Evidence map›Paper›PMID 36823529›Full record

ReviewOrphanet journal of rare diseases2023

Consensus guidelines for diagnosis and management of anemia in epidermolysis bullosa.

Carmen Liy-Wong, Cristina Tarango, Elena Pope, Thomas Coates, Anna L Bruckner, James A Feinstein, Agnes Schwieger-Briel, Lynne D Hubbard, Clapham Jane, Mauricio Torres-Pradilla and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Orphanet journal of rare diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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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

12 authors at 9 institutions in 6 countries.

Carmen Liy-WongDivision of Dermatology and Rheumatology, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada. cliywong@cheo.on.ca.ORCID 0000-0002-4471-5281
Cristina TarangoDivision of Hematology, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Elena PopeDivision of Dermatology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Thomas CoatesKeck School of Medicine, Division of Hematology/Oncology, Department of Pediatrics, Children's Hospital Los Angeles, University of Southern California, Los Angeles, CA, USA.
Anna L BrucknerEpidermolysis Bullosa Clinic, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA.
James A FeinsteinEpidermolysis Bullosa Clinic, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA.
Agnes Schwieger-BrielPediatric Skin Center, Department of Dermatology, University Children's Hospital Zurich, Zurich, Switzerland.
Lynne D HubbardDepartment of Nutrition and Dietetics, Rare Diseases Centre at St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Clapham JaneLead EB CNS, Rare Diseases Centre, St John's Institute of Dermatology, St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust and DEBRA UK, London, UK.
Mauricio Torres-PradillaFundación Universitaria de Ciencias de la Salud and Hospital de San José, Bogotá, Colombia.
Matija ZmazekDEBRA, Zagreb, Croatia.
Irene Lara-CorralesDivision of Dermatology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Children's Hospital Colorado · USSt Thomas' Hospital · GBUniversity of Toronto · CACincinnati Children's Hospital Medical Center · USCroatian Science Foundation · HRFundación Universitaria de Ciencias de la Salud · COUniversity Children's Hospital Zurich · CHUniversity of Ottawa · CAUniversity of Southern California · US

Funding

Enhancing Medication Safety in Children with Polypharmacy Using Parent-Reported Symptom AssessmentsK23HD091295 · NICHD · UNIVERSITY OF COLORADO DENVER · PI FEINSTEIN, JAMES A · 2017 to 2021
$826k
NICHD NIH HHS K23 HD091295
6 · The paper itself

Abstract

backgroundAnemia is a common complication of severe forms of epidermolysis bullosa (EB). To date, there are no guidelines outlining best clinical practices to manage anemia in the EB population. The objective of this manuscript is to present the first consensus guidelines for the diagnosis and management of anemia in EB.

resultsDue to the lack of high-quality evidence, a consensus methodology was followed. An initial survey exploring patient preferences, concerns and symptoms related to anemia was sent to EB patients and their family members. A second survey was distributed to EB experts and focused on screening, diagnosis, monitoring and management of anemia in the different types of EB. Information from these surveys was collated and used by the panel to generate 26 consensus statements. Consensus statements were sent to healthcare providers that care for EB patients through EB-Clinet. Statements that received more than 70% approval (completely agree/agree) were adopted.

conclusionsThe end result was a series of 6 recommendations which include 20 statements that will help guide management of anemia in EB patients. In patients with moderate to severe forms of EB, the minimum desirable level of Hb is 100 g/L. Treatment should be individualized. Dietary measures should be offered as part of management of anemia in all EB patients, oral iron supplementation should be used for mild anemia; while iron infusion is reserved for moderate to severe anemia, if Hb levels of > 80-100 g/L (8-10 g/dL) and symptomatic; and transfusion should be administered if Hb is < 80 g/L (8 g/dL) in adults and < 60 g/L (6 g/dL) in children.

Indexed as

AnemiaEpidermolysis BullosaEpidermolysis Bullosa DystrophicaAdultChildConsensusHealth PersonnelHumansIronIronAnemiaChronic anemia of inflammationEpidermolysis bullosaIron deficiencyRecessive dystrophic epidermolysis bullosa

Identifiers

PMID36823529
PMCPMC9948325
OpenAlexW4321595899

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.