Evidence map›Paper›PMID 34793330›Full record

ArticleJCI insight2022

Donor genetic and nongenetic factors affecting red blood cell transfusion effectiveness.

Nareg H Roubinian, Sarah E Reese, Hannah Qiao, Colleen Plimier, Fang Fang, Grier P Page, Ritchard G Cable, Brian Custer, Mark T Gladwin, Ruchika Goel and 11 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in JCI insight, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
16.7field-weighted citation impact, top 1% 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

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Analysis of the Efficacy of Red Blood Cell Transfusion in Very Low Birth Weight Infants and Construction of a Prediction Model.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2026
    Article
  5. The resurgence of whole blood transfusion: Evaluating microcirculatory evidence in hemorrhagic trauma care: A review.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2026
    Review
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  7. Review
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  17. Review
  18. HypomorphicHemaSphere · 2026
    Article
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7 more citing papers are in PubMed but not listed here.

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

21 authors at 13 institutions in 2 countries.

Nareg H RoubinianDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Sarah E ReeseWestat, Rockville, Maryland, USA.
Hannah QiaoWestat, Rockville, Maryland, USA.
Colleen PlimierDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Fang FangDivision of Biostatistics and Epidemiology, RTI International, Durham, North Carolina, USA.
Grier P PageDivision of Biostatistics and Epidemiology, RTI International, Atlanta, Georgia, USA.
Ritchard G CableAmerican Red Cross, Farmington, Connecticut, USA.
Brian CusterVitalant Research Institute, San Francisco, California, USA.
Mark T GladwinDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Ruchika GoelDepartment of Pathology, Johns Hopkins University, Baltimore, Maryland, USA.
Bob HarrisWestat, Rockville, Maryland, USA.
Jeanne E HendricksonDepartment of Laboratory Medicine, Yale University, New Haven, Connecticut, USA.
Tamir KaniasVitalant Research Institute, Denver, Colorado, USA.
Steve KleinmanDepartment of Pathology and Laboratory Medicine, University of British Columbia, Victoria, British Colombia, Canada.
Alan E MastVersiti Blood Research Institute, Milwaukee, Wisconsin, USA.
Steven R SloanDepartment of Pathology, Children's Hospital Boston, Boston, Massachusetts, USA.
Bryan R SpencerAmerican Red Cross, Dedham, Massachusetts, USA.
Steven L SpitalnikDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, New York, USA.
Michael P BuschVitalant Research Institute, San Francisco, California, USA.
Eldad A HodDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, New York, USA.
National Heart Lung and Blood Institute (NHLBI) Recipient Epidemiology and Donor Evaluation Study IV Pediatrics (REDS-IV-P)
Westat (United States) · USAmerican Red Cross · USColumbia University Irving Medical Center · USKaiser Permanente · USPacific Research Institute · USRTI International · USBoston Children's Hospital · USJohns Hopkins University · USUniversity of Pittsburgh · USUniversity of Victoria · CAVersiti Blood Center of Wisconsin · USVitalant · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
(REDS-IV-P) RECIPIENT EPIDEMIOLOGY AND DONOR EVALUATION STUDY IV-DATA75N92019D00032 · NHLBI · WESTAT, INC. · PI CHAPMAN, KATHY · 2019 to 2025
$19.6M
(REDS-IV-P) RECIPIENT EPIDEMIOLOGY AND DONOR EVALUATION STUDY IV75N92019D00036 · NHLBI · YALE UNIVERSITY · PI HENDRICKSON, JEANNE E · 2019 to 2024
$6.7M
REDS-IV-P DOMESTIC HUBS PHASE 275N92019D00035 · NHLBI · VERSITI WISCONSIN, INC. · PI MAST, ALAN E · 2019 to 2024
$6.6M
REDS-IV-P DOMESTIC HUBS PHASE 275N92019D00037 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HOD, ELDAD ARIE · 2019 to 2024
$6.6M
(REDS-IV-P) RECIPIENT EPIDEMIOLOGY AND DONOR EVALUATION STUDY IV-DOMESTIC HUBS75N92019D00034 · NHLBI · VITALANT · PI CUSTER, BRIAN · 2020 to 2024
$5.3M
Effects of blood conservation and donor characteristics on transfused patient outcomes in a large community hospital networkR01HL126130 · NHLBI · VITALANT · PI ROUBINIAN, NAREG · 2016 to 2019
$1.9M
NCATS NIH HHS UL1 TR001863NCI NIH HHS 75N91019D00032NCI NIH HHS 75N91019D00036NHLBI NIH HHS 75N92019D00032NHLBI NIH HHS 75N92019D00034NHLBI NIH HHS 75N92019D00035NHLBI NIH HHS 75N92019D00036NHLBI NIH HHS 75N92019D00037NHLBI NIH HHS R01 HL126130NIH HHS 75N98019D00032
6 · The paper itself

Abstract

BACKGROUNDRBC transfusion effectiveness varies due to donor, component, and recipient factors. Prior studies identified characteristics associated with variation in hemoglobin increments following transfusion. We extended these observations, examining donor genetic and nongenetic factors affecting transfusion effectiveness.METHODSThis is a multicenter retrospective study of 46,705 patients and 102,043 evaluable RBC transfusions from 2013 to 2016 across 12 hospitals. Transfusion effectiveness was defined as hemoglobin, bilirubin, or creatinine increments following single RBC unit transfusion. Models incorporated a subset of donors with data on single nucleotide polymorphisms associated with osmotic and oxidative hemolysis in vitro. Mixed modeling accounting for repeated transfusion episodes identified predictors of transfusion effectiveness.RESULTSBlood donor (sex, Rh status, fingerstick hemoglobin, smoking), component (storage duration, γ irradiation, leukoreduction, apheresis collection, storage solution), and recipient (sex, BMI, race and ethnicity, age) characteristics were associated with hemoglobin and bilirubin, but not creatinine, increments following RBC transfusions. Increased storage duration was associated with increased bilirubin and decreased hemoglobin increments, suggestive of in vivo hemolysis following transfusion. Donor G6PD deficiency and polymorphisms in SEC14L4, HBA2, and MYO9B genes were associated with decreased hemoglobin increments. Donor G6PD deficiency and polymorphisms in SEC14L4 were associated with increased transfusion requirements in the subsequent 48 hours.CONCLUSIONDonor genetic and other factors, such as RBC storage duration, affect transfusion effectiveness as defined by decreased hemoglobin or increased bilirubin increments. Addressing these factors will provide a precision medicine approach to improve patient outcomes, particularly for chronically transfused RBC recipients, who would most benefit from more effective transfusion products.FUNDINGFunding was provided by HHSN 75N92019D00032, HHSN 75N92019D00034, 75N92019D00035, HHSN 75N92019D00036, and HHSN 75N92019D00037; R01HL126130; and the National Institute of Child Health and Human Development (NICHD).

Indexed as

Erythrocyte TransfusionAdultAgedBlood DonorsFemaleGlucosephosphate Dehydrogenase DeficiencyHemoglobinsHemolysisHumansMaleMiddle AgedRetrospective StudiesHemoglobinsClinical practiceGenetic variationHematology

Identifiers

PMID34793330
PMCPMC8765041
OpenAlexW3212616106

What OpenQuestion holds

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Registered trials

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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.