Evidence map›Paper›PMID 34559371›Full record

SynthesisCanadian journal of anaesthesia = Journal canadien d'anesthesie2022

Iron supplementation for patients undergoing cardiac surgery: a systematic review and meta-analysis of randomized controlled trials.

Stephen Su Yang, Latifa Al Kharusi, Adam Gosselin, Anissa Chirico, Pouya Gholipour Baradari, Matthew J Cameron

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06542393 (Patient Blood Manegement), which is not on this map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06542393 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

Patient Blood Manegement (PBM) as Perioperative Strategy to Anemic Patients Who Will be Submitted to Coronary Artery Bypass Graft (CABG).

TypeinterventionalSponsorFederal University of São PauloRan2024 to 2026Enrolled120ConditionsAnemia, Coronary Disease, Coronary Artery Disease, Coronary StenosisArmsErythropoietin, blood transfusion
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Observational
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.

Stephen Su YangFaculty of Medicine, McGill University, Montreal, QC, Canada. stephen.yang@mail.mcgill.ca.ORCID 0000-0003-3859-5110
Latifa Al KharusiFaculty of Medicine, McGill University, Montreal, QC, Canada.
Adam GosselinFaculty of Medicine, McGill University, Montreal, QC, Canada.
Anissa ChiricoFaculty of Medicine, McGill University, Montreal, QC, Canada.
Pouya Gholipour BaradariFaculty of Medicine, McGill University, Montreal, QC, Canada.
Matthew J CameronFaculty of Medicine, McGill University, Montreal, QC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIron supplementation has been evaluated in several randomized controlled trials (RCTs) for its potential to increase baseline hemoglobin and decrease red blood cell transfusion during cardiac surgery. This study's main objective was to evaluate the current evidence for iron administration in cardiac surgery patients.

methodsWe searched MEDLINE, EMBASE, CENTRAL, Web of Science databases, and Google Scholar from inception to 19 November 2020 for RCTs evaluating perioperative iron administration in adult patients undergoing cardiac surgery. The RCTs were assessed using a risk of bias assessment and the quality of evidence was assessed using the grading of recommendations, assessments, development, and evaluations.

resultsWe reviewed 1,767 citations, and five studies (n = 554) met the inclusion criteria. The use of iron showed no statistical difference in incidence of transfusion (risk ratio, 0.86; 95% confidence interval, 0.65 to 1.13). Trial sequential analysis suggested an optimal information size of 1,132 participants, which the accrued information size did not reach.

conclusionThe current literature does not support or refute the routine use of iron therapy in cardiac surgery patients.

trial registrationPROSPERO (CRD42020161927); registered 19 December 2019.

Indexed as

AnemiaCardiac Surgical ProceduresAdultDietary SupplementsHumansIronRandomized Controlled Trials as TopicIronAnemiaBlood transfusionCardiac surgeryIron

Identifiers

What OpenQuestion holds

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Registered trials

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.