Evidence map›Paper›PMID 35194660›Full record

ArticleSurgical endoscopy2022

Clinical and surgical outcomes of splenectomy for autoimmune hemolytic anemia.

Sara Maskal, Raha Al Marzooqi, Aldo Fafaj, Samuel Zolin, Robert Naples, Advait Iyer, Clayton Petro, David Krpata, Ajita Prabhu, Michael Rosen and 1 more

Abstract read
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Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Autoimmune haemolytic anaemias.Nature reviews. Disease primers · 2024
    Review
  4. [The treatment strategies of autoimmune hemolytic anemia].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2024
    Review
  5. Article
  6. Review
  7. [How I diagnose and treat autoimmune hemolytic anemia].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2022
    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.

Sara MaskalGeneral Surgery, Cleveland Clinic, Cleveland, OH, USA. sara.maskal@gmail.com.
Raha Al MarzooqiGeneral Surgery, Cleveland Clinic, Cleveland, OH, USA.
Aldo FafajGeneral Surgery, Cleveland Clinic, Cleveland, OH, USA.
Samuel ZolinGeneral Surgery, Cleveland Clinic, Cleveland, OH, USA.
Robert NaplesGeneral Surgery, Cleveland Clinic, Cleveland, OH, USA.
Advait IyerGeneral Surgery, Cleveland Clinic, Cleveland, OH, USA.
Clayton PetroGeneral Surgery, Cleveland Clinic, Cleveland, OH, USA.
David KrpataGeneral Surgery, Cleveland Clinic, Cleveland, OH, USA.
Ajita PrabhuGeneral Surgery, Cleveland Clinic, Cleveland, OH, USA.
Michael RosenGeneral Surgery, Cleveland Clinic, Cleveland, OH, USA.
Steven RosenblattGeneral Surgery, Cleveland Clinic, Cleveland, OH, USA.
Cleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe investigated short and long-term remission rates after splenectomy in patients with primary and secondary autoimmune hemolytic anemia (AIHA).

methodsAll adults who underwent splenectomy for primary or secondary AIHA at a single center (2004-2018) were retrospectively reviewed. Short-term response was determined at 30-day postoperatively and long-term at one year. Complete response was defined as hemoglobin > 10 g/dL without hemolysis, transfusions, or need for additional medical therapy for > 6 months.

resultsShort-term complete response was attained in 22 of 36 patients (61%), partial response in 3 (8%), no response in 11 (31%). The response rate at 1 year was complete in 14/36 (39%), partial in 14 (39%), and 8 non-response (22%). At last available follow-up (median 33.1 months (IQR 19-59), 16/37 patients had experienced a complete response (43%), 14 partial response (38%), 7 non-response (19%). 80% of partial responders with primary AIHA required maintenance therapy compared to 100% with secondary AIHA.

conclusionSplenectomy is associated with short- and long-term improvement in anemia and hemolysis in the majority of patients with AIHA. Immunosuppressants remain important supplemental therapy.

Indexed as

Anemia, Hemolytic, AutoimmuneAdultHemolysisHumansRetrospective StudiesSplenectomyTreatment OutcomeAutoimmune hemolytic anemiaComplete responsePartial responseSplenectomy

Identifiers

PMID35194660
OpenAlexW4213432274

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.