Evidence map›Paper›PMID 34694652›Full record

ArticleJournal of clinical apheresis2021

Impact of Covid-19 on the therapeutic plasma exchange service within the South East Asian region: Consensus recommendations and global perspectives.

Shanthi Viswanathan, Fu Liong Hiew, Sasitorn Siritho, Metha Apiwattanakul, Kevin Tan, Amy M L Quek, Riwanti Estiasari, Rabani Remli, Shalini Bhaskar, Badrul M Islam and 7 more

Abstract readConsensus Statement
In one paragraph

Article in Journal of clinical apheresis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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

17 authors.

Shanthi ViswanathanDepartment of Neurology, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-0094-0540
Fu Liong HiewDepartment of Neurology, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-4708-3734
Sasitorn SirithoDepartment of Neurology, Bumrungrad International Hospital and Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Metha ApiwattanakulDepartment of Neurology, Neurological Institute of Thailand, Bangkok, Thailand.
Kevin TanDepartment of Neurology, National Neuroscience Institute, Singapore.
Amy M L QuekDivision of Neurology, Department of Medicine, National University Health System, Singapore.
Riwanti EstiasariDepartment of Neurology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Rabani RemliDepartment of Neurology, National University of Malaysia, Kuala Lumpur, Malaysia.
Shalini BhaskarDepartment of Medicine, Universiti Teknologi MARA, Sg Buloh, Selangor, Malaysia.ORCID https://orcid.org/0000-0002-9169-4209
Badrul M IslamDepartment of Laboratory Sciences and Services Division, The International Center for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Seinn Mya Mya AyeDepartment of Neurology, Aryu International Hospital, Yangon, Myanmar.
Ohnmar OhnmarDepartment of Neurology, Yangon General Hospital, Yangon, Myanmar.
Thirugnanam UmapathiDepartment of Neurology, National Neuroscience Institute, Singapore.
Say Say KeosodsayDepartment of Neurology, Laos General Hospital, Vientiane, Laos.
Nghia T T HoangDepartment of Neurology, Military Hospital 175, Ho Chi Minh City, Vietnam.
Tianrong YeoDepartment of Neurology, National Neuroscience Institute, Singapore.
Paul M PascoDepartment of Neurosciences, Philippine General Hospital, Manila, Philippines.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTherapeutic plasma exchange (TPE) for neuroimmunological disorders has played an increasingly important role within the Southeast Asian (SEA) region. The South East Asian Therapeutic Plasma exchange Consortium (SEATPEC) was formed in 2018 to promote education and research on TPE within the region. The advent of the Covid-19 pandemic has produced challenges for the development and expansion of this service. METHODOLOGY: A qualitative and semi-quantitative questionnaire-based survey was conducted by SEATPEC member countries from January to June 2020 (Phase 1) and then from July 2020 to January 2021 in (Phase 2) to assess the impact of Covid-19 on regional TPE.

objectivesThe study's main objectives were to explore the challenges experienced and adaptations/adjustments taken by SEATPEC countries in order to continue safe and efficient TPE during the Covid-19 pandemic.

resultsThe pandemic was found to disrupt the delivery of TPE services in all SEATPEC countries. Contributing factors were multifactorial due to overstretched medical services, staff shortages, quarantines and redeployments, fear of acquiring Covid-19, movement restriction orders, and patient's psychological fear of attending hospitals/testing for Covid-19. All SEATPEC countries practiced careful stratification of cases for TPE (electives vs emergencies, Covid-19 vs non-Covid-19 cases). SEATPEC countries had to modify TPE treatment protocols to include careful preprocedure screening of patient's for Covid-19, use of personal protective equipment (PPE) and post-TPE sanitization of machines and TPE suites.

conclusionBased on the responses of the survey, SEATPEC countries produced a consensus statement with five recommendations for safe and effective TPE within the region.

Indexed as

COVID-19Plasma ExchangeAsia, SoutheasternConsensusHumansNervous System DiseasesNeurologistsPandemicsSARS-CoV-2Surveys and QuestionnairesCovid-19impactSouth East Asiatherapeutic plasma exchange

Identifiers

PMID34694652
PMCPMC8646799

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.