Evidence map›Paper›PMID 35994632›Full record

ArticleBlood advances2023

Absolute neutrophil count by Duffy status among healthy Black and African American adults.

Lauren E Merz, Charlotte M Story, Miriam A Osei, Katherine Jolley, Siyang Ren, Hae Soo Park, Revital Yefidoff Freedman, Donna Neuberg, Robin Smeland-Wagman, Richard M Kaufman and 1 more

Abstract read
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 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.

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

46 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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  11. Impact of social determinants on the development, diagnosis, and treatment of cancer: recommended public health interventions.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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  13. Article
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  18. Nomogram-based prediction model for tocilizumab-induced leukopenia in adults using FAERS and PMDA data.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Observational
  19. Article
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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.

Lauren E MerzDepartment of Internal Medicine, Brigham and Women's Hospital, Boston, MA.ORCID 0000-0002-6618-803X
Charlotte M StoryDepartment of Internal Medicine, Brigham and Women's Hospital, Boston, MA.ORCID 0000-0003-1762-8657
Miriam A OseiDepartment of Internal Medicine, Brigham and Women's Hospital, Boston, MA.
Katherine JolleyDivision of Hematology, Brigham and Women's Hospital, Boston, MA.
Siyang RenDepartment of Data Science, Dana-Farber Cancer Institute, Boston, MA.
Hae Soo ParkDivision of Hematology, Brigham and Women's Hospital, Boston, MA.
Revital Yefidoff FreedmanDivision of Hematology, Brigham and Women's Hospital, Boston, MA.
Donna NeubergDepartment of Data Science, Dana-Farber Cancer Institute, Boston, MA.
Robin Smeland-WagmanDepartment of Pathology, Brigham and Women's Hospital, Boston, MA.
Richard M KaufmanDepartment of Pathology, Brigham and Women's Hospital, Boston, MA.
Maureen O AchebeDivision of Hematology, Brigham and Women's Hospital, Boston, MA.ORCID 0000-0001-7656-8258

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many people of African ancestry have lower absolute neutrophil counts (ANCs) without increased risk for infection. This is associated with the Duffy-null phenotype (nonexpression of the Duffy antigen on red blood cells), which is commonly found in those of African descent. Currently, there are no studies that compare the ANC of individuals with Duffy-null phenotype to those with Duffy non-null phenotypes within a self-identified Black population. The aim of this study was to assess the impact of Duffy status on ANCs based on complete blood counts with differential and Duffy testing in a healthy population of self-identified Black individuals at a single primary care center. This study found that 66.7% (80 of 120) of Black individuals have the Duffy-null phenotype and that there is a significant difference in ANCs between Duffy-null and Duffy non-null individuals (median, 2820 cells per μL vs 5005 cells per μL; P < .001). Additionally, 19 of 80 (23.8%) Duffy-null individuals had an ANC of <2000 cells per μL compared with no (0) Duffy non-null individuals. The Duffy-null phenotype is clinically insignificant; however, inappropriate reference ranges can propagate systemic racism. Therefore, we advocate for the development of Duffy-null-specific ANC reference ranges as well as replacing the term benign ethnic neutropenia with Duffy-nullassociated neutrophil count.

Indexed as

NeutropeniaNeutrophilsBlack or African AmericanBlack PeopleHumansLeukocyte Count

Identifiers

PMID35994632
PMCPMC9881043

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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.