carissa ChettyDepartment of Haematological Pathology, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-6238-9272
Ethan GantanaDepartment of Haematological Pathology, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-0523-8494
Robert K LohlunDepartment of Haematological Pathology, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0003-2139-8217
Wardah CerfonteinDepartment of Haematological Pathology, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-7935-5979
Bridget CochraneDepartment of Haematological Pathology, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0003-2315-7708
Zivanai C ChapandukaDepartment of Haematological Pathology, Stellenbosch University, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-5489-8392
National Health Laboratory Service · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBone marrow examination is a useful diagnostic tool in human immunodeficiency virus (HIV)-positive patients presenting with cytopenias and fever. However, its role in the afebrile and asymptomatic patient presenting with an isolated cytopenia is not well established. This study was conducted to determine the indications for bone marrow examination and its diagnostic yield, in HIV-positive patients at Tygerberg Hospital.

methodsA retrospective, cross-sectional descriptive study was performed over a 3-year period from 01 September 2015 to 31 August 2018. The bone marrow examination reports for the HIV-positive patients who had a bone marrow examination during the study period were retrieved. Clinical and laboratory information was captured.

resultsAltogether 374 bone marrow reports for HIV-positive patients were found. The indication of the bone marrow examination included investigation of unexplained cytopenias, suspected haematological malignancies, follow-up examination for patients with known haematological diseases, staging of haematological or non-haematological malignancies and investigation of suspected disseminated infection. The patients' median age was 43 years and the interquartile range was 27-60 years. There was a slight female predominance with females 51% and males 49%. The diagnostic yield was 33.7%. Acute leukaemia and lymphoma were the most common diagnoses. Haematinic deficiency and pure red cell aplasia were found in the majority of cases with isolated anaemia. All cases with isolated thrombocytopenia were due to immune thrombocytopenia.

conclusionBone marrow examination is a useful investigation for HIV-positive patients with cytopenias, suspected haematological malignancy and lymphoma staging. However, its early use in patients with isolated anaemia and isolated thrombocytopenia is questionable.

Indexed as

bone marrow examinationdiagnostic utilitydiagnostic yieldHIVindicationsinvestigation of cytopenialeukaemialymphoma

Identifiers

PMID34522695
PMCPMC8424746
OpenAlexW3197930243

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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.