Evidence map›Paper›PMID 36950457›Full record

ArticleCurrent therapeutic research, clinical and experimental2023

Hemoglobin and End-Organ Damage in Individuals with Sickle Cell Disease.

William B Ershler, Laura M De Castro, Zahra Pakbaz, Aaron Moynahan, Derek Weycker, Thomas E Delea, Irene Agodoa, Ze Cong

Open access · goldAbstract read
In one paragraph

Article in Current therapeutic research, clinical and experimental, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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

8 authors at 5 institutions in 1 country.

William B ErshlerDepartment of Hematology, Inova Schar Cancer Institute, Fairfax, Virginia.
Laura M De CastroDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Zahra PakbazDivision of Hematology/Oncology, UC Irvine Chao Family Cancer Center, Orange, California.
Aaron MoynahanPolicy Analysis Inc, Brookline, Massachusetts.
Derek WeyckerPolicy Analysis Inc, Brookline, Massachusetts.
Thomas E DeleaPolicy Analysis Inc, Brookline, Massachusetts.
Irene AgodoaGlobal Blood Therapeutics, Inc., South San Francisco, California.
Ze CongGlobal Blood Therapeutics, Inc., South San Francisco, California.
Policy Analysis (United States) · USGlobal Blood Therapeutics (United States) · USUniversity of California, Irvine · USUniversity of Pittsburgh · USVirginia Cancer Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sickle cell disease (SCD) is an inherited, chronic, multifaceted blood disorder. Patients with SCD develop anemia, which has been associated with end-organ damage (EOD). Objectives: This retrospective, observational, repeated-measures study systematically characterizes the relationship between hemoglobin (Hb) level and EOD in adolescent and adult patients with SCD Methods: The study population comprised patients with SCD aged ≥12 years with available Hb data from a US provider-centric health care database. For each patient, each Hb value over time was included as a separate observation. Study outcomes-the onset of any new EOD, including chronic kidney disease, pulmonary hypertension, stroke, and leg ulcer-were ascertained during the 1-year period after each Hb assessment. The association between Hb levels and risk of new EOD was estimated using multivariable generalized estimating equations. Results: A total of 16,043 unique patients with SCD contributed 44,913 observations. Adjusted odds of any EOD during the 1-year follow-up were significantly lower with higher Hb level. Risk reductions with higher Hb levels for chronic kidney disease, pulmonary hypertension, and leg ulcer were comparable. The risk of new EOD was significantly lower among adolescent and adult patients with higher Hb levels. Conclusions: In patients with SCD, higher Hb levels are associated with a reduced risk of developing EOD. Therapeutic strategies that result in higher Hb levels may offer clinical and economic value for patients with SCD. (

Indexed as

anemiachronic kidney diseaseleg ulcerpulmonary hypertensionsickle cell diseasestroke

Identifiers

PMID36950457
PMCPMC10025127
OpenAlexW4321487290

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.