Evidence map›Paper›PMID 36975201›Full record

ArticlePediatric blood & cancer2023

Gene therapy in sickle cell disease: Attitudes and informational needs of patients and caregivers.

Akshay Sharma, Amanda Young, Yvonne Carroll, Himani Darji, Yimei Li, Belinda N Mandrell, Marquita N Nelson, Curtis L Owens, Mary Irvine, Mary Caples and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.9field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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

14 authors at 4 institutions in 1 country.

Akshay SharmaDepartment of Bone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID 0000-0003-3281-2081
Amanda YoungDepartment of Communication and Film, University of Memphis, Memphis, Tennessee, USA.
Yvonne CarrollDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Himani DarjiDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Yimei LiDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Belinda N MandrellDivision of Nursing Research, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Marquita N NelsonDivision of Hematology/Oncology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Curtis L OwensDivision of Hematology/Oncology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Mary IrvineDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Mary CaplesDivision of Nursing Research, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Lauren P JerkinsDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Yoram UnguruDivision of Pediatric Hematology/Oncology, The Herman and Walter Samuelson Children's Hospital at Sinai, Baltimore, Maryland, USA.ORCID 0000-0002-2250-300X
Jane S HankinsDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID 0000-0003-4439-7321
Liza-Marie JohnsonDepartmet of Oncology and Hematology/Oncology Hospitalist Medicine Program, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID 0000-0002-7124-979X
St. Jude Children's Research Hospital · USUniversity of Tennessee Health Science Center · USJohns Hopkins University · USUniversity of Memphis · US

Funding

RE-aiming at Hydroxyurea Adherence for Sickle cell with mHealth (RE-HASH)U01HL133996 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI HANKINS, JANE SILVA, KLESGES, LISA M · 2016 to 2021
$4.6M
NHGRI NIH HHS L40 HG008075NHLBI NIH HHS U01 HL133996
6 · The paper itself

Abstract

backgroundSickle cell disease (SCD) is an inherited blood disorder that results in serious morbidity and early mortality. Novel therapies for SCD, most notably genetic therapies (GTs) and HLA-mismatched donor hematopoietic cell transplantation, are in clinical trials. While potentially curative, these interventions are some of the most intensive treatments for SCD and are associated with serious and life-altering side effects, which may manifest several years after treatment. Little is known about knowledge, beliefs, and attitudes of individuals with SCD, or their caregivers, toward existing and these emerging therapies.

methodsPatients with SCD at least 13 years of age (n = 66) and caregivers (n = 38) were surveyed about knowledge, attitudes, and beliefs surrounding treatments for SCD.

resultsOnly 4.8% felt "extremely knowledgeable" about GT for SCD while the majority (63.4%) reported little knowledge. Overall, health literacy was low among respondents. Most respondents had a neutral attitude regarding the safety of GT for SCD, and whether it was a good treatment for the disorder (56.7% and 58.6%, respectively). Only a few respondents endorsed the idea that GT was "unsafe" or "not a good treatment" (5.8% and 4.8%, respectively). There was an association between increasing knowledge about GT and agreement that it is safe (p = .012) and a good treatment for SCD (p = .031).

conclusionsGiven that very few patients with SCD feel knowledgeable about GT and a majority have neutral feelings about the safety and utility of this new approach, culturally appropriate patient-centered education is urgently needed as these treatments get regulatory approval and proceed to the clinic.

Indexed as

Anemia, Sickle CellHematopoietic Stem Cell TransplantationCaregiversGenetic TherapyHealth Knowledge, Attitudes, PracticeHumansgene therapyhematology/oncologypatient education

Identifiers

PMID36975201
PMCPMC10187715
OpenAlexW4361190076

What OpenQuestion holds

Textmetadata
LicenceTDM
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.